Luize F. Juskevicius
Lessons learned from a failed implementation: Effective communication with patients in transmission-based precautions
Juskevicius, Luize F.; Luz, Reginaldo Adalberto; Felix, Adriana Maria da Silva; Timmons, Stephen; Padoveze, Maria Clara
Authors
Reginaldo Adalberto Luz
Adriana Maria da Silva Felix
STEPHEN TIMMONS stephen.timmons@nottingham.ac.uk
Professor of Health Services Management
Maria Clara Padoveze
Abstract
Background: Patient engagement with transmission-based precautions can be an important strategy to prevent adverse events related to isolation. Most patient education is still highly prescriptive and is thus unlikely to help. Effective communication requires behavior change, leading to a meaningful dialog between the parties involved. Objective: evaluate implementation process of a protocol for effective communication with patients in transmission-based precautions (Com-Efe). Methods: Implementation research using qualitative methods in 4 sequential phases: (1) nonparticipant observation in inpatient wards; (2) design of the intervention for implementation; (3) adaptation of the Com-Efe through workshops with nurses; (4) final assessment of the implementation results through interviews with nurses. Study was performed in a public, secondary, teaching hospital. Consolidated Framework for Implementation Research was used as the reference for interview design and data analysis, aiming to identify barriers and enablers of the implementation process. Results: Main factors that could have facilitated adherence were beliefs and perceived advantages in using the Com-Efe by nurses. Main barriers that may have contributed to the failure were the unfavorable climate for implementation, insufficient individual and leadership commitment, and the lack of understanding of the concepts underpinning effective communication. Conclusions: Despite using a systematic approach, the Com-Efe protocol was not fully implemented. The lessons learned in this study allowed us to propose suggestions for future protocol implementations in similar contexts.
Citation
Juskevicius, L. F., Luz, R. A., Felix, A. M. D. S., Timmons, S., & Padoveze, M. C. (2023). Lessons learned from a failed implementation: Effective communication with patients in transmission-based precautions. American Journal of Infection Control, 51(6), 687-693. https://doi.org/10.1016/j.ajic.2022.09.029
Journal Article Type | Article |
---|---|
Acceptance Date | Sep 28, 2022 |
Online Publication Date | Oct 7, 2022 |
Publication Date | 2023-06 |
Deposit Date | Sep 29, 2022 |
Publicly Available Date | Mar 29, 2024 |
Journal | American Journal of Infection Control |
Print ISSN | 0196-6553 |
Electronic ISSN | 1527-3296 |
Publisher | Elsevier BV |
Peer Reviewed | Peer Reviewed |
Volume | 51 |
Issue | 6 |
Pages | 687-693 |
DOI | https://doi.org/10.1016/j.ajic.2022.09.029 |
Keywords | Infectious Diseases; Public Health, Environmental and Occupational Health; Health Policy; Epidemiology |
Public URL | https://nottingham-repository.worktribe.com/output/11752068 |
Publisher URL | https://www.sciencedirect.com/science/article/pii/S0196655322007295?via%3Dihub |
Files
18278
(2.6 Mb)
PDF
You might also like
Approaches to co-production of research in care homes: a scoping review
(2022)
Journal Article
Realist inquiry into Maternity care @ a Distance (ARM@DA): realist review protocol
(2022)
Journal Article
Downloadable Citations
About Repository@Nottingham
Administrator e-mail: digital-library-support@nottingham.ac.uk
This application uses the following open-source libraries:
SheetJS Community Edition
Apache License Version 2.0 (http://www.apache.org/licenses/)
PDF.js
Apache License Version 2.0 (http://www.apache.org/licenses/)
Font Awesome
SIL OFL 1.1 (http://scripts.sil.org/OFL)
MIT License (http://opensource.org/licenses/mit-license.html)
CC BY 3.0 ( http://creativecommons.org/licenses/by/3.0/)
Powered by Worktribe © 2024
Advanced Search