2023-09-28 14:46:10 +00:00
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abstract: 'Background: Hospital acquired infections occur at higher rates in
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low-and middle-income countries, like India, than in high-income
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countries. Effective implementation of infection control practices is
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crucial to reducing the transmission of hospital acquired infections at
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hospitals worldwide. Yet, no comprehensive assessments of the barriers
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to sustained, successful implementation of hospital interventions have
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been performed in Indian healthcare settings to date. The Systems
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Engineering Initiative for Patient Safety (SEIPS) model examines
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problems through the lens of interactions between people and systems. It
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is a natural fit for investigating the behavioral and systematic
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components of infection control practices.
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Methods: We conducted a qualitative study to assess the facilitators and
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barriers to infection control practices at a 1250 bed tertiary care
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hospital in Haryana, northern India. Twenty semi-structured interviews
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of nurses and physicians, selected by convenience sampling, were
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conducted in English using an interview guide based on the SEIPS model.
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All interview data was subsequently transcribed and coded for themes.
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Results: Person, task, and organizational level factors were the primary
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barriers and facilitators to infection control at this hospital. Major
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barriers included a high rate of nursing staff turnover, time spent
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training new staff, limitations in language competency, and heavy
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clinical workloads. A well developed infection control team and an
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institutional climate that prioritizes infection control were major
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facilitators.
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Conclusions: Institutional support is critical to the effective
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implementation of infection control practices. Prioritizing resources to
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recruit and retain trained, experienced nursing staff is also essential.'
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affiliation: 'Safdar, N (Corresponding Author), Univ Wisconsin, Dept Med, Sch Med
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\& Publ Hlth, Madison, WI 53706 USA.
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Safdar, N (Corresponding Author), William S Middleton Mem Vet Affairs Hosp, Madison,
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WI 53705 USA.
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Barker, Anna K.; Brown, Kelli, Univ Wisconsin, Sch Med \& Publ Hlth, Dept Populat
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Hlth Sci, Madison, WI USA.
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Siraj, Dawd; Safdar, Nasia, Univ Wisconsin, Dept Med, Sch Med \& Publ Hlth, Madison,
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WI 53706 USA.
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Ahsan, Muneeb, Medanta Medic Hosp, Medanta Inst Eduat \& Res, Gurgaon, Haryana,
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India.
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Sengupta, Sharmila, Medanta Medic Hosp, Dept Clin Microbiol \& Infect Control, Gurgaon,
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Haryana, India.
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Safdar, Nasia, William S Middleton Mem Vet Affairs Hosp, Madison, WI 53705 USA.'
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article-number: '35'
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author: Barker, Anna K. and Brown, Kelli and Siraj, Dawd and Ahsan, Muneeb and Sengupta,
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Sharmila and Safdar, Nasia
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author-email: ns2@medicine.wisc.edu
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author_list:
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- family: Barker
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given: Anna K.
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- family: Brown
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given: Kelli
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- family: Siraj
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given: Dawd
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- family: Ahsan
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given: Muneeb
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- family: Sengupta
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given: Sharmila
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- family: Safdar
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given: Nasia
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da: '2023-09-28'
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doi: 10.1186/s13756-017-0189-9
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files: []
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issn: 2047-2994
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journal: ANTIMICROBIAL RESISTANCE AND INFECTION CONTROL
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keywords: 'Infection control; Global health; Qualitative methodology; Human
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factors; India'
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keywords-plus: CLOSTRIDIUM-DIFFICILE; CARE-UNITS; IMPROVE; PREVENTION; WORK
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language: English
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month: APR 8
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number-of-cited-references: '23'
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papis_id: f78d37ae0dd6844ad6cdd460986a943e
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ref: Barker2017barriersfacilitators
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times-cited: '31'
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title: 'Barriers and facilitators to infection control at a hospital in northern India:
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a qualitative study'
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2023-10-01 08:15:07 +00:00
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type: article
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2023-09-28 14:46:10 +00:00
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unique-id: WOS:000399180100001
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usage-count-last-180-days: '1'
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usage-count-since-2013: '12'
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volume: '6'
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web-of-science-categories: 'Public, Environmental \& Occupational Health; Infectious
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Diseases;
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Microbiology; Pharmacology \& Pharmacy'
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year: '2017'
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