Exploring the Context for Effective Clinical Governance in Infection Control

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avondale-bepress-to-dspace.facultyNursing
avondale-bepress-to-dspace.peer_review_statusPeer reviewed before publication
avondale-bepress.abstract<p><strong><em>Background: </em></strong>Effective clinical governance is necessary to support improvements in infection control. Historically, the focus has been on ensuring that infection control practice and policy is based on evidence, and that there is use of surveillance and auditing for self-regulation and performance feedback. There has been less exploration of how contextual and organizational factors mediate an infection preventionists (IP’s) ability to engage with evidence-based practice and enact good clinical governance.</p> <p><strong><em>Methods: </em></strong>A cross sectional Web-based survey of IPs in Australia and New Zealand was undertaken. Questions focused on engagement in evidence-based practice and perceptions about the context, culture, and leadership within the infection control team and organization. Responses were mapped against dimensions of Scally and Donaldson’s clinical governance framework.</p> <p><strong><em>Results: </em></strong>Three hundred surveys were returned. IPs appear well equipped at an individual level to undertake evidence-based practice. The most serious set of perceived challenges to good clinical governance related to a lack of leadership or active resistance to infection control within the organization. Additional challenges included lack of information technology solutions and poor access to specialist expertise and financial resources.</p> <p><strong><em>Conclusions: </em></strong>Focusing on strengthening contextual factors at the organizational level that otherwise undermine capacity to implement evidence-based practice is key to sustaining current infection control successes and promoting further practice improvements.</p>
avondale-bepress.articleid1118
avondale-bepress.authorsKate Halton
avondale-bepress.authorsLisa Hall
avondale-bepress.authorsAnne Gardner
avondale-bepress.authorsDeborough MacBeth
avondale-bepress.authorsBrett G Mitchell
avondale-bepress.context-key9441487
avondale-bepress.coverpage-urlhttps://research.avondale.edu.au/nh_papers/117
avondale-bepress.document-typearticle
avondale-bepress.field.author_faculty_disciplineNursing
avondale-bepress.field.avon_earlyonline2016-12-02T00:00:00-08:00
avondale-bepress.field.comments<p>Due to copyright restrictions this article is unavailable for download.</p> <p>© 2017 Association for Professionals in Infection Control and Epidemiology, Inc. Published by Elsevier Inc. All rights reserved.</p> <p>Staff and Students of Avondale College may access this article from Avoondale College Library PRIMO search <a href="https://avondale-primo.hosted.exlibrisgroup.com/primo-explore/search?vid=AVN">here</a></p>
avondale-bepress.field.custom_citation<p>Halton, K., Hall, L., Gardner, A., MacBeth, D., & Mitchell, B. G. (2017). Exploring the context for effective clinical governance in infection control. <em>American Journal of Infection Control, 45</em>(3), 278-283. doi:10.1016/j.ajic.2016.10.022</p>
avondale-bepress.field.doihttps://doi.org/10.1016/j.ajic.2016.10.022
avondale-bepress.field.email_boxtrue
avondale-bepress.field.embargo_date2018-03-05T00:00:00Z
avondale-bepress.field.field_of_education06 Health
avondale-bepress.field.for111003 Clinical Nursing: Secondary (Acute Care)
avondale-bepress.field.issn0196-6553
avondale-bepress.field.issue_number3
avondale-bepress.field.journalAmerican Journal of Infection Control
avondale-bepress.field.page_numbers278-283
avondale-bepress.field.peer_reviewBefore publication
avondale-bepress.field.publication_date2017-03-01T00:00:00Z
avondale-bepress.field.reportable_itemsC1
avondale-bepress.field.research_centreLifestyle Research Centre
avondale-bepress.field.source_fulltext_urlhttps://doi.org/10.1016/j.ajic.2016.10.022
avondale-bepress.field.source_publication<p>This article was originally published as:</p> <p>Halton, K., Hall, L., Gardner, A., MacBeth, D., & Mitchell, B. G. (2017). Exploring the context for effective clinical governance in infection control. <em>American Journal of Infection Control, 45</em>(3), 278-283. doi:10.1016/j.ajic.2016.10.022</p> <p>ISSN: 0196-6553</p>
avondale-bepress.field.staff_classificationPermanent
avondale-bepress.field.volume_number45
avondale-bepress.keywordsnursing
avondale-bepress.keywordsprofessionalism
avondale-bepress.keywordsinfection control
avondale-bepress.keywordsexperience
avondale-bepress.label117
avondale-bepress.publication-date2017-03-01T00:00:00Z
avondale-bepress.publication-titleNursing and Health Papers and Journal Articles
avondale-bepress.statepublished
avondale-bepress.submission-date2016-12-05T22:50:25Z
avondale-bepress.submission-pathnh_papers/117
avondale-bepress.titleExploring the Context for Effective Clinical Governance in Infection Control
avondale-bepress.typearticle
dc.contributor.authorMitchell, Brett G.
dc.contributor.authorMacBeth, Deborough
dc.contributor.authorGardner, Anne
dc.contributor.authorHall, Lisa
dc.contributor.authorHalton, Kate
dc.date.accessioned2023-11-01T00:24:17Z
dc.date.available2023-11-01T00:24:17Z
dc.date.issued2017-03-01
dc.date.submitted2016-12-05T22:50:25Z
dc.description.abstract<p><strong><em>Background: </em></strong>Effective clinical governance is necessary to support improvements in infection control. Historically, the focus has been on ensuring that infection control practice and policy is based on evidence, and that there is use of surveillance and auditing for self-regulation and performance feedback. There has been less exploration of how contextual and organizational factors mediate an infection preventionists (IP’s) ability to engage with evidence-based practice and enact good clinical governance.</p> <p><strong><em>Methods: </em></strong>A cross sectional Web-based survey of IPs in Australia and New Zealand was undertaken. Questions focused on engagement in evidence-based practice and perceptions about the context, culture, and leadership within the infection control team and organization. Responses were mapped against dimensions of Scally and Donaldson’s clinical governance framework.</p> <p><strong><em>Results: </em></strong>Three hundred surveys were returned. IPs appear well equipped at an individual level to undertake evidence-based practice. The most serious set of perceived challenges to good clinical governance related to a lack of leadership or active resistance to infection control within the organization. Additional challenges included lack of information technology solutions and poor access to specialist expertise and financial resources.</p> <p><strong><em>Conclusions: </em></strong>Focusing on strengthening contextual factors at the organizational level that otherwise undermine capacity to implement evidence-based practice is key to sustaining current infection control successes and promoting further practice improvements.</p>
dc.description.versionBefore publication
dc.identifier.citation<p>Halton, K., Hall, L., Gardner, A., MacBeth, D., & Mitchell, B. G. (2017). Exploring the context for effective clinical governance in infection control. <em>American Journal of Infection Control, 45</em>(3), 278-283. doi:10.1016/j.ajic.2016.10.022</p>
dc.identifier.doihttps://doi.org/10.1016/j.ajic.2016.10.022
dc.identifier.issn0196-6553
dc.identifier.urihttps://research.avondale.edu.au/handle/123456789/09441487
dc.language.isoen_us
dc.provenance<p>This article was originally published as:</p> <p>Halton, K., Hall, L., Gardner, A., MacBeth, D., & Mitchell, B. G. (2017). Exploring the context for effective clinical governance in infection control. <em>American Journal of Infection Control, 45</em>(3), 278-283. doi:10.1016/j.ajic.2016.10.022</p> <p>ISSN: 0196-6553</p>
dc.rights<p>Due to copyright restrictions this article is unavailable for download.</p> <p>© 2017 Association for Professionals in Infection Control and Epidemiology, Inc. Published by Elsevier Inc. All rights reserved.</p> <p>Staff and Students of Avondale College may access this article from Avoondale College Library PRIMO search <a href="https://avondale-primo.hosted.exlibrisgroup.com/primo-explore/search?vid=AVN">here</a></p>
dc.subjectnursing
dc.subjectprofessionalism
dc.subjectinfection control
dc.subjectexperience
dc.titleExploring the Context for Effective Clinical Governance in Infection Control
dc.typeJournal Article
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