ArticleGlobal health action2015
Using 'appreciative inquiry' in India to improve infection control practices in maternity care: a qualitative study.
Article in Global health action, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 2 of them syntheses that pooled it.
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Who cites it
5 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Systematic review and narrative synthesis of the impact of Appreciative Inquiry in healthcare.BMJ open quality · 2022Pooled it
- Outcomes, mechanisms and contextual factors of positive psychology interventions for health workers: a systematic review of global evidence.Human resources for health · 2021Pooled it
- Evaluating infection prevention and control structure of Indonesian COVID-19 referral hospitals.Jamba (Potchefstroom, South Africa) · 2023Article
- Barriers and facilitators to infection control at a hospital in northern India: a qualitative study.Antimicrobial resistance and infection control · 2017Article
- Contextual factors that influence quality improvement implementation in primary care: The role of organizations, teams, and individuals.Health care management reviewArticle
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundInfections acquired during childbirth are a common cause of maternal and perinatal mortality and morbidity. Changing provider behaviour and organisational settings within the health system is key to reducing the spread of infection.
objectiveTo explore the opinions of health personnel on health system factors related to infection control and their perceptions of change in a sample of hospital maternity units.
designAn organisational change process called 'appreciative inquiry' (AI) was introduced in three maternity units of hospitals in Gujarat, India. AI is a change process that builds on recognition of positive actions, behaviours, and attitudes. In-depth interviews were conducted with health personnel to elicit information on the environment within which they work, including physical and organisational factors, motivation, awareness, practices, perceptions of their role, and other health system factors related to infection control activities. Data were obtained from three hospitals which implemented AI and another three not involved in the intervention.
resultsChallenges which emerged included management processes (e.g. decision-making and problem-solving modalities), human resource shortages, and physical infrastructure (e.g. space, water, and electricity supplies). AI was perceived as having a positive influence on infection control practices. Respondents also said that management processes improved although some hospitals had already undergone an accreditation process which could have influenced the changes described. Participants reported that team relationships had been strengthened due to AI.
conclusionTechnical knowledge is often emphasised in health care settings and less attention is paid to factors such as team relationships, leadership, and problem solving. AI can contribute to improving infection control by catalysing and creating forums for team building, shared decision making and problem solving in an enabling environment.
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