Imperial College London
Alternate

ProfessorAlisonHolmes

Faculty of Medicine, Department of Infectious Disease

Professor of Infectious Diseases
 
 
 
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Contact

 

+44 (0)20 3313 1283alison.holmes

 
 
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Location

 

8N16Hammersmith HospitalHammersmith Campus

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Summary

 

Publications

Citation

BibTex format

@article{Troughton:2019:10.1186/s13756-019-0565-8,
author = {Troughton, R and Mariano, V and Campbell, A and Hettiaratchy, S and Holmes, A and Birgand, G},
doi = {10.1186/s13756-019-0565-8},
journal = {Antimicrobial Resistance and Infection Control},
title = {Understanding determinants of infection control practices in surgery: the role of shared ownership and team hierarchy},
url = {http://dx.doi.org/10.1186/s13756-019-0565-8},
volume = {8},
year = {2019}
}
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RIS format (EndNote, RefMan)

TY  - JOUR
AB  - Background. Despite a large literature on surgical site infection (SSI), the determinants ofprevention behaviours in surgery remain poorly studied. Understanding key social andcontextual components of surgical staff behaviour may help to design and implementinfection control (IC) improvement interventions in surgery.Methods. Qualitative semi-structured interviews were conducted with surgeons (n = 8),nurses (n = 5) theatre personnel (n = 3), and other healthcare professionals involved in surgery(n=4) in a 1500-bed acute care London hospital group. Participants were approached throughestablished mailing lists and snowball sampling. Interviews were recorded and transcribedverbatim. Transcripts were coded and analysed thematically using a constant comparativeapproach.Results. IC behaviour of surgical staff was governed by factors at individual, team, and widerhospital level. IC practices were linked to the perceived risk of harm caused by an SSI morethan the development of an SSI alone. Many operating room participants saw SSI preventionas a team responsibility. The sense of ownership over SSI occurence was closely tied to howpreventable staff perceived infections to be, with differences observed between clean andcontaminated surgery. However, senior surgeons claimed personal accountability for ratesdespite feeling SSIs are often not preventable. Hierarchy impacted on behaviour in differentways depending on whether it was within or between professional categories. One particularknowledge gap highlighted was the lack of awareness regarding criteria for SSI diagnosis.Conclusions. To influence IC behaviours in surgery, interventions need to consider the socialteam structure and shared ownership of the clinical outcome in order to increase theawareness in specialties where SSIs are not seen as serious complications.
AU  - Troughton,R
AU  - Mariano,V
AU  - Campbell,A
AU  - Hettiaratchy,S
AU  - Holmes,A
AU  - Birgand,G
DO  - 10.1186/s13756-019-0565-8
PY  - 2019///
SN  - 2047-2994
TI  - Understanding determinants of infection control practices in surgery: the role of shared ownership and team hierarchy
T2  - Antimicrobial Resistance and Infection Control
UR  - http://dx.doi.org/10.1186/s13756-019-0565-8
UR  - http://hdl.handle.net/10044/1/71665
VL  - 8
ER  -
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