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Infection control nurses' perceptions of the Code of Hygiene.

Jacqueline Randle¹, Mitch Clarke

¹University of Nottingham, Queens Medical Centre, Nottingham, UK. Jacqueline.Randle@nottingham.ac.uk

Journal of Nursing Management

|March 8, 2011

Summary

Senior nurses

Area of Science:

Healthcare Management
Infection Prevention and Control
Nursing Practice

Background:

The Code of Hygiene establishes legislative compliance standards to reduce healthcare-associated infections.
Non-compliance with infection control standards can result in regulatory actions and improvement notices for healthcare providers.

Purpose of the Study:

To explore senior infection prevention and control nurses' experiences with implementing the Code of Hygiene.
To understand perceptions regarding daily operationalization of hygiene standards in healthcare settings.

Main Methods:

Qualitative interviews were conducted with senior nurses from five infection prevention and control teams in England.
Interview data were analyzed to identify key themes related to hygiene compliance.

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Main Results:

Interventions for compliance were driven by senior National Health Service (NHS) managers, necessitating organizational change via a top-down approach.
Barriers to compliance included insufficient facilities (e.g., side rooms, isolation rooms) and poor engagement from medical staff.
Nurses reported increased authority to enforce change due to managerial interventions.

Conclusions:

Organizational change and senior management intervention were key to achieving compliance with the Code of Hygiene.
Addressing identified barriers, such as facility limitations and medical staff engagement, is crucial for meeting compliance criteria.