ArticleThe Journal of hospital infection2016
Qualitative study of views and experiences of performance management for healthcare-associated infections.
Article in The Journal of hospital infection, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.
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Who cites it
15 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Interventions to improve hand hygiene compliance in patient care.The Cochrane database of systematic reviews · 2017Pooled it
- Barriers and facilitators of compliance with infection prevention and control measures during the COVID-19 pandemic in health facilities in Kampala city, Uganda.PLOS global public health · 2024Article
- Moving behavioral interventions in nursing homes from planning to action: a work system evaluation of a urinary tract infection toolkit implementation.Implementation science communications · 2023Article
- Emotional intelligence: Its place in infection prevention and control.Journal of infection prevention · 2023Article
- A Qualitative Examination of Interprofessional Teamwork for Infection Prevention: Development of a Model and Solutions.Medical care research and review : MCRR · 2023Article
- Incentivizing performance in health care: a rapid review, typology and qualitative study of unintended consequences.BMC health services research · 2022Review
- Implementation of a central-line bundle: a qualitative study of three clinical units.Implementation science communications · 2021Article
- Health-Care-Associated Infections Management, sow the seed of good habits: a grounded theory study.Acta bio-medica : Atenei Parmensis · 2019Article
- Infection prevention control and organisational patient safety culture within the context of isolation: study protocol.BMC health services research · 2019Article
- An ethnographic study of improving data collection and completeness in large-scale data exercises.Wellcome open research · 2019Article
- Improvement capability and performance: a qualitative study of maternity services providers in the UK.International journal for quality in health care : journal of the International Society for Quality in Health Care · 2018Article
- Article
- Interventions to improve hand hygiene compliance in patient care: Reflections on three systematic reviews for the Cochrane Collaboration 2007-2017.Journal of infection prevention · 2018Review
- Taking the heat or taking the temperature? A qualitative study of a large-scale exercise in seeking to measure for improvement, not blame.Social science & medicine (1982) · 2018Article
- Comparison of governance approaches for the control of antimicrobial resistance: Analysis of three European countries.Antimicrobial resistance and infection control · 2018Review
Corrections and comments
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Authors and funding
3 authors.
Funding
Abstract
backgroundCentrally led performance management regimes using standard setting, monitoring, and incentives have become a prominent feature of infection prevention and control (IPC) in health systems.
aimTo characterize views and experiences of regulation and performance management relating to IPC in English hospitals.
methodsTwo qualitative datasets containing 139 interviews with healthcare workers and managers were analysed. Data directly relevant to performance management and IPC were extracted. Data analysis was based on the constant comparative method.
findingsParticipants reported that performance management regimes had mobilized action around specific infections. The benefits of establishing organizational structures of accountability were seen in empirical evidence of decreasing infection rates. Performance management was not, however, experienced as wholly benign, and setting targets in one area was seen to involve risks of 'tunnel vision' and the marginalization of other potentially important issues. Financial sanctions were viewed especially negatively; performance management was associated with risks of creating a culture of fearfulness, suppressing learning and disrupting inter-professional relationships.
conclusionCentrally led performance management may have some important roles in IPC, but identifying where it is appropriate and determining its limits is critical. Persisting with harsh regimes may affect relationships and increase resistance to continued improvement efforts, but leaving all improvement to local teams may also be a flawed strategy.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.