Journal article
“The role as a champion is to not only monitor but to speak out and to educate”: the contradictory roles of hand hygiene champions
Implementation science : IS, Vol.14(1), pp.110-110
12/23/2019
DOI: 10.1186/s13012-019-0943-x
PMCID: PMC6929350
PMID: 31870453
Abstract
Background: Implementation science experts define champions as "supporting, marketing, and driving through an implementation, overcoming indifference or resistance that the intervention may provoke in an organization." Many hospitals use designated clinical champions-often called "hand hygiene (HH) champions"-typically to improve hand hygiene compliance. We conducted an ethnographic examination of how infection control teams in the Veterans Health Administration (VHA) use the term "HH champion" and how they define the role.
Methods: An ethnographic study was conducted with infection control teams and frontline staff directly involved with hand hygiene across 10 geographically dispersed VHA facilities in the USA. Individual and group semi-structured interviews were conducted with hospital epidemiologists, infection preventionists, multi-drug-resistant organism (MDRO) program coordinators, and quality improvement specialists and frontline staff from June 2014 to September 2017. The team coded the transcripts using thematic content analysis content based on a codebook composed of inductive and deductive themes.
Results: A total of 173 healthcare workers participated in interviews from the 10 VHA facilities. All hand hygiene programs at each facility used the term HH champion to define a core element of their hand hygiene programs. While most described the role of HH champions as providing peer-to-peer coaching, delivering formal and informal education, and promoting hand hygiene, a majority also included hand hygiene surveillance. This conflation of implementation strategies led to contradictory responsibilities for HH champions. Participants described additional barriers to the role of HH champions, including competing priorities, staffing hierarchies, and turnover in the role.
Conclusions: Healthcare systems should consider narrowly defining the role of the HH champion as a dedicated individual whose mission is to overcome resistance and improve hand hygiene compliance-and differentiate it from the role of a "compliance auditor." Returning to the traditional application of the implementation strategy may lead to overall improvements in hand hygiene and reduction of the transmission of healthcare-acquired infections.
Details
- Title: Subtitle
- “The role as a champion is to not only monitor but to speak out and to educate”: the contradictory roles of hand hygiene champions
- Creators
- Cassie Cunningham Goedken - 601 Hwy 6 West, Iowa City, 52246 USADaniel J Livorsi - 375 Newton Rd, Iowa City, IA 52242 USAMichael Sauder - 140 Seashore Hall West, Iowa City, IA 52242 USAMark W Vander Weg - W311 Seashore Hall, Iowa City, IA 52242-1407 USAEmily E Chasco - 601 Hwy 6 West, Iowa City, 52246 USANai-Chung Chang - 30 N 1900 E, Salt Lake City, UT 84132 USAEli Perencevich - 375 Newton Rd, Iowa City, IA 52242 USAHeather Schacht Reisinger - 375 Newton Rd, Iowa City, IA 52242 USA
- Resource Type
- Journal article
- Publication Details
- Implementation science : IS, Vol.14(1), pp.110-110
- DOI
- 10.1186/s13012-019-0943-x
- PMID
- 31870453
- PMCID
- PMC6929350
- NLM abbreviation
- Implement Sci
- ISSN
- 1748-5908
- eISSN
- 1748-5908
- Publisher
- BioMed Central; London
- Grant note
- grant CRE 12-289 / ;
- Language
- English
- Date published
- 12/23/2019
- Academic Unit
- Sociology and Criminology; Infectious Diseases; Epidemiology; Psychological and Brain Sciences; Center for Social Science Innovation; Injury Prevention Research Center; Community and Behavioral Health; Internal Medicine
- Record Identifier
- 9984001238402771
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