Online Infection Control Training: Perceived Barriers and Enablers to Training and Practice

  • Helen Novak Lauscher
  • Annalee Yassi
  • Elizabeth Bryce
  • Margaret Landstrom
  • Deirdre Maultsaid
Chapter
Part of the Healthcare Delivery in the Information Age book series (Healthcare Delivery Inform. Age)

Abstract

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.

References

  1. Bryce, E. A., Ford, J., Chase, L., Taylor, C., & Scharf, S. (1999). Sharps injuries: Defining prevention priorities. American Journal of Infection Control, 27, 447–452.PubMedCrossRefGoogle Scholar
  2. 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
  3. Carroll, J. S., & Edmondson, A. C. (2002). Leading organizational learning in health care. Quality & Safety in Health Care, 11, 51–56.CrossRefGoogle Scholar
  4. Carroll, J. S., & Quijada, M. A. (2004). Redirecting traditional professional values to support safety: Changing organizational culture in health care. Quality & Safety in Health Care, 13, 16–21.CrossRefGoogle Scholar
  5. 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
  6. Clarke, S. P., Sloane, D. M., & Aiken, L. H. (2002). Effects of hospital staff and organizational climate on needlestick injuries to nurses. American Journal of Public Health, 92, 1115–1119.PubMedCrossRefGoogle Scholar
  7. Cresswell, J. W., & Plano Clark, V. L. (2006). Designing and conducting mixed methods research. Thousand Oaks, CA: Sage.Google Scholar
  8. 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
  9. Desai, N., Philpott-Howard, J., Wade, J., & Casewell, M. (2000). Infection control training: Evaluation of a computer-assisted learning package. The Journal of Hospital Infection, 44, 193–199.PubMedCrossRefGoogle Scholar
  10. Eisenberg, J. (2000). Continuing education meets the learning organization: The challenge of a systems approach to patient safety. The Journal of Continuing Education in the Health Professions, 20, 197–207.PubMedCrossRefGoogle Scholar
  11. 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
  12. Gershon, R. R. (2000). Hospital Safety climate and its relationship with safe work practices and workplace exposure incidents. American Journal of Infection Control, 28, 211–221.PubMedCrossRefGoogle Scholar
  13. Grol, R., & Grimshaw, J. (2003). From best evidence to best practice: Effective implementation of change in patient’s care. Lancet, 362, 1225–1230.PubMedCrossRefGoogle Scholar
  14. 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.
  15. 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.
  16. Henriksen, K., & Dayton, E. (2006). Issues in the design of training for quality and safety. Quality & Safety in Health Care, 15, 17–24.CrossRefGoogle Scholar
  17. Ho, K., Novak-Lauscher, H., Best, A., Walsh, G., Jarvis-Selinger, S., Fedeles, M., et al. (2004). Technology enabled knowledge translation dissected: Essential challenges, unprecedented opportunities. Clinical and Investigative Medicine, 27(2), 70–78.PubMedGoogle Scholar
  18. Hon, C. (2008). Personal protective equipment in healthcare: Can online infection control courses transfer knowledge and improve proper selection and use? American Journal of Infection Control, 36(10), e33–e37.PubMedCrossRefGoogle Scholar
  19. Huang, H. (2002). Toward constructivism for adult learners in online learning environments. British Journal of Educational Technology, 33, 27–37.CrossRefGoogle Scholar
  20. Maskerine, C., & Loeb, M. (2006). Improving adherence to hand hygiene among health care workers. The Journal of Continuing Education in the Health Professions, 26, 244–251.PubMedCrossRefGoogle Scholar
  21. Michalsen, A., Delclos, G., Felknor, S., Davidson, A. L., Johnson, P., Vesley, D., et al. (1997). Compliance with universal precautions among physicians. Journal of Occupational and Environmental Medicine, 39, 130–137.PubMedCrossRefGoogle Scholar
  22. 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
  23. 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
  24. Muilenburg, L. Y., & Berge, Z. L. (2005). Student barriers to online learning: A factor analytic study. Distance Education, 26, 29–48.CrossRefGoogle Scholar
  25. Pullen, D. (2006). An evaluative case study of online learning for healthcare professionals. Journal of Continuing Education in Nursing, 37, 226–232.Google Scholar
  26. Ramsey, P., McConnell, P., Palmer, B., & Lee, G. (1996). Nurses’ compliance with universal precautions before and after implementation of OHSA regulations. Clinical Nurse Specialist, 10, 234–239.PubMedCrossRefGoogle Scholar
  27. Rappolt, S., Pearce, K., McEwen, S., & Platajko, H. (2005). Exploring organizational characteristics associated with practice changes following a mentored online educational module. The Journal of Continuing Education in the Health Professions, 25, 116–124.PubMedCrossRefGoogle Scholar
  28. 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
  29. 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.
  30. Worksafe BC. (2011). Occupational health and safety regulation. http://www2.worksafebc.com/publications/OHSRegulation/Home.asp. Accessed 29 June 2011.
  31. 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
  32. 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
  33. Yassi, A., Lockhart, K., Copes, R., Kerr, M., Corbiere, M., Bryce, E., et al. (2007). Determinants of healthcare workers’ compliance with infection control procedures. Healthcare Quarterly, 10, 44–52.PubMedGoogle Scholar
  34. 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
  35. Zoutman, D. E., Ford, B. D., Bryce, E., Gourdeau, M., Hebert, G., Henerson, E., et al. (2003). The state of infection surveillance and control in Canadian acute care hospitals. American Journal of Infection Control, 3, 266–272.CrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2012

Authors and Affiliations

  • Helen Novak Lauscher
    • 1
  • Annalee Yassi
    • 2
  • Elizabeth Bryce
    • 3
  • Margaret Landstrom
    • 4
  • Deirdre Maultsaid
    • 5
  1. 1.eHealth Strategy Office, Faculty of MedicineUniversity of British ColumbiaVancouverCanada
  2. 2.School of Population and Public HealthUniversity of British ColumbiaVancouverCanada
  3. 3.Department of Pathology and Laboratory MedicineUniversity of British Columbia, Vancouver General Hospital and Health Sciences CentreVancouverCanada
  4. 4.Childern’s and Women’s, Heath Centre of British ColumbiaVancouverCanada
  5. 5.School of BusinessKwantlen Polytechnic UniversitySurreyCanada

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