Leadership perspective on the implementation of guidelines on healthcare-associated infections

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dc.contributor.author Hegarty, Josephine
dc.contributor.author Murphy, Siobhan
dc.contributor.author Creedon, Sile
dc.contributor.author Wills, Teresa
dc.contributor.author Savage, Eileen
dc.contributor.author Barry, Fiona
dc.contributor.author Smiddy, Maura
dc.contributor.author Coffey, Alice
dc.contributor.author Burton, Aileen
dc.contributor.author O'Brien, Deirdre
dc.contributor.author Horgan, Sinead
dc.contributor.author Nibhuachalla, Cliodhna
dc.contributor.author Brennan, Cathal
dc.contributor.author Agreli, Heloise
dc.contributor.author Drennan, Jonathan
dc.date.accessioned 2019-11-19T12:00:39Z
dc.date.available 2019-11-19T12:00:39Z
dc.date.issued 2019-04-03
dc.identifier.citation Hegarty, J., Murphy, S., Creedon, S., Wills, T., Savage, E., Barry, F., Smiddy, M., Coffey, A., Burton, A., O’Brien, D. and Horgan, S., 2019. Leadership perspective on the implementation of guidelines on healthcare-associated infections. (8pp). DOI:10.1136/leader-2018-000111 en
dc.identifier.volume 3 en
dc.identifier.issued 2 en
dc.identifier.startpage 43 en
dc.identifier.endpage 51 en
dc.identifier.uri http://hdl.handle.net/10468/9070
dc.identifier.doi 10.1136/leader-2018-000111 en
dc.description.abstract Background: Leadership is a key component for infection prevention and control and plays an important role in the implementation of guidelines on healthcare-associated infections. A body of literature exists on healthcare workers’ perspectives on implementing these types of guidelines; however, there is a paucity of data on the leadership perspectives on implementation. This study aims to contribute to the evidence base of leadership perspectives.Objective: To explore the implementation of National Clinical Guidelines pertaining to methicillin-resistant Staphylococcus aureus and Clostridium difficile from the leadership angle.Setting Healthcare organisations.Participants Clinical and non-clinical leaders.Design This research used a mixed-methods approach comprising qualitative individual interviews (n=16) and quantitative surveys (n=51) underpinned by the integrated Promoting Action on Research Implementation in Health Services framework.Results: Leaders recognise the value and innovation of guidelines to support clinical practice. However, they describe barriers to implementation that prevent the full uptake of guidelines, for example, guidelines may present an ideological approach to care which differs from the contextual reality of clinical practice where resources and time are not always available.Conclusion: This research highlighted that guidelines are complex interventions in complex organisations, perhaps leadership could help overcome the challenges posed by this complexity. Leadership may allow a systematic approach to all aspects of implementation despite the variety of challenges faced at different stages of implementation and sustainability of uptake of guidelines over time. en
dc.format.mimetype application/pdf en
dc.language.iso en en
dc.publisher BMJ Publishing Group en
dc.relation.uri https://bmjleader.bmj.com/content/3/2/43
dc.rights © Author(s) (or their employer(s)) 2019 en
dc.rights.uri http://creativecommons.org/licenses/by-nc/4.0/ en
dc.subject Clostridium difficile en
dc.subject Staphylococcus aureus en
dc.subject Healthcare-associated infections en
dc.subject Infection prevention en
dc.subject Implementation of guidelines en
dc.title Leadership perspective on the implementation of guidelines on healthcare-associated infections en
dc.type Article (peer-reviewed) en
dc.internal.authorcontactother Josephine Hegarty, School of Nursing and Midwifery, University College Cork, Cork, Ireland. +353-21-490-3000 Email: j.hegarty@ucc.ie en
dc.internal.availability Full text available en
dc.description.version Published Version en
dc.contributor.funder Department of Health, Ireland en
dc.contributor.funder Health Research Board en
dc.description.status Peer reviewed en
dc.identifier.journaltitle BMJ Leader en
dc.internal.IRISemailaddress j.hegarty@ucc.ie en
dc.identifier.eissn 2398-631X


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