Associations between perceptions of evidence and adoption of H1N1 influenza infection prevention strategies among healthcare workers providing care to persons with spinal cord injury
Identifieur interne : 000F81 ( Main/Exploration ); précédent : 000F80; suivant : 000F82Associations between perceptions of evidence and adoption of H1N1 influenza infection prevention strategies among healthcare workers providing care to persons with spinal cord injury
Auteurs : Philip M. Ullrich [États-Unis] ; Sherri L. Lavela [États-Unis] ; Charlesnika T. Evans [États-Unis] ; Scott Miskevics [États-Unis] ; Frances M. Weaver [États-Unis] ; Barry Goldstein [États-Unis]Source :
- Journal of Advanced Nursing [ 0309-2402 ] ; 2014-08.
Abstract
Aim: To examine associations between perceptions of evidence (research evidence, clinical expertise, patient preferences) and outcomes of a nationwide programme to implement H1N1 influenza prevention guidelines. Background: Healthcare workers do not consistently adhere to recommended infection control practices and this may be associated with their perceptions of evidence sources. Design: Cross‐sectional mailed survey. Method: A survey of healthcare workers was administered in August 2010 after implementation of H1N1 prevention guidelines. Outcomes of interest were ratings of adherence to H1N1 prevention guidelines. Findings: Respondents with complete data (N = 283) were included in analyses. Facility‐level adherence to guidelines was associated with opinions of clinical experts. Healthcare workers who rated clinical expertise as aligning with recommendations also rated their facilities as being more adherent to guidelines. Perceptions of research evidence and patient preferences were not associated with facility adherence. Personal adherence was not associated with perceptions of evidence, except among those healthcare workers who rated both clinical experts and patients as unsupportive of guidelines; these practitioners were less likely to adhere to recommended personal hygiene practices. Conclusion: Efforts to implement guidelines might be most effective when capitalizing on the influence of clinical experts. To better explain variability in guideline adherence, inclusion of a broader array of variables is recommended for future studies.
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DOI: 10.1111/jan.12336
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Ullrich</name><affiliation wicri:level="1"><country xml:lang="fr">États-Unis</country><wicri:regionArea>Spinal Cord Injury Quality Enhancement Research Initiative (SCI QUERI) and VA Puget Sound Healthcare System, Washington, Seattle</wicri:regionArea><wicri:noRegion>Seattle</wicri:noRegion></affiliation></author><author><name sortKey="Lavela, Sherri L" sort="Lavela, Sherri L" uniqKey="Lavela S" first="Sherri L." last="Lavela">Sherri L. Lavela</name><affiliation wicri:level="1"><country xml:lang="fr">États-Unis</country><wicri:regionArea>SCI QUERI and Center of Innovation for Complex Chronic Healthcare, Edward Hines Jr. Department of Veterans Affairs (VA) Hospital, Illinois, Hines</wicri:regionArea><wicri:noRegion>Hines</wicri:noRegion></affiliation></author><author><name sortKey="Evans, Charlesnika T" sort="Evans, Charlesnika T" uniqKey="Evans C" first="Charlesnika T." last="Evans">Charlesnika T. 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Background: Healthcare workers do not consistently adhere to recommended infection control practices and this may be associated with their perceptions of evidence sources. Design: Cross‐sectional mailed survey. Method: A survey of healthcare workers was administered in August 2010 after implementation of H1N1 prevention guidelines. Outcomes of interest were ratings of adherence to H1N1 prevention guidelines. Findings: Respondents with complete data (N = 283) were included in analyses. Facility‐level adherence to guidelines was associated with opinions of clinical experts. Healthcare workers who rated clinical expertise as aligning with recommendations also rated their facilities as being more adherent to guidelines. Perceptions of research evidence and patient preferences were not associated with facility adherence. Personal adherence was not associated with perceptions of evidence, except among those healthcare workers who rated both clinical experts and patients as unsupportive of guidelines; these practitioners were less likely to adhere to recommended personal hygiene practices. Conclusion: Efforts to implement guidelines might be most effective when capitalizing on the influence of clinical experts. To better explain variability in guideline adherence, inclusion of a broader array of variables is recommended for future studies.</div></front></TEI><affiliations><list><country><li>États-Unis</li></country></list><tree><country name="États-Unis"><noRegion><name sortKey="Ullrich, Philip M" sort="Ullrich, Philip M" uniqKey="Ullrich P" first="Philip M." last="Ullrich">Philip M. Ullrich</name></noRegion><name sortKey="Evans, Charlesnika T" sort="Evans, Charlesnika T" uniqKey="Evans C" first="Charlesnika T." last="Evans">Charlesnika T. Evans</name><name sortKey="Goldstein, Barry" sort="Goldstein, Barry" uniqKey="Goldstein B" first="Barry" last="Goldstein">Barry Goldstein</name><name sortKey="Lavela, Sherri L" sort="Lavela, Sherri L" uniqKey="Lavela S" first="Sherri L." last="Lavela">Sherri L. Lavela</name><name sortKey="Miskevics, Scott" sort="Miskevics, Scott" uniqKey="Miskevics S" first="Scott" last="Miskevics">Scott Miskevics</name><name sortKey="Weaver, Frances M" sort="Weaver, Frances M" uniqKey="Weaver F" first="Frances M." last="Weaver">Frances M. Weaver</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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