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

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dc.contributor.authorHegarty, Josephine
dc.contributor.authorMurphy, Siobhan
dc.contributor.authorCreedon, Sile
dc.contributor.authorWills, Teresa
dc.contributor.authorSavage, Eileen
dc.contributor.authorBarry, Fiona
dc.contributor.authorSmiddy, Maura
dc.contributor.authorCoffey, Alice
dc.contributor.authorBurton, Aileen
dc.contributor.authorO'Brien, Deirdre
dc.contributor.authorHorgan, Sinead
dc.contributor.authorNibhuachalla, Cliodhna
dc.contributor.authorBrennan, Cathal
dc.contributor.authorAgreli, Heloise
dc.contributor.authorDrennan, Jonathan
dc.contributor.funderDepartment of Health, Irelanden
dc.contributor.funderHealth Research Boarden
dc.date.accessioned2019-11-19T12:00:39Z
dc.date.available2019-11-19T12:00:39Z
dc.date.issued2019-04-03
dc.description.abstractBackground: 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.description.statusPeer revieweden
dc.description.versionPublished Versionen
dc.format.mimetypeapplication/pdfen
dc.identifier.citationHegarty, 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-2018-000111en
dc.identifier.doi10.1136/leader-2018-000111en
dc.identifier.eissn2398-631X
dc.identifier.endpage51en
dc.identifier.issued2en
dc.identifier.journaltitleBMJ Leaderen
dc.identifier.startpage43en
dc.identifier.urihttps://hdl.handle.net/10468/9070
dc.identifier.volume3en
dc.language.isoenen
dc.publisherBMJ Publishing Groupen
dc.relation.urihttps://bmjleader.bmj.com/content/3/2/43
dc.rights© Author(s) (or their employer(s)) 2019en
dc.rights.urihttp://creativecommons.org/licenses/by-nc/4.0/en
dc.subjectClostridium difficileen
dc.subjectStaphylococcus aureusen
dc.subjectHealthcare-associated infectionsen
dc.subjectInfection preventionen
dc.subjectImplementation of guidelinesen
dc.titleLeadership perspective on the implementation of guidelines on healthcare-associated infectionsen
dc.typeArticle (peer-reviewed)en
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