Implementation of politics and policies of infection prevention and control for health care associated infection: a case study of Brazil and United Kingdom

• Grant number: 16/09952-2
• Support type: Scholarships abroad - Research
• Effective date (Start): September 25, 2016
• Effective date (End): December 19, 2016
• Field of knowledge: Health Sciences - Nursing - Infectious Diseases Nursing
• Principal researcher: Maria Clara Padoveze
• Grantee: Maria Clara Padoveze
• Host: Stephen Timmons
• Home Institution: Escola de Enfermagem (EE). Universidade de São Paulo (USP). São Paulo , SP, Brazil
• Research place: University of Nottingham, University Park, England

Abstract

Health care-associated infections (HAI) are relevant public health problem. According to the World Health Organization, nations are required to have HAI programmes at both national or local (health care settings) level. Despite needs of more research to get scientific evidence on several issues, most of infection prevention and control measures are currently well established. Nevertheless, the implementation process is failing to be fully operated in many countries. Therefore, there is a lack of understanding why an implementation was succeeded or failed. Besides this, we know very little about the prioritization process to define targets at national level, and whether it affects the success of the implementation. A better understanding of a good pathway to the implementation and prioritization process may be the key to success to advance national programmes for infection prevention and control. Finding the keys for the success will be helpful not only for the Brazilian context but also for other countries in which the national programmes are in their preliminary steps. This study may contribute to the worldwide progress toward a better infection and prevention control programmes. Objective. This study aims at to understand the main characteristics of the implementation and prioritization process of policies and politics at national level for infection prevention and control of health care associated infections in Brazil and UK. We intend: to describe the process of prioritization of targets in infection prevention and control of HCAI at national level; to describe the implementation process of infection prevention and control of HCAI at national level; and c. to explore similarities and differences between Brazil and UK in both prioritization and implementation process of prevention and control of HAI. Methods. The study design is a qualitative approach by means of interviews and documental analysis. The subjects of interest will be professionals (physicians, nurses and others) engaged at different levels of prioritization and implementation process in UK and Brazil at four levels: a) national; b) regional; c) hospital/trust; d) wards or units. This project will be performed in three steps: I) literature review aiming at to collect relevant data to identify the process of prioritization and implementation of prevention and control at national level in both countries. Data sources will be the scientific journals database (Pubmed/Medline, Scielo, Embase) and grey literature; II) interviews at UK and Brazil; III) additional search of relevant documents. Interviews will be electronically recorded and translated verbatim. Content analysis according to Bardin will be performed. (AU)