Exploring infection prevention: Policy implications from a qualitative study

Mayuko Uchida, Patricia W. Stone, Laurie J. Conway, Monika Pogorzelska, Elaine L. Larson, Victoria H. Raveis

Research output: Contribution to journalArticlepeer-review


Health care-associated infections (HAIs) are common and costly patient safety problems that are largely preventable. As a result, numerous policy changes have recently taken place including mandatory reporting and lack of reimbursement for HAIs. A qualitative approach was used to obtain dense description and gain insights about the current practice of infection prevention in California. Twenty-three in-depth, semistructured interviews were conducted at six acute care hospitals. Content analysis revealed 4 major interconnected themes: (a) impacts of mandatory reporting; (b) impacts of technology on HAI surveillance; (c) infection preventionists' role expansion; and (d) impacts of organizational climate. Personnel reported that interdisciplinary collaboration was a major facilitator for implementing effective infection prevention, and organizational climate promoting a shared accountability is urgently needed. Mandatory reporting requirements are having both intended and unintended consequences on HAI prevention. More research is needed to measure the long-term effects of these important changes in policy.

Original languageEnglish (US)
Pages (from-to)82-89
Number of pages8
JournalPolicy, Politics, and Nursing Practice
Issue number2
StatePublished - May 2011


  • health care quality
  • nursing/health care workforce issues
  • patient safety
  • state legislation

ASJC Scopus subject areas

  • Leadership and Management
  • Issues, ethics and legal aspects


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