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Title |
Organizational culture and its implications for infection
prevention and control in healthcare institutions |
Author(s) |
S. De Bono, G. Heling, M.A. Borg - Personal Name
|
Subject |
Health Care Management |
Publisher |
Elsevier |
Publishing Year |
2014 |
Specific Detail Info |
Background: It is not uncommon for infection prevention and control (IPC) interventions
to be successful in one hospital yet fail, or have significantly less success, when implemented
in another healthcare institution. Organizational factors have been postulated to
be a major reason. As a result, there has been an increasing drive in recent years to understand
and address organizational culture (OC) in order to achieve improved healthcare
performance.
Aim: To examine the inter-relationship between OC and behavioural attitudes by
healthcare professionals; to determine whether and how OC may impact on IPC compliance;
and to highlight the potential for OC modification interventions to improve IPC
practices within hospitals.
Methods: Previous literature is reviewed and synthesized, using both IPC journals as well
as publications focusing on human behaviour and organizational change.
Findings: The article evaluates the theory of OC within healthcare settings and identifies
how various elements appear to impact on IPC-related behaviour. It highlights the paucity
of well-designed studies but identifies sporadic literature suggesting that well-designed
and customized OC change initiatives can have a positive impact on IPC practices, such
as hand hygiene.
Conclusion: OC change appears to be a promising, albeit challenging, target for IPC
improvement campaigns both from a theoretical perspective as well as from the results
of the few available studies. However, more data and quality information are needed to
identify effective strategies that can elicit effective and sustained change. |
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