ArticleAntimicrobial resistance and infection control2019
Understanding determinants of infection control practices in surgery: the role of shared ownership and team hierarchy.
Article in Antimicrobial resistance and infection control, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.
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Who cites it
10 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Clinicians' and Patients' Experiences and Perceptions on the Prevention and Management of Surgical Site Infections: A Mixed-Methods Systematic Review.Journal of clinical nursing · 2025Pooled it
- Infection control competency in surgical settings among clinical medical students in Sudan: a cross sectional study.BMC medical education · 2025Article
- Cultural differences in attitudes towards surgical site infections among French anesthetists and surgeons in digestive surgery in 2022.Antimicrobial resistance and infection control · 2025Article
- Visual Mapping of Operating Theater Team Dynamics and Communication for Reflexive Feedback and Surgical Practice Optimization.Annals of surgery open : perspectives of surgical history, education, and clinical approaches · 2024Article
- Healthcare professionals' knowledge and attitudes towards surgical site infection and surveillance: A quasi-experimental study.Nursing open · 2024Article
- Article
- Antibiotic prescribing practices in general surgery: a mixed methods quality improvement project.Infection prevention in practice · 2021Article
- The Use of a Three-in-One Practice-Management-Innovation Training Model in the Construction of an Infection Control Team.Risk management and healthcare policy · 2021Article
- Infection prevention and control research priorities: what do we need to combat healthcare-associated infections and antimicrobial resistance? Results of a narrative literature review and survey analysis.Antimicrobial resistance and infection control · 2020Article
- A study on improving nursing clinical competencies in a surgical department: A participatory action research.Nursing open · 2020Article
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Despite a large literature on surgical site infection (SSI), the determinants of prevention behaviours in surgery remain poorly studied. Understanding key social and contextual components of surgical staff behaviour may help to design and implement infection control (IC) improvement interventions in surgery. Methods: Qualitative semi-structured interviews were conducted with surgeons ( Results: IC behaviour of surgical staff was governed by factors at individual, team, and wider hospital level. IC practices were linked to the perceived risk of harm caused by an SSI more than the development of an SSI alone. Many operating room participants saw SSI prevention as a team responsibility. The sense of ownership over SSI occurence was closely tied to how preventable staff perceived infections to be, with differences observed between clean and contaminated surgery. However, senior surgeons claimed personal accountability for rates despite feeling SSIs are often not preventable. Hierarchy impacted on behaviour in different ways depending on whether it was within or between professional categories. One particular knowledge gap highlighted was the lack of awareness regarding criteria for SSI diagnosis. Conclusions: To influence IC behaviours in surgery, interventions need to consider the social team structure and shared ownership of the clinical outcome in order to increase the awareness in specialties where SSIs are not seen as serious complications.
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