Sving Eva, Wijk Katarina, Lindberg Maria
Centre for Research and Development Region Gävleborg/Uppsala University Gävle Sweden.
Department of Public Health and Caring Sciences Uppsala University Uppsala Sweden.
Health Sci Rep. 2025 Mar 18;8(3):e70572. doi: 10.1002/hsr2.70572. eCollection 2025 Mar.
More knowledge about perceptions of implementing new ways of working to prevent organism transmission and create safety engagement in health care are needed. This study aimed to explore managers and hygiene representatives', in the role as facilitators, perceptions of safety engagement and factors of importance when implementing measures to reduce healthcare-associated infections.
Data were collected using both a quantitative and qualitative approach. A total of 24 facilitators were involved in the implementation process (12 managers, and 12 hygiene representatives, all female). The facilitators responded to the Sustainable Safety Engagement Index at three occasions, and 13 of the facilitators participated in open-ended semi-structured interviews.
The results displayed that both internal and external organizational factors affected the implementation process as well as the interactions between individuals within the organization. The Sustainable Safety Engagement Index did not indicate any deviations before and during the implementation process.
To create a patient safety culture and get healthcare personnel engaged, it is important for healthcare managers to be aware of the complexity of healthcare and adapt organizational factors and specific elements in the caring chain. A systematic implementation approach, and reliable measurements along with use of single or multiple strategies is recommended. Furthermore, dedicated facilitators who creates an environment of support and cooperation between different professions and provides inspiration is crucial to maintain the improvement work. Prevailing behaviors should also be considered when planning and implementing patient safety interventions.
我们需要更多关于实施新工作方式以预防病原体传播并在医疗保健中建立安全参与度的认知。本研究旨在探讨作为促进者的管理人员和卫生代表对安全参与度的认知，以及在实施减少医疗保健相关感染措施时的重要因素。
采用定量和定性相结合的方法收集数据。共有24名促进者参与实施过程（12名管理人员和12名卫生代表，均为女性）。促进者在三个时间点对可持续安全参与指数做出回应，其中13名促进者参与了开放式半结构化访谈。
结果显示，内部和外部组织因素影响了实施过程以及组织内个体之间的互动。可持续安全参与指数在实施过程之前和期间均未显示任何偏差。
为营造患者安全文化并让医护人员参与其中，医疗保健管理人员必须意识到医疗保健的复杂性，并调整组织因素和护理链中的具体要素。建议采用系统的实施方法、可靠的测量方法以及使用单一或多种策略。此外，有专门的促进者营造不同专业之间支持与合作的环境并提供灵感，对于维持改进工作至关重要。在规划和实施患者安全干预措施时，也应考虑当前的行为。
