Journal article
M. Gregory, Sarah Macewan, Lindsey N. Sova, A. Gaughan, Ann Scheck McAlearney
Medical care research and review : MCRR, 2021
Medical care research and review : MCRR, 2021
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DOI
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APA
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Gregory, M., Macewan, S., Sova, L. N., Gaughan, A., & McAlearney, A. S. (2021). A Qualitative Examination of Interprofessional Teamwork for Infection Prevention: Development of a Model and Solutions. Medical Care Research and Review : MCRR.
Chicago/Turabian
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Gregory, M., Sarah Macewan, Lindsey N. Sova, A. Gaughan, and Ann Scheck McAlearney. “A Qualitative Examination of Interprofessional Teamwork for Infection Prevention: Development of a Model and Solutions.” Medical care research and review : MCRR (2021).
MLA
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Gregory, M., et al. “A Qualitative Examination of Interprofessional Teamwork for Infection Prevention: Development of a Model and Solutions.” Medical Care Research and Review : MCRR, 2021.
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@article{m2021a,
title = {A Qualitative Examination of Interprofessional Teamwork for Infection Prevention: Development of a Model and Solutions.},
year = {2021},
journal = {Medical care research and review : MCRR},
author = {Gregory, M. and Macewan, Sarah and Sova, Lindsey N. and Gaughan, A. and McAlearney, Ann Scheck}
}
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.
