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Leadership perspective on the implementation of guidelines on healthcare-associated infections

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dc.contributor.author Hegarty, Josephine
dc.contributor.author Murphy, Siobhan
dc.contributor.author Creedon, Sile
dc.contributor.author Wills, Teresa
dc.contributor.author Savage, Eileen
dc.contributor.author Barry, Fiona
dc.contributor.author Smiddy, Maura
dc.contributor.author Coffey, Alice
dc.contributor.author Burton, Aileen
dc.contributor.author O’Brien, Deirdre
dc.contributor.author Horgan, Sinead
dc.contributor.author Nibhuachalla, Cliodhna
dc.contributor.author Brennan, Cathal
dc.contributor.author Agreli, Heloise
dc.contributor.author Drennan, Jonathan
dc.date.accessioned 2019-04-17T09:28:59Z
dc.date.available 2019-04-17T09:28:59Z
dc.date.issued 2019
dc.identifier.uri http://hdl.handle.net/10344/7761
dc.description peer-reviewed en_US
dc.description.abstract Background Leadership is a key component for infection prevention and control and plays an important role in the implementation of guidelines on healthcareassociated infections. A body of literature exists on healthcare workers’ perspectives on implementing these types of guidelines; however, there is a paucity of data on the leadership perspectives on implementation. This study aims to contribute to the evidence base of leadership perspectives. Objective To explore the implementation of National Clinical Guidelines pertaining to methicillin-resistant Staphylococcus aureus and Clostridium difficile from the leadership angle. Setting Healthcare organisations. Participants Clinical and non-clinical leaders. Design This research used a mixed-methods approach comprising qualitative individual interviews (n=16) and quantitative surveys (n=51) underpinned by the integrated Promoting Action on Research Implementation in Health Services framework. Results Leaders recognise the value and innovation of guidelines to support clinical practice. However, they describe barriers to implementation that prevent the full uptake of guidelines, for example, guidelines may present an ideological approach to care which differs from the contextual reality of clinical practice where resources and time are not always available. Conclusion This research highlighted that guidelines are complex interventions in complex organisations, perhaps leadership could help overcome the challenges posed by this complexity. Leadership may allow a systematic approach to all aspects of implementation despite the variety of challenges faced at different stages of implementation and sustainability of uptake of guidelines over time. en_US
dc.language.iso eng en_US
dc.publisher BMJ Publishing Group en_US
dc.relation.ispartofseries BMJ Leader;pp. 1-9
dc.subject leadership en_US
dc.subject guidelines en_US
dc.subject healthcare-associated infections en_US
dc.title Leadership perspective on the implementation of guidelines on healthcare-associated infections en_US
dc.type info:eu-repo/semantics/article en_US
dc.type.supercollection all_ul_research en_US
dc.type.supercollection ul_published_reviewed en_US
dc.identifier.doi 10.1136/leader-2018-000111
dc.contributor.sponsor HRB en_US
dc.rights.accessrights info:eu-repo/semantics/openAccess en_US
dc.internal.rssid 2939843


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