Category Archives: SHEA

#SHEA2017 & Behaviour Change (bundle?)

change_ahead

Clearly the current toolkit for the ICP extends well beyond knowledge of infection prevention and control. Amongst others throw in a dose of psychology, implementation science and behaviour change.

Matthew Kreuter is a leading national public health expert in the field of health communications at Washington University in St Louis, and at the SHEA Spring Conference presented a plenary titled May the Forces be with You: Understanding How to Change Behaviour. Krueter packed in a lot of useful information in his presentation. Much of what he said I believe really underlined the importance of a comprehensive implementation strategy.

There is no substitute for taking time to understand the people you are dealing with and the environment they work in. One of the biggest challenges in behaviour change and infection prevention is we don’t always see the consequences of our action (the missed hand hygiene > unclean hand > contaminated environment > patient colonisation > breach of first line defences > infection), and not every bad action will necessarily result in an adverse outcome. Furthermore, HCW’s may suffer from a curse of “smartness”,  i.e. “I know my patients best” which can lead to rejection of guidelines.

Some of the key messages I took away from this talk include:

  • The easiest behaviours to change are the simple ones that have clear and immediate benefits “to me”
  • When planning behaviour change, focus on identifying meaningful benefits and personalise the consequences. The consequences need to be relevant
  • Utilise authentic stories of the consequences. Sadly we have no end of patients who have suffered as a result of a HAI, consider involving them and their stories
  • Other factors that work include credible messengers (peers, champions) performance feedback and aspirational identity

Kreuter concluded by listing 4 factors that work MORE:

  1. Policies
  2. Environment
  3. Organisational Culture
  4. Engineering and Design, or
  5. a combination of these

note he didn’t use the term “Bundle”!

 

Phil

#SHEA2017 Spring Conference and the International Ambassador Program

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Some of the SHEA IAP’s at the Arch in St Louis, Mo

I was recently honoured to be a member of the Society for Healthcare Epidemiology of America (SHEA) International Ambassador Program (IAP) at the SHEA Spring Conference in St Louis, Missouri.

If you don’t know about the SHEA IAP, I strongly encourage you to find out more about it here. It provided me the opportunity to meet 17 other ambassadors from across the globe, attend a special pre-conference program that included a visit to Barnes-Jewish Hospital, (saw my first ever fully automated microbiology lab) attend the SHEA Foundation dinner (where we were privileged to be present for a special dedication to Denis Maki), and of course attend the SHEA Spring Conference.

SHEA combine a full conference with a Training Certificate Course in Healthcare Epidemiology which is available to conference delegates. This was quite handy as I was able to junto into a few Epi sessions to brush up on a few skills.

There were many learnings and observations from my time in St. Louis, and I will get my thoughts in order and post them on this blog over the next week or so.

Phil

Declaration: The SHEA IAP is also supported financially by 3M, and I’d like to express my gratitude to both SHEA and 3M for their support.