Hostname: page-component-848d4c4894-5nwft Total loading time: 0 Render date: 2024-05-26T22:29:30.362Z Has data issue: false hasContentIssue false
  • English
  • Français

Surgeons’ mental models of surgical site infection: Insights into adherence with complex prevention bundles

Published online by Cambridge University Press:  14 May 2021

Aurora E. Pop-Vicas ,
Amanda Young ,
Mary-Jo Knobloch ,
Charles Heise ,
Barbara Bowers  and
Nasia Safdar
Aurora E. Pop-Vicas*
Affiliation:
Division of Infectious Disease, Department of Medicine, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin
Amanda Young
Affiliation:
Division of Infectious Disease, Department of Medicine, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin
Mary-Jo Knobloch
Affiliation:
Department of Medicine, William S Middleton Memorial Veterans’ Hospital, Madison, Wisconsin
Charles Heise
Affiliation:
Division of Colorectal Surgery, Department of Surgery, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin
Barbara Bowers
Affiliation:
School of Nursing, University of Wisconsin, Madison, Wisconsin
Nasia Safdar
Affiliation:
Division of Infectious Disease, Department of Medicine, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin Department of Medicine, William S Middleton Memorial Veterans’ Hospital, Madison, Wisconsin
*
Author for correspondence: Aurora E. Pop-Vicas, E-mail: popvicas@medicine.wisc.edu
Get access Rights & Permissions [Opens in a new window]

Abstract

Of 10 surgeons interviewed in a descriptive qualitative study, 6 believed that surgical site infections are inevitable. Bundle adherence was felt to be more likely with strong evidence-based measures developed by surgical leaders. The intrinsic desire to excel was viewed as the main adherence motivator, rather than “pay-for-performance” models.

Type
Concise Communication
Information
Infection Control & Hospital Epidemiology , Volume 43 , Issue 9 , September 2022 , pp. 1249 - 1255
Check for updates
Copyright
© The Author(s), 2021. Published by Cambridge University Press on behalf of The Society for Healthcare Epidemiology of America

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

GlobalSurg, C. Surgical site infection after gastrointestinal surgery in high-income, middle-income, and low-income countries: a prospective, international, multicentre cohort study. Lancet Infect Dis 2018;18:515–525.Google Scholar
Tanner, J, Kiernan, M, Hilliam, R, et al. Effectiveness of a care bundle to reduce surgical site infections in patients having open colorectal surgery. Ann R Coll Surg Engl 2016;98:270–274.CrossRefGoogle ScholarPubMed
Atkins, L, Francis, J, Islam, R, et al. A guide to using the Theoretical Domains Framework of behaviour change to investigate implementation problems. Implement Sci 2017;12.CrossRefGoogle Scholar
Michie, S, Johnston, M, Abraham, C, et al. Making psychological theory useful for implementing evidence based practice: a consensus approach. Qual Saf Health Care 2005;14:26–33.CrossRefGoogle ScholarPubMed
Sax, H, Clack, L. Mental models: a basic concept for human factors design in infection prevention. J Hosp Infect 2015;89:335–339.CrossRefGoogle ScholarPubMed
Suresh, GK, Edwards, WH. Central-line–associated bloodstream infections in neonatal intensive care: changing the mental model from inevitability to preventability. Am J Perinatol 2012;29:57–64.Google ScholarPubMed
Eimear, FJaM-C. Demonstrating rigor using thematic analysis: a hybrid approach of inductive and deductive coding and theme development. Int J Qual Methods 2006;5:80–92.Google Scholar
2019 National and State Healthcare-Associated Infections Progress Report. Centers for Disease Control and Prevention website. https://www.cdc.gov/hai/data/portal/progress-report.html. Accessed February 22, 2021.Google Scholar
Pronovost, PJ, Berenholtz, SM, Needham, DM. Translating evidence into practice: a model for large scale knowledge translation. BMJ 2008;337:a1714.CrossRefGoogle Scholar
Ariyo, P, Zayed, B, Riese, V, et al. Implementation strategies to reduce surgical site infections: a systematic review. Infect Control Hosp Epidemiol 2019;40:287–300.CrossRefGoogle ScholarPubMed
Supplementary material: File

Pop-Vicas et al. supplementary material

Pop-Vicas et al. supplementary material 1

Download Pop-Vicas et al. supplementary material(File)
File 14.2 KB
Supplementary material: Image

Pop-Vicas et al. supplementary material

Pop-Vicas et al. supplementary material 2

Download Pop-Vicas et al. supplementary material(Image)
Image 120.1 KB
Supplementary material: File

Pop-Vicas et al. supplementary material

Pop-Vicas et al. supplementary material 3

Download Pop-Vicas et al. supplementary material(File)
File 20.1 KB