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Canadian Journal of Public Health

, Volume 97, Issue 6, pp 475–479 | Cite as

A Process Evaluation of an Intervention to Improve Respiratory Infection Control Practices in Family Physician Offices

  • Patricia Huston
  • William Hogg
  • Carmel Martin
  • Enrique Soto
  • Adriana Newbury
Public Health Intervention

Abstract

Objective

To conduct a process evaluation of a short-term intervention by public nurses for physicians to facilitate the incorporation of new respiratory infection control practices in physicians’ offices.

Design

Process evaluation.

Setting

Family physician offices in Ottawa, Ontario, Canada.

Participants

Five public health nurse-facilitators and 53 primary care practices including 143 family physicians.

Method

Effectiveness of facilitator training assessed by self-administered questionnaires. Data assessing process of facilitation collected through activity logs and narrative reports. Physicians’ satisfaction assessed by post-intervention questionnaire.

Main Findings

Facilitators reported that training strongly contributed to their knowledge and skills and all were either satisfied or highly satisfied with their facilitation training. All practices received at least two visits by the facilitator and more than half (51%) were visited three or more times. Facilitators identified the provision of the evidence-based Tool Kit and consensus-building with office staff as key factors contributing to the intervention’s success. Of the 45% of physicians who completed the questionnaire (65/143), only 5% reported being somewhat dissatisfied with the intervention, 11% reported the visits were not frequent enough, and 9% thought the visits were too close together. The majority (97%) felt the facilitation program should be available to all family physicians and 98% would continue to use the service if available.

Conclusions

It is feasible for public health nurses to be trained in outreach facilitation to improve respiratory infection control practices in physicians’ offices and this has been widely appreciated by physicians. This model of public health/primary care collaboration deserves further exploration.

MeSHterms

Infection control family physicians physicians’ offices public health nursing 

Résumé

Objectif

Évaluer en cours d’exécution une brève intervention d’infirmières de santé publique auprès de médecins pour faciliter l’intégration de nouvelles pratiques de contrôle des infections respiratoires dans les cabinets médicaux.

Conception

Évaluation en cours d’exécution.

Lieu

Cabinets de médecins de famille à Ottawa (Ontario), au Canada.

Participants

Cinq infirmières-animatrices en santé publique et 53 cabinets de soins primaires regroupant 143 médecins de famille.

Méthode

L’efficacité de la formation des animatrices a été évaluée à l’aide de questionnaires à remplir soi-même. Les données d’évaluation du processus d’animation-formation ont été recueillies à l’aide de registres d’activités et de rapports circonstanciés. La satisfaction des médecins a été évaluée au moyen d’un questionnaire post-intervention.

Principales constatations

Les animatrices ont déclaré que la formation reçue avait beaucoup amélioré leurs connaissances et leurs compétences, et toutes en étaient satisfaites ou très satisfaites. Tous les cabinets ont reçu au moins deux visites d’une animatrice, et plus de la moitié (51%) en ont reçu trois ou plus. Selon les animatrices, les éléments ayant le plus contribué à la réussite de l’intervention étaient la distribution d’une trousse d’outils éprouvés et la concertation avec le personnel de bureau. Sur les 45% des médecins ayant rempli un questionnaire (65/143), seulement 5% se sont déclarés relativement insatisfaits de l’intervention; 11% ont dit que les visites n’étaient pas assez fréquentes, et 9% les ont trouvées trop rapprochées. La majorité (97%) considéraient que ce programme d’animation-formation devrait être offert à tous les médecins de famille, et 98% ont dit vouloir continuer à faire appel à ce service s’il était disponible.

Conclusions

Il est possible de former les infirmières et infirmiers de santé publique à l’animation extérieure afin d’améliorer le contrôle des infections respiratoires dans les cabinets médicaux; c’est d’ailleurs un service très apprécié des médecins. Ce modèle de collaboration entre la santé publique et les soins primaires mériterait d’être étudié plus avant.

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Copyright information

© The Canadian Public Health Association 2006

Authors and Affiliations

  • Patricia Huston
    • 1
  • William Hogg
    • 2
    • 6
    • 7
    • 8
    • 9
    • 10
  • Carmel Martin
    • 3
    • 10
  • Enrique Soto
    • 4
  • Adriana Newbury
    • 5
  1. 1.Public Health and Long-Term Care BranchCity of Ottawa, OttawaCanada
  2. 2.Department of Family MedicineUniversity of OttawaCanada
  3. 3.Northern Ontario School of MedicineCanada
  4. 4.Research Manager ICFPC ProjectThe C.T. Lamont Primary Health Care Research CentreCanada
  5. 5.Program, Planning and Evaluation OfficerPublic Health and Long-Term Care BranchOttawaCanada
  6. 6.The C.T. Lamont CentreÉlisabeth Bruyère Research InstituteOttawaCanada
  7. 7.C.T. Lamont Primary Health Care Research CentreCanada
  8. 8.Institute of Population Health, Élisabeth Bruyère Research InstituteOttawaCanada
  9. 9.Northern Ontario School of MedicineCanada
  10. 10.Indigenous Peoples’ Health Research CentreFirst Nations University of CanadaCanada

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