abstract: 'Background: Hospital acquired infections occur at higher rates in

  low-and middle-income countries, like India, than in high-income

  countries. Effective implementation of infection control practices is

  crucial to reducing the transmission of hospital acquired infections at

  hospitals worldwide. Yet, no comprehensive assessments of the barriers

  to sustained, successful implementation of hospital interventions have

  been performed in Indian healthcare settings to date. The Systems

  Engineering Initiative for Patient Safety (SEIPS) model examines

  problems through the lens of interactions between people and systems. It

  is a natural fit for investigating the behavioral and systematic

  components of infection control practices.

  Methods: We conducted a qualitative study to assess the facilitators and

  barriers to infection control practices at a 1250 bed tertiary care

  hospital in Haryana, northern India. Twenty semi-structured interviews

  of nurses and physicians, selected by convenience sampling, were

  conducted in English using an interview guide based on the SEIPS model.

  All interview data was subsequently transcribed and coded for themes.

  Results: Person, task, and organizational level factors were the primary

  barriers and facilitators to infection control at this hospital. Major

  barriers included a high rate of nursing staff turnover, time spent

  training new staff, limitations in language competency, and heavy

  clinical workloads. A well developed infection control team and an

  institutional climate that prioritizes infection control were major

  facilitators.

  Conclusions: Institutional support is critical to the effective

  implementation of infection control practices. Prioritizing resources to

  recruit and retain trained, experienced nursing staff is also essential.'
affiliation: 'Safdar, N (Corresponding Author), Univ Wisconsin, Dept Med, Sch Med
  \& Publ Hlth, Madison, WI 53706 USA.

  Safdar, N (Corresponding Author), William S Middleton Mem Vet Affairs Hosp, Madison,
  WI 53705 USA.

  Barker, Anna K.; Brown, Kelli, Univ Wisconsin, Sch Med \& Publ Hlth, Dept Populat
  Hlth Sci, Madison, WI USA.

  Siraj, Dawd; Safdar, Nasia, Univ Wisconsin, Dept Med, Sch Med \& Publ Hlth, Madison,
  WI 53706 USA.

  Ahsan, Muneeb, Medanta Medic Hosp, Medanta Inst Eduat \& Res, Gurgaon, Haryana,
  India.

  Sengupta, Sharmila, Medanta Medic Hosp, Dept Clin Microbiol \& Infect Control, Gurgaon,
  Haryana, India.

  Safdar, Nasia, William S Middleton Mem Vet Affairs Hosp, Madison, WI 53705 USA.'
article-number: '35'
author: Barker, Anna K. and Brown, Kelli and Siraj, Dawd and Ahsan, Muneeb and Sengupta,
  Sharmila and Safdar, Nasia
author-email: ns2@medicine.wisc.edu
author_list:
- family: Barker
  given: Anna K.
- family: Brown
  given: Kelli
- family: Siraj
  given: Dawd
- family: Ahsan
  given: Muneeb
- family: Sengupta
  given: Sharmila
- family: Safdar
  given: Nasia
da: '2023-09-28'
doi: 10.1186/s13756-017-0189-9
files: []
issn: 2047-2994
journal: ANTIMICROBIAL RESISTANCE AND INFECTION CONTROL
keywords: 'Infection control; Global health; Qualitative methodology; Human

  factors; India'
keywords-plus: CLOSTRIDIUM-DIFFICILE; CARE-UNITS; IMPROVE; PREVENTION; WORK
language: English
month: APR 8
number-of-cited-references: '23'
papis_id: f78d37ae0dd6844ad6cdd460986a943e
ref: Barker2017barriersfacilitators
times-cited: '31'
title: 'Barriers and facilitators to infection control at a hospital in northern India:
  a qualitative study'
type: article
unique-id: WOS:000399180100001
usage-count-last-180-days: '1'
usage-count-since-2013: '12'
volume: '6'
web-of-science-categories: 'Public, Environmental \& Occupational Health; Infectious
  Diseases;

  Microbiology; Pharmacology \& Pharmacy'
year: '2017'