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To follow a rule? On frontline clinicians’ understandings and embodiments of hospital-acquired infection prevention and control rules
To follow a rule? On frontline clinicians’ understandings and embodiments of hospital-acquired infection prevention and control rules
- Source :
- Iedema, R, Jorm, C, Hooker, C, Hor, S, Wyer, M & Gilbert, G L 2018, ' To follow a rule? On frontline clinicians’ understandings and embodiments of hospital-acquired infection prevention and control rules ', Health . https://doi.org/10.1177/1363459318785677
- Publication Year :
- 2020
-
Abstract
- This article reports on a study of clinicians’ responses to footage of their enactments of infection prevention and control. The study’s approach was to elicit clinicians’ reflections on and clarifications about the connections among infection control activities and infection control rules, taking into account their awareness, interpretation, and in situ application of those rules. The findings of the study are that clinicians responded to footage of their own IPC practices by articulating previously unheeded tensions and constraints including: infection control rules that were incomplete, undergoing change, and conflicting; material obstructions limiting infection control efforts; and habituated and divergent rule enactments and rule interpretations that were problematic but disregarded. The reflexive process is shown to elicit clinicians’ learning about these complexities as they affect the accomplishment of effective infection control. The process is further shown to strengthen clinicians’ appreciation of infection control as necessitating deliberation to decide what are locally appropriate standards, interpretations, assumptions, habituations and enactments of infection control. The article concludes that clinicians’ ‘practical wisdom’ is unlikely to reach its full potential without video-assisted scrutiny of and deliberation about in situ clinical work. This enables clinicians to anchor their in situ enactments, reasonings and interpretations to local agreements about the intent, applicability, limits and practical enactment of rules. Key words: video-reflexivity, rules, infection control, patient safety, embodied practice, practical wisdom, abduction
- Subjects :
- medicine.medical_specialty
Health (social science)
Health Personnel
Control (management)
video-reflexivity
Video Recording
abduction
030204 cardiovascular system & hematology
embodied practice
Feedback
03 medical and health sciences
Patient safety
0302 clinical medicine
Hospital-acquired infection
patient safety
Medicine
Infection control
Humans
030212 general & internal medicine
Intensive care medicine
health care economics and organizations
Cross Infection
Infection Control
business.industry
Practical wisdom
Awareness
medicine.disease
infection control
practical wisdom
Guideline Adherence
Patient Safety
Public Health
business
Subjects
Details
- Database :
- OpenAIRE
- Journal :
- Iedema, R, Jorm, C, Hooker, C, Hor, S, Wyer, M & Gilbert, G L 2018, ' To follow a rule? On frontline clinicians’ understandings and embodiments of hospital-acquired infection prevention and control rules ', Health . https://doi.org/10.1177/1363459318785677
- Accession number :
- edsair.doi.dedup.....f624d7c94d2b75c1ab44e006082eda2a
- Full Text :
- https://doi.org/10.1177/1363459318785677