Abstract：
BACKGROUND:We used videorecordings of routine care to analyze health care providers' deviance from protocols and organized follow-up interviews that were conducted by an anthropologist and a nurse. METHODS:After consent, health care workers were recorded during routine care by an automatic video remote control. Each participant was invited to watch her or his recorded behaviors on 2 different videos showing routine practices and her or his deviance from protocols, and to comment on them. After this step an in-depth interview based on preestablished guidelines was organized and explanations regarding the observed deviance was discussed. This design was intended to reveal the HCWs' subjectivity; that is, how they perceive hand hygiene issues in their daily routine, what concrete difficulties they face, and how they try to resolve them. RESULTS:We selected 43 of 250 videorecordings created during the study, which allowed us to study 15 out of 20 health care professionals. Twenty out of 43 videos showed 1 or more breaches in the hand hygiene protocol. The breaches were frequently linked to glove abuse. Deviance from protocols was explained by the health care workers as the result of an adaptive behavior; that is, facing work constraints that were disconnected from infection control protocols. Professional practices and protocols should be revisited to create simple messages that are adapted to the mandatory needs in a real life clinic environment.
journal_name
Am J Infect Controljournal_title
American journal of infection controlauthors
Boudjema S,Tarantini C,Peretti-Watel P,Brouqui Pdoi
10.1016/j.ajic.2016.12.016subject
Has Abstractpub_date
2017-05-01 00:00:00pages
487-491issue
5eissn
0196-6553issn
1527-3296pii
S0196-6553(16)31176-2journal_volume
45pub_type
杂志文章abstract：BACKGROUND:Skin prick tests are commonly used for human allergy testing and determination. Because solutions are kept at 4 degrees C and patient's skin is cleaned, the same solutions are used on many patients with the same applicators without sterilization. OBJECTIVES:Our objectives were to determine whether a model b...
journal_title：American journal of infection control
pub_type： 杂志文章
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journal_title：American journal of infection control
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journal_title：American journal of infection control
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journal_title：American journal of infection control
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pub_type： 临床试验,杂志文章,多中心研究,随机对照试验
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journal_title：American journal of infection control
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journal_title：American journal of infection control
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更新日期：2014-03-01 00:00:00
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journal_title：American journal of infection control
pub_type： 杂志文章
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更新日期：2016-01-01 00:00:00
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journal_title：American journal of infection control
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journal_title：American journal of infection control
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journal_title：American journal of infection control
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journal_title：American journal of infection control
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journal_title：American journal of infection control
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