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Published on: February 16, 2011
Engaging Direct Care Providers in Improving Infection Prevention and Control Practices Using Participatory Visual
Chantal Backman1, Natalie Bruce, Patricia Marck
1School of Nursing, Faculty of Health Sciences, University of Ottawa, and, Clinical Epidemiology Program, Ottawa Hospital Research Institute, Ottawa, Ontario, Canada (Dr Backman); Infection Prevention and Control, The Ottawa Hospital, Ottawa, Ontario, Canada (Ms Bruce); Faculty of Human and Social Development, University of Victoria, Victoria, British Columbia (Dr Marck); and Clinical Epidemiology Program, Ottawa Hospital Research Institute, Ottawa, Ontario, Canada (Ms Vanderloo).
Provider-led visual methods, like photo walkabouts, proved feasible for assessing hospital infection control practices. Nurses actively participated, leading to improvements in unit practices and work environments.
Area of Science:
- Healthcare quality improvement
- Infection prevention and control
- Visual research methods
Background:
- Effective infection prevention and control (IPC) practices are crucial in hospital settings.
- Identifying barriers and facilitators to IPC adherence is essential for quality improvement.
- Traditional assessment methods may not fully capture the complexities of clinical practice.
Purpose of the Study:
- To assess the feasibility of using provider-led participatory visual methods to evaluate IPC practices.
- To explore the utility of photo walkabouts and photo elicitation in identifying areas for improvement.
- To determine nurse engagement with visual methods for examining and enhancing unit-level practices.
Main Methods:
- The quality improvement project utilized provider-led participatory visual methods.
- Key methods included: provider-led photo walkabouts, photo elicitation sessions, and post-improvement photo walkabouts.
- These methods were implemented across four hospital units.
Main Results:
- Nurses demonstrated ready engagement with the participatory visual methods.
- The methods facilitated the examination of existing infection prevention and control practices.
- Participants actively identified opportunities for improvement and reorganization of their work environment.
Conclusions:
- Provider-led participatory visual methods are a feasible approach for scrutinizing hospital IPC practices.
- These methods effectively engage clinical staff in quality improvement initiatives.
- Visual tools can support the identification and implementation of practice changes to enhance patient safety.
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