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Lessons learned from a failed implementation: Effective communication with patients in transmission-based

Luize F Juskevicius1, Reginaldo A Luz2, Adriana M da Silva Felix2

  • 1School of Nursing, University of São Paulo, São Paulo, São Paulo, Brazil.

American Journal of Infection Control
|October 9, 2022
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Summary

Effective communication protocols for patients on transmission-based precautions require behavior change. While nurses perceived advantages, implementation barriers included poor climate and lack of leadership commitment, hindering full adoption.

Keywords:
Health communicationImplementation scienceTransmission-based precautions

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Area of Science:

  • Healthcare implementation science
  • Patient safety and communication strategies
  • Infection control protocols

Background:

  • Patient engagement is crucial for preventing adverse events associated with isolation precautions.
  • Current patient education methods are often prescriptive and ineffective.
  • Effective communication necessitates behavior change and a collaborative dialogue.

Purpose of the Study:

  • To evaluate the implementation process of a communication protocol (Com-Efe) for patients under transmission-based precautions.
  • To identify barriers and enablers to the successful implementation of the Com-Efe protocol.

Main Methods:

  • Qualitative implementation research conducted in four phases: observation, intervention design, nurse workshops, and final assessment.
  • Utilized the Consolidated Framework for Implementation Research for data collection and analysis.
  • Interviews with nurses were conducted to gather insights on barriers and enablers.

Main Results:

  • Nurse beliefs and perceived advantages of the Com-Efe protocol facilitated adherence.
  • Key barriers included an unfavorable implementation climate, insufficient leadership commitment, and a lack of understanding of effective communication principles.
  • These factors contributed to the protocol not being fully implemented.

Conclusions:

  • Despite a systematic approach, the Com-Efe protocol faced significant implementation challenges.
  • Lessons learned offer valuable insights for optimizing future protocol implementations in similar healthcare settings.
  • Further research is needed to refine strategies for effective communication in transmission-based precautions.