The use of behaviour change theory for infection prevention and control practices in healthcare settings: a scoping review

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Greene, Carolynn ORCID: https://orcid.org/0000-0002-1170-376X and Wilson, Jennie ORCID: https://orcid.org/0000-0002-4713-9662 (2022) The use of behaviour change theory for infection prevention and control practices in healthcare settings: a scoping review. Journal of Infection Prevention. ISSN 1757-1774

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Official URL: https://doi.org/10.1177/17571774211066779

Abstract

Background
Infection prevention and control (IPC) practices performed by healthcare workers are key to the prevention and management of infections. Compliance with IPC practice is often low, they are therefore commonly the focus of improvement interventions. Designing interventions that are based on behaviour change theories may help to improve compliance to practice. The aim of this review is to synthesise the evidence on the application of behaviour change theories to interventions to improve IPC practice in healthcare settings.

Methods
A scoping review was conducted following the Joanna Briggs Institute (JBI) methodological framework. The theories of focus were the Theoretical Domains Framework (TDF), Capability, Opportunity, Motivation, Behaviour (COM-B) and Behaviour Change Wheel (BCW). Studies which applied these theories to any IPC practice were included.

Results
Eleven studies were identified which met the inclusion criteria. The IPC behaviours investigated were hand hygiene (7), antimicrobial stewardship (3), and MRSA screening (1). Nine studies explored barriers and facilitators to existing IPC practice; three used their findings to design a behaviour change intervention or tool. Domains of ‘beliefs about consequences’, ‘environmental context/resources’, and ‘social/professional role and identity’ were identified as key across all three IPC behaviours.

Discussion
This review has demonstrated the use of behavioural theories to understand determinants of behaviour related to IPC practice. Currently there are few published examples of interventions to improve IPC practice that have been underpinned by behavioural theory. Practitioners in IPC should consider the use of these methods to enhance the efficacy of strategies to change healthcare worker behaviour.

Item Type:	Article
Identifier:	10.1177/17571774211066779
Additional Information:	Greene C, Wilson J., The use of behaviour change theory for infection prevention and control practices in healthcare settings: A scoping review, Journal of Infection Prevention. Copyright © 2022 . DOI: 10.1177/17571774211066779.
Keywords:	behaviour change theory, infection prevention, scoping review
Subjects:	Medicine and health > Health promotion and public health > Infection prevention Medicine and health > Nursing > Nursing practice
Related URLs:	Publisher
Depositing User:	Carolynn Greene
Date Deposited:	08 Dec 2021 17:13
Last Modified:	06 Feb 2024 16:08
URI:	https://repository.uwl.ac.uk/id/eprint/8472

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References

Boscart, V. M. et al. (2012) ‘Using psychological theory to inform methods to optimize the implementation of a hand hygiene intervention’, Implementation Science, 7(1), p. 77. doi: 10.1186/1748-5908-7-77.

Cane, J., O’Connor, D. and Michie, S. (2012) ‘Validation of the theoretical domains framework for use in behaviour change and implementation research’, Implementation Science, 7(1), p. 37. doi: 10.1186/1748-5908-7-37.

Chambers, A. et al. (2019) ‘A recipe for antimicrobial stewardship success: Using intervention mapping to develop a program to reduce antibiotic overuse in long-term care’, Infection Control and Hospital Epidemiology, 40(1), pp. 24–31. doi: 10.1017/ice.2018.281.

Cioffi, D. and Cioffi, J. (2014) ‘Challenging suboptimal infection control’, International Journal of Infection Control, 11(1), pp. 1–9. doi: 10.3396/IJIC.V11I1.13988.

Currie, K. et al. (2019) ‘Barriers and enablers to meticillin-resistant Staphylococcus aureus admission screening in hospitals: a mixed-methods study’, Journal of Hospital Infection. Elsevier Ltd, 101(1), pp. 100–108. doi: 10.1016/j.jhin.2018.08.006.

Dyson, J. et al. (2011) ‘Does the use of a theoretical approach tell us more about hand hygiene behaviour? the barriers and levers to hand hygiene’, Journal of Infection Prevention, 12(1), pp. 17–24. doi: 10.1177/1757177410384300.

Dyson, J. et al. (2013) ‘Development of a theory-based instrument to identify barriers and levers to best hand hygiene practice among healthcare practitioners’, Implementation Science, 8(1), pp. 1–9. doi: 10.1186/1748-5908-8-111.

Fisher, C. C. et al. (2018) ‘A theory-informed assessment of the barriers and facilitators to nurse-driven antimicrobial stewardship’, American Journal of Infection Control. Elsevier Inc., 46(12), pp. 1365–1369. doi: 10.1016/j.ajic.2018.05.020.

Fuller, C. et al. (2014) ‘Application of a theoretical framework for behavior change to hospital workers’ real-time explanations for noncompliance with hand hygiene guidelines’, American Journal of Infection Control, 42(2), pp. 106–110. doi: 10.1016/j.ajic.2013.07.019 [doi].

Jones, L. F. et al. (2018) ‘Qualitative study using interviews and focus groups to explore the current and potential for antimicrobial stewardship in community pharmacy informed by the Theoretical Domains Framework’, BMJ Open, 8(12), pp. 1–11. doi: 10.1136/bmjopen-2018-025101.

Loveday, H. P. et al. (2014) ‘epic3: National Evidence-Based Guidelines for Preventing Healthcare-Associated Infections in NHS Hospitals in England’, Journal of Hospital Infection, 86, p. S70. doi: 10.1016/S0195-6701(13)60012-2.

McAteer, J. et al. (2014) ‘Using psychological theory to understand the challenges facing staff delivering a ward-led intervention to increase hand hygiene behavior: A qualitative study’, American Journal of Infection Control. Elsevier Inc, 42(5), pp. 495–499. doi: 10.1016/j.ajic.2013.12.022.

Michie, S. et al. (2005) ‘Making psychological theory useful for implementing evidence based practice: a consensus approach’, Quality & safety in health care, 14(1), pp. 26–33. doi: 14/1/26 [pii].

Michie, S., Atkins, L. and West, R. (2014) ‘The behaviour change wheel: a guide to designing interventions.’, Great Britain: Silverback Publishing.

Michie, S. and Johnston, M. (2012) ‘Theories and techniques of behaviour change: Developing a cumulative science of behaviour change’, Health Psychology Review, 6(1), pp. 1–6. doi: 10.1080/17437199.2012.654964.

Michie, S., van Stralen, M. M. and West, R. (2011) ‘The behaviour change wheel: A new method for characterising and designing behaviour change interventions’, Implementation Science, 6(1), p. 42. doi: 10.1186/1748-5908-6-42.

Ojo, S. O. et al. (2019) ‘Breaking barriers: Using the behavior change wheel to develop a tailored intervention to overcome workplace inhibitors to breaking up sitting time’, BMC Public Health. BMC Public Health, 19(1), pp. 1–17. doi: 10.1186/s12889-019-7468-8.

Page, M. J. et al. (2021) ‘The PRISMA 2020 statement: An updated guideline for reporting systematic reviews’, The BMJ, 372. doi: 10.1136/bmj.n71.

Peters, M. et al. (2015) ‘The Joanna Briggs Institute Reviewers’ Manual 2015 Methodology for JBI Scoping Reviews’, Joanne Briggs Institute. The Joanna Briggs Institute, pp. 1–24. doi: 10.1017/CBO9781107415324.004.

Pham, M. T. et al. (2014) ‘A scoping review of scoping reviews: Advancing the approach and enhancing the consistency’, Research Synthesis Methods, 5(4), pp. 371–385. doi: 10.1002/jrsm.1123.

Pratt, R. J. et al. (2001) ‘The epic project: Developing national evidence-based guidelines for preventing healthcare associated infections: Phase I: Guidelines for preventing hospital-acquired infections’, Journal of Hospital Infection, 47(SUPPL. 1). doi: 10.1053/jhin.2000.0886.

Pratt, R. J. et al. (2007) ‘epic2: National Evidence-Based Guidelines for Preventing Healthcare-Associated Infections in NHS Hospitals in England’, Journal of Hospital Infection, 65(SUPPL. 1). doi: 10.1016/S0195-6701(07)60002-4.

Smith, J. D. et al. (2019) ‘Application of the Theoretical Domains Framework to identify factors that influence hand hygiene compliance in long-term care’, Journal of Hospital Infection. Elsevier Ltd, 101(4), pp. 393–398. doi: 10.1016/j.jhin.2018.12.014.

Squires, J. E. et al. (2014) ‘Understanding Practice: Factors That Influence Physician Hand Hygiene Compliance’, Infection Control & Hospital Epidemiology, 35(12), pp. 1511–1520. doi: 10.1086/678597.

Tavolacci, M.-P. et al. (2008) ‘Prevention of nosocomial infection and standard precautions: knowledge and source of information among healthcare students.’, Infection control and hospital epidemiology. United States, 29(7), pp. 642–647. doi: 10.1086/588683.

Traore, O. et al. (2007) ‘Liquid versus gel handrub formulation: A prospective intervention study’, Critical Care, 11(3), pp. 1–8. doi: 10.1186/cc5906.

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