1 Westmead InsCtute for Medical Research 2 Faculty of Health, - - PowerPoint PPT Presentation

Talking with patients: Improving clinician-patient communication around healthcare-associated infections using video-reflexive methods

Mary Wyer1,3, Suyin Hor1,2, Lyn Gilbert1,3, Ruth Barra:1, Kathy Dempsey4

1 Westmead InsCtute for Medical Research 2 Faculty of Health, University of Technology, Sydney 3 Marie Bashir InsCtute, University of Sydney 4 InfecCon PrevenCon and Control, Westmead Hospital

Email: mary.wyer@sydney.edu.au Twi:er: @mary_wyer

2

R E V I E W

An integrative review exploring the perceptions of patients and healthcare professionals towards patient involvement in promoting hand hygiene compliance in the hospital setting

Mamdooh Alzyood MSc, BSc, RN, Doctoral Student | Debra Jackson PhD, FACN, Professor | Joanne Brooke CPsychol, MSc, RN, Reader in Complex Older Persons Care | Helen Aveyard PhD, MA, RGN, Senior Lecturer

Faculty of Health and Life Sciences, Oxford Institute of Nursing, Midwifery, and Allied Health Research (OxINMAHR), Oxford Brookes University, Oxford, UK Correspondence Mamdooh Alzyood, Faculty of Health and Life Sciences, Oxford Institute of Nursing, Midwifery, and Allied Health Research (OxINMAHR), Oxford Brookes University, Oxford, UK. Email: mamdooh.alzyood-2015@brookes.ac. uk Funding information The project is self-funded by the doctoral researcher and the main author of this article.

Aims and objectives: To review patients’ and healthcare professionals’ perceptions of patient involvement in promoting hand hygiene compliance in the hospital setting. Background: Initiatives continue to emphasise the importance of involving patients in their safety at the point of care. A patient-centred care approach aimed to empower patients to become active members of the healthcare team. However, understanding the perceptions of patients and healthcare professionals of patient involvement in promoting hand hygiene compliance among healthcare professionals has yet to be fully explored. Design: Integrative literature review. Methods: A five-stage review process informed by Whittemore and Knafl’s method-

• logy was conducted. MEDLINE and CINAHL were searched for papers published

between January 2009–July 2017. Data were extracted manually, organised using NVivo 11 and analysed using thematic analysis. Results: From an identified 240 papers, 19 papers were included in this review. The- matic analysis revealed two main themes with three related subthemes. Patients were willing to remind healthcare professionals (especially nurses) to wash their hands, health- care professionals perception towards patients’ involvement varied from one study to

• another. However, an overall positive attitude towards patient involvement was related

to how patients asked and how healthcare professionals responded to being asked. Conclusion: There is limited evidence regarding patients’ actual intention to ask healthcare professionals to wash their hands, and some evidence that patients are reluctant to do so. Further research is required to understand this area thoroughly, including which situations patients would feel more empowered to speak up. Relevance to clinical practice: Simple messages promoting patient involvement may lead to complex reactions in both patients and healthcare professionals. It is unclear, yet how patients and staff react to such messages in clinical practice. There is a need for a deeper understanding of how they can work together to support harm free care.

K E Y W O R D S

hand hygiene compliance, integrative review, patient engagement, patient involvement, patient participation

Relevance to clinical practice: Simple messages promoting patient involvement may lead to complex reactions in both patients and healthcare professionals. It is unclear, yet how patients and staff react to such messages in clinical practice. There is a need for a deeper understanding of how they can work together to support harm free care.

Talking with patients

• CollaboraCon between WIMR, renal unit staff & paCents,

ICPs, ID physicians, and laboratory staff

• Aim: To improve clinician-pa(ent communica(on around

HAIs and IPC, with the broader aim of reducing HAIs by increasing paCent involvement in IPC

Working with parCcipants to video pracCces of interest, and then showing back the footage to them in reflexive sessions § Engages with the experCse of frontline staff/paCents/visitors § Makes explicit the complex reality of clinical work § Raises awareness of taken-for-granted pracCces & relaConships § Results in learning and change (pracCce opCmizaCon)

Researcher analysis Research disseminaCon Working party

Drawing on Mesman & Carroll (2018)

Video-reflexivity

References

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