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A Potential Way to Decrease the Know-Do Gap in Hospital Infection Control in Vietnam: “Providing Specific Figures on Healthcare-Associated Infections to the Hospital Staff Can ‘Wake Them Up’ to Change Their Behaviour”

1
Health Systems and Policy (HSP): Improving the Use of Medicines, Department of Public Health Sciences, Karolinska Institutet, Tomtebodavägen 18 A, 17177 Stockholm, Sweden
2
Department of Pharmaceutical Management and Pharmaco-Economics, Hanoi University of Pharmacy, 13-15 Le Thanh Tong, Hoan Kiem District, Hanoi 110403, Vietnam
3
Department of Family Medicine, Hanoi Medical University, 01 Ton That Tung, Dong Da District, Hanoi 116516, Vietnam
4
National Centralised Drug Procurement Centre, Vietnam Ministry of Health, 138A Giang Vo Street, Ba Dinh district, Hanoi 118401, Vietnam
5
Institute of Mathematics-VAST, 18 Hoang Quoc Viet, Cau Giay District, Hanoi 122121, Vietnam
6
Indian Initiative for Management of Antibiotic Resistance, Department of Environmental Medicine, R.D. Gardi Medical College, Agar Road, Ujjain 456006, India
*
Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2018, 15(7), 1549; https://doi.org/10.3390/ijerph15071549
Received: 7 June 2018 / Revised: 10 July 2018 / Accepted: 19 July 2018 / Published: 22 July 2018
(This article belongs to the Section Global Health)
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PDF [316 KB, uploaded 22 July 2018]

Abstract

Adequate infection control plays a key role in preventing healthcare-associated infections (HAIs). This study aimed to explore staff perceptions of hospital infection control in a rural and an urban hospital in Vietnam. Individual interviews were conducted with hospital managers, and focus group discussions were conducted with doctors, nurses and cleaning workers separately. Content analysis was applied. An interview guide including discussion points on HAIs, hand hygiene and healthcare waste management was used. Generally, the staff were knowledgeable of hospital infection control, but they were not aware of the situation in their own hospital, and infection control practices in the hospitals remained poor. Reported difficulties in infection control included lack of resources, poor awareness and patient overload. A main theme emerged: ‘Making data on HAIs available for health workers can improve their awareness and motivate them to put their existing knowledge into practice, thus decreasing the know-do gap in infection control’. This could be a feasible intervention to improve infection control practice in the hospitals with limited resources, high workload and patient overload. View Full-Text
Keywords: qualitative study; perceptions; hospital staff; infection control; healthcare-associated infection; know-do gap; Vietnam qualitative study; perceptions; hospital staff; infection control; healthcare-associated infection; know-do gap; Vietnam
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited (CC BY 4.0).
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Lien, L.T.Q.; Johansson, E.; Lan, P.T.; Chuc, N.T.K.; Thoa, N.T.M.; Hoa, N.Q.; Phuc, H.D.; Tamhankar, A.J.; Lundborg, C.S. A Potential Way to Decrease the Know-Do Gap in Hospital Infection Control in Vietnam: “Providing Specific Figures on Healthcare-Associated Infections to the Hospital Staff Can ‘Wake Them Up’ to Change Their Behaviour”. Int. J. Environ. Res. Public Health 2018, 15, 1549.

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