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Paediatric nurses' adoption of aseptic non-touch technique
Rachel Isaac1, Alys B Einion2, T Howard Griffiths3
1Researcher, Practice Development Nurse, Registered Nursing and Midwifery Council teacher, Registered Nurse (children), Abertawe Bro Morgannwg University Health Board.
British Journal of Nursing (Mark Allen Publishing)
|January 24, 2019
Summary
Registered nurses face challenges adopting aseptic non-touch technique (ANTT) during intravenous therapy, including lack of feedback and unclear standards. Addressing these barriers is crucial for improving infection prevention and patient outcomes.
Area of Science:
- Healthcare delivery
- Infection prevention and control
- Nursing practice
Background:
- NHS Wales implemented a standardized aseptic non-touch technique (ANTT) in 2015 to improve clinical outcomes.
- The ANTT approach aims to standardize practices across healthcare settings.
Purpose of the Study:
- To identify challenges encountered by clinical staff during the adoption of ANTT for intravenous therapy.
- To understand barriers to consistent implementation of standardized aseptic techniques.
Main Methods:
- A focused ethnography was conducted in two NHS Wales pediatric wards.
- Data were collected through participant observation, audit questionnaires, and semi-structured interviews.
- Analysis involved Wolcott's process and Kirkpatrick's model of training evaluation.
Main Results:
- Key challenges for registered nurses include lack of post-training feedback, individual practice preferences, and insufficient opportunities to practice ANTT.
- Lack of clarity in standardization and varying expectations from parents and medical staff also pose significant barriers.
- These factors impede the consistent application of aseptic non-touch technique.
Conclusions:
- Findings highlight the need for enhanced staff training and development programs to support ANTT adoption.
- Organizational culture significantly influences healthcare worker behavior and requires targeted attention.
- Quality assurance for standardized best practices must integrate staff training needs and workplace culture considerations.