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Pushing beyond resistors and constipators: Implementation considerations for infection prevention best practices topical collection on healthcare associated infections

Resource type
Authors/contributors
Title
Pushing beyond resistors and constipators: Implementation considerations for infection prevention best practices topical collection on healthcare associated infections
Abstract
Despite increased knowledge in the science of infection prevention, the implementation of evidence-based best practices remains a challenge. The dissemination of infection prevention risk reduction best practices should be approached with flexibility and a collaborative perspective. High-quality evidence and cost assessments to support interventions are important initial considerations. An implementation framework should be contextually appropriate, take into account an organization's culture, and be mindful of an approach that minimizes complexity. Trialing an intervention within a specific unit may later lead to increased uptake organization wide. Highly functional collaborations with effective leaders are needed for successful implementation. Leadership for infection prevention initiatives may include upper level management; however, hospital epidemiologists and infection preventionists often play this role. Although published data fail to identify a single best integrative strategy for infection prevention practice change, success has been associated with education initiatives and seminars, audit and feedback, distribution of educational materials, marketing, mass media, positive deviance, and the employment of champions, facilitators, role models, and opinion leaders. Local personnel, such as organizational resistors and constipators, can be barriers to idea dissemination and implementation. In addition to a thoughtfully conceived implementation strategy, dealing with infection prevention resistors and constipators includes getting their buy-in early in the dissemination process, working around them, or terminating their employment. More data are needed to best define which infection prevention dissemination strategies are most effective. © 2014 Springer Science+Business Media New York.
Publication
Current Infectious Disease Reports
Volume
16
Issue
1
Pages
388-395
Date
2014
Language
English
DOI
10.1007/s11908-013-0388-3
ISSN
1523-3847
Short Title
Pushing beyond resistors and constipators
Archive
Scopus
Library Catalog
Scopus
Citation
Bearman, G., & Stevens, M. P. (2014). Pushing beyond resistors and constipators: Implementation considerations for infection prevention best practices topical collection on healthcare associated infections. Current Infectious Disease Reports, 16(1), 388–395. Scopus. https://doi.org/10.1007/s11908-013-0388-3