Online Infection Control Training: Perceived Barriers and Enablers to Training and Practice
Safety climate, specifically employees’ perceptions of management’s commitment to safety, plays a vital role in the adoption of safe work practices. Infection control training contributes to safety climate and is a visible sign of organizational commitment to safety. Time constraints, shift work, and demanding workloads limit health-care workers’ access to infection control training. Online education potentially facilitates access to educational opportunities. This research sought to ascertain health-care workers’ perceptions of an online infection control course offered through the workplace and perceptions of online education in general. Fifty health-care workers from a variety of hospital and community settings were interviewed – 25 had taken the online course, and 25 had not. Content analysis was performed using the constant comparative method. Participants who took the course outlined its utility as an infection control refresher. Online education was viewed as having potential due to its flexibility. Participants recognized the importance of infection control, but identified a lack of consistent opportunities for continuing education. Health-care worker’ engagement in education is determined in part by management support of educational opportunities. Making this online course a mandatory requirement was viewed as evidence of such support.
KeywordsInfection Control Online Education Personal Protective Equipment Severe Acute Respiratory Syndrome Safety Climate
Analysis of these interviews was cosponsored by the Canadian Institutes of Health Research (Health Systems Improvement program), the Vancouver Coastal Health Authority, and the Provincial Health Services Authority (British Columbia Centre for Disease Control), and the Department of pathology, Faculty of Medicine University of British Columbia. The authors would like to acknowledge research assistants Ryan Payne, Riley Killam, Paul Weaver, and Raymond Yip for their assistance on the project. This research was approved by the University of British Columbia Behavioural Research Ethics Board.
- Carr, H., & Hinson, P. (2005). Education and training. In Association for Professionals in Infection Control and Epidemiology (Ed.), APIC text of infection control and epidemiology (2nd ed.). Washington, DC: Association for Professionals in Infection Control and Epidemiology. 11–1.Google Scholar
- Childs, S., Blenkinsopp, E., Hall, A., & Walton, G. (2005). Effective e-learning for health professionals and students – barriers and their solutions. A systematic review of the literature – findings from the HeXL project. Health Information and Libraries Journal, 22, 1471–1842.CrossRefGoogle Scholar
- Cresswell, J. W., & Plano Clark, V. L. (2006). Designing and conducting mixed methods research. Thousand Oaks, CA: Sage.Google Scholar
- DeJoy, D. M. (1986). A behavioral-diagnostic model for fostering self-protective behavior in the workplace. In W. Karwowski (Ed.), Trends in ergonomics/human factors III (pp. 907–917). Amsterdam: Elsevier.Google Scholar
- Fordis, M., King, J., Ballantyne, C., Jones, P., Schneider, K., Spann, S., Greenberg, S., & Greisinger, A. (2005). Comparison of the instructional efficacy of Internet-based CME with live interactive CME workshops: A randomized controlled trial. Journal of the American Medical Association, 294(9), 1043–1051.PubMedCrossRefGoogle Scholar
- Health Canada. (1999). Routine practices and additional precautions for preventing transmission of infection in health care. Canada Communicable Disease Report, 25S4. http://www.phac-aspc.gc.ca/publicat/ccdr-rmtc/99vol25/25s4/index.html. Accessed 29 June 2011.
- Health Canada. (2002). Prevention and control of occupational infections in health care. Canada Communicable Disease Report, 28S1. http://www.phac-aspc.gc.ca/publicat/ccdr-rmtc/02vol28/28s1/index.html. Accessed 29 June 2011.
- Moore, D., Gamage, B., Bryce, E., Copes, R., Yassi, A., & The BC Interdisciplinary Respiratory Protection Study Group. (2005). Protecting health care workers from SARS and other respiratory pathogens: Organizational and individual factors that affect adherence to infection control guidelines. American Journal of Infection Control, 33, 88–96.PubMedCrossRefGoogle Scholar
- Moore, D., Gilbert, M., Saunders, S., Bryce, E., & Yassi, A. (2005). Occupational health and infection control practices related to severe acute respiratory syndrome: Healthcare worker perceptions. American Association of Occupational Health Nurses Journal, 53, 257–266.Google Scholar
- Pullen, D. (2006). An evaluative case study of online learning for healthcare professionals. Journal of Continuing Education in Nursing, 37, 226–232.Google Scholar
- Vancouver Coastal Health Authority. (2006). Worksafe & Wellness, BC. Workplace safety climate perception survey 2006 results: Initial report (pp. 1–23). Vancouver, BC: Publisher name unknown.Google Scholar
- Vancouver Coastal Health Authority, Occupational Health and Safety Agency for Healthcare in British Columbia, Provincial Health Services Authority. (2008). Infection control basics. Creative Commons A, ND, NC. http://picnetbc.ca/page220.htm. Accessed 29 June 2011.
- Worksafe BC. (2011). Occupational health and safety regulation. http://www2.worksafebc.com/publications/OHSRegulation/Home.asp. Accessed 29 June 2011.
- Yassi, A., & Hancock, T. (2005). Patient safety – worker safety: Building a culture of safety to improve healthcare worker and patient well-being. Healthcare Quarterly, 8s, 32–38.Google Scholar
- Yassi, A., Moore, D., Fitzgerald, J. M., Bigelow, P., Hon, C. Y., Bryce, E., et al. (2005). Research gaps in protecting healthcare workers from SARS and other respiratory pathogens: An interdisciplinary, multi-stakeholder, evidence-based approach. Journal of Occupational and Environmental Medicine, 47, 41–50.PubMedGoogle Scholar
- Yassi, A., Bryce, E., Novak Lauscher, H., Maultsaid, D., & Zhao, K. (2009). The impact of requiring completion of an on-line infection control course on health professionals’ intentions to comply with infection control guidelines: A comparative study. Canadian Journal of Infectious Diseases & Medical Microbiology, 20(1), 15–19.Google Scholar