A Qualitative Examination of Interprofessional Teamwork for Infection Prevention: Development of a Model and Solutions. (February 2023)

• Record Type: Journal Article
• Authors: Gregory, Megan E.; MacEwan, Sarah R.; Sova, Lindsey N.; Gaughan, Alice A.; Scheck McAlearney, Ann
• Is Part Of: Medical care research and review. Volume 80:Number 1(2023)
• Page Start: 30
• Page End: 42
• Publication Date: 2023-02
• Subjects: infection prevention -- health care–associated infections -- management practices -- teamwork -- interprofessional collaboration -- qualitative methods; Medical care -- United States -- Periodicals; Medical care -- Periodicals; Medical care -- Research -- United States -- Periodicals; Medical care -- Research -- Periodicals; Medical economics -- United States -- Periodicals; Medical economics -- Periodicals; 362.10973
• DOI: 10.1177/10775587221103973
• Languages: English
• ISSNs: 1077-5587

Abstract

Health care–associated infections (HAIs), such as central line-associated bloodstream infections (CLABSIs) and catheter-associated urinary tract infections (CAUTIs), are associated with patient mortality and high costs to the health care system. These are largely preventable by practices such as prompt removal of central lines and Foley catheters. While seemingly straightforward, these practices require effective teamwork between physicians and nurses to be enacted successfully. Understanding the dynamics of interprofessional teamwork in the HAI prevention context requires further examination. We interviewed 420 participants (physicians, nursing, others) across 18 hospitals about interprofessional collaboration in this context. We propose an Input-Mediator-Output-Input (IMOI) model of interprofessional teamwork in the context of HAI prevention, suggesting that various organizational processes and structures facilitate specific teamwork attitudes, behaviors, and cognitions, which subsequently lead to HAI prevention outcomes including timeliness of line and Foley removal, ensuring sterile technique, and hand hygiene. We then propose strategies to improve interprofessional teamwork around HAI prevention.