Qualitative study of views and experiences of performance management for healthcare-associated infections
نویسندگان
چکیده
BACKGROUND Centrally led performance management regimes using standard setting, monitoring, and incentives have become a prominent feature of infection prevention and control (IPC) in health systems. AIM To characterize views and experiences of regulation and performance management relating to IPC in English hospitals. METHODS Two qualitative datasets containing 139 interviews with healthcare workers and managers were analysed. Data directly relevant to performance management and IPC were extracted. Data analysis was based on the constant comparative method. FINDINGS Participants reported that performance management regimes had mobilized action around specific infections. The benefits of establishing organizational structures of accountability were seen in empirical evidence of decreasing infection rates. Performance management was not, however, experienced as wholly benign, and setting targets in one area was seen to involve risks of 'tunnel vision' and the marginalization of other potentially important issues. Financial sanctions were viewed especially negatively; performance management was associated with risks of creating a culture of fearfulness, suppressing learning and disrupting inter-professional relationships. CONCLUSION Centrally led performance management may have some important roles in IPC, but identifying where it is appropriate and determining its limits is critical. Persisting with harsh regimes may affect relationships and increase resistance to continued improvement efforts, but leaving all improvement to local teams may also be a flawed strategy.
منابع مشابه
Eliminating Healthcare-Associated Infections in Iran: A Qualitative Study to Explore Stakeholders’ Views
Background Although preventable, healthcare-associated infections (HAIs) continue to pose huge health and economic burdens on countries worldwide. Some studies have indicated the numerous causes of HAIs, but only a tiny literature exists on the multifaceted measures that can be used to address the problem. This paper presents stakeholders’ opinions on measures for controlling HAIs in Iran. M...
متن کاملThe Pap Smear Test Experience of Iranian Women: A Qualitative Study
Aims: The Pap smear test as the primary screening test for cervical cancer has a low application rate among Iranian women. This study aimed to explore Iranian women’s Pap smear test experiences at healthcare centers. Participants & Methods: This qualitative study was carried out in Varamin City, in 2018. To this end, 15 women admitted to healthcare centers were selected using purposive samplin...
متن کاملExploring the Management Competencies and Experiences of Healthcare Providers to Reduce Casualties and Injuries to Veterans during the Iran-Iraq war: A Qualitative Study
متن کامل
Explanation of Residents' Experiences Concerning Medication Errors in Neonatal Intensive Care Units: A Qualitative Study
Introduction: Medication errors are a potentially hazardous accident for the patients and can be used as a measure of patient safety in the healthcare system. Neonates are the most vulnerable population because of their body size. The experiences and views of those involved in the healthcare system can be a significant source of information gathering and planning in preventing medication errors...
متن کاملThe Nessesity and Quality of Management Education in MD Program in Iran: A Qualitative Study
Introduction: Leadership and management skills are intrinsic to medical care, but low attention has been paid to them in educational curriculum for general practitioners in many countries including Iran. This study, based on Kern’s curriculum planning cycle, has investigated key informants` experiences and point of views about necessity and quality of management education in order to develop ma...
متن کامل