To follow a rule? On frontline clinicians' understandings and embodiments of hospital-acquired infection prevention and control rules

Dados Bibliográficos

ID4921092
AutoresRick Iedema (0000-0001-6792-1048, King's College London, autor correspondente), Christine Jorm (0000-0001-8338-3630), Claire Hooker (0000-0003-2347-6602), Su-Yin Hor (0000-0002-6498-9722), Mary Wyer (0000-0002-1215-8089), Gwendolyn L Gilbert (0000-0001-7490-6727, The University of Sydney)
Ano2020
Volume24
Fascículo2
Páginas132-151
Data de publicação2020-03-01
Peer ReviewedSim
Open AccessSim
TipoARTICLE
PeriódicoHealth An Interdisciplinary Journal for the Social Study of Health Illness and Medicine (JOURNAL)
Identificadores do periódicoISSN: 1363-4593 • E-ISSN: 1461-7196
EditoraSAGE Publications Inc (PUBLISHER)
DOI10.1177/1363459318785677
PMID29999417
OpenAlexW2837052535
IdiomaEN
Citações recebidas4
Referências citadas30

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 infection prevention and control 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

Autonomy · Deliberation · Epistemology · Infection control · Limiting · Political science · Reflexivity · Scrutiny · Sociology · Computer Science · Empathy and Medical Education · Engineering · Ethics in medical practice · Law · Medicine · Psychology · Qualitative Research Methods and Ethics · Surgery