Graduate Program in Nursing, Health Sciences Center, Federal University of Santa Catarina, Florianópolis, Brazil.
J Nurs Manag. 2022 Jul;30(5):1355-1365. doi: 10.1111/jonm.13605. Epub 2022 Mar 29.
To understand the management actions for prevention and control of health care-associated infections (HAIs) performed by health professionals.
Prevention of nosocomial infections has evidence-based practice at its essence, but not all institutions are successful in implementing prevention methodology.
Qualitative research with Grounded Theory methodological framework. The research was carried out in two southern Brazilian hospitals. Data collected were employed through open interviews with 21 health professionals and managers. This process occurred concurrently with the data analysis, through constant comparative analysis.
The understanding of the co-responsibility of managerial actions emerged as a central phenomenon of the theoretical model. Management actions for the prevention and control of HAIs are a collective phenomenon, in which co-responsibility sustains the effectiveness of the offered assistance. The behaviours of health teams in the face of structural and human weaknesses influence the construction of a supportive relationship in the effectiveness of patient safety actions.
The sharing of responsibilities between professionals and the actions of prevention and control of HAIs arising from this conduct positively influence the promotion of safer and improved quality care.
Nursing managers should consider applying the tools to prevent and control HAIs and generate in-depth discussion to promote institution's cultural changes.
了解卫生专业人员为预防和控制医院感染（HAIs）所采取的管理措施。
预防医院感染具有循证实践的本质，但并非所有机构都能成功实施预防方法。
采用扎根理论方法的定性研究。该研究在巴西南部的两家医院进行。通过与 21 名卫生专业人员和管理人员进行开放式访谈收集数据。该过程与数据分析同时进行，通过不断比较分析。
管理行动的共同责任理解是理论模型的中心现象。预防和控制 HAIs 的管理行动是一个集体现象，共同责任维持提供的援助的有效性。卫生团队在面对结构和人员弱点时的行为影响了支持关系的构建，从而影响了患者安全行动的有效性。
专业人员之间的责任分担以及由此产生的预防和控制 HAIs 的行动，积极影响了更安全和更优质护理的促进。
护理管理人员应考虑应用预防和控制 HAIs 的工具，并进行深入讨论，以促进机构文化的变革。
