Infection Prevention and the Patients Voice Using video research - PowerPoint PPT Presentation

Infection Prevention and the Patient’s Voice Using video research methods for collaborative research with patients and clinicians

Involving patients in understanding hospital infection prevention and control using video-reflexive methods Mary Wyer 1,2 , Su-yin Hor 1,5 , Ruth Barratt 1,2 , Lyn Gilbert 1,2 1 Westmead Institute for Medical Research, Westmead, Australia 2 Marie Bashir Institute for Infectious Diseases and Biosecurity, University of Sydney, Australia 3 University of Technology, Sydney, Australia

A3� .2� How� does� patient-centred� care� relate� to� infection� prevention� and� control?� Putting� patients� at� the� centre� of� infection� prevention� and� control� and� enabling� them� to� participate� in� the� care� process� is� not� just� about� explaining� the� risks� of� treatments,� but� involves� considering� patients ’ � needs� at� every� level.� This� ranges� from� designing� the� facility� to� maximise� patient� comfort� and� safety� to� having� a� range� of� processes� to� engage� patients� in� their� care� and� listen� and� act� on� their� feedback� as� well� as� providing� the� patient� with� education� and� support� so� that� they� can� be� involved� in� looking� after� themselves.�

Patient involvement in IPC Davis, R., Parand, A., Pinto, A., & Buetow, S. (2015). Systematic review of the effectiveness of strategies to encourage patients to remind healthcare professionals about their hand hygiene. Journal of Hospital Infection , 89 (3), 141-162. Seale, H., Chughtai, A. A., Kaur, R., Crowe, P., Phillipson, L., Novytska, Y., & Travaglia, J. (2015). Ask, speak up, and be proactive: Empowering patient infection control to prevent health care- -acquired infections. American Journal of Infection Control , 43 (5), 447-453 5

Strengthening frontline clinicians' infection Talking with Patients: Improving clinician- control: A multi-method study to reduce patient communication around healthcare- MRSA infection and transmission (NHMRC associated infections using video-reflexive # 1009178) ethnography

Working with participants to video practices of interest, and then showing back the footage to them in reflexive sessions  Engages with the expertise of frontline staff/patients/visitors  Makes explicit the complex reality of clinical work  Raises awareness of taken-for-granted practices & relationships  Results in learning and change (practice optimization)

Research Project 1

Strengthening frontline clinicians' infection control: A multi-method study to reduce MRSA infection and transmission

Video-reflexive ethnography with patients Patients view & reflect Film care episodes Patients’ insights fed back to nurses Reproduced /Sage publishing: Wyer, M., Iedema, R., Hor, S. et al. (2017)

Video 1 • Video removed for confidentiality

Notes about Video 1 • James is watching back some footage of a staff member taking his blood,. • By watching footage James became aware of risks he previously hadn’t noticed . • He notices that she starts touching things with her gloved hands, contaminating them before coming to him • He devises some solutions to deal with them. But interestingly rather than confronting her directly, he decides that if it happens again, he will grab her hands and contaminate her gloves so she has to change them • He thinks it would be better to make himself look silly – to help the HCW save face but also be able to feel safe.

Research Project 2

Talking with patients • Collaboration between researchers, renal unit staff & patients, infection control professionals, infectious diseases physicians and laboratory staff • Aim: To improve clinician-patient communication around HAIs and IPC, with the broader aim of reducing HAIs by increasing patient involvement in IPC

Working party Researcher analysis Research dissemination

Reflexive discussion points 1. Which sites do we swab? 2. Communicating with patients about screening 3. Patients taking their own swabs 4. Informing patients about how they can protect themselves and others from infections while in hospital

Resources created

Spreading the word Workshops to support clinician-led projects

Clinician-led VRE projects • VRE workshop – to empower clinical staff to undertake their own VRE projects – 6 nurses – loaned equipment and researcher support • Project 1: Interdisciplinary Cath lab project looking at hand hygiene during angiography • Project 2: Improvement in clinical handover involving isolation rooms

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