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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

Authors :
Mary Wyer
Claire Hooker
Gwendolyn L. Gilbert
Su-yin Hor
Christine Jorm
Roderick Iedema
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

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