The impediments of implementing infection prevention control in public hospitals: Nurses’ perspectives

Abstract

Background: Infection prevention and control (IPC) programmes were introduced to combat healthcare-associated infections and antimicrobial resistance and to facilitate the implementation of IPC measures. The implementation of policies and guidelines results in effective service delivery.

Aim: The purpose of the study was to explore nurses’ experiences and perceptions regarding the impediments to implementing the IPC measures.

Setting: The study was conducted in three public hospitals in Gauteng Province, South Africa.

Methods: A qualitative exploratory design was used, and 49 nurses were purposively selected from three public hospitals to understand their experiences and perceptions regarding the impediments to implementing the IPC measures. Five focus group discussions were conducted using semi-structured interviews. Tesch’s eight steps method was used to analyse data resulting in three main themes and seven sub-themes.

Results: Three main themes emerged. Nurses experienced challenges regarding knowledge and attitudes towards IPC measures, inadequate hospital infrastructure and lack of management support.

Conclusion: The lack of infection prevention control knowledge, infrastructure and management support impede the implementation of IPC measures. Consistent support in terms of training, resources and infrastructure is essential for implementing the measures.

Contribution: The findings in this study will empower the nurses, doctors and managers with knowledge in implementing IPC measures to improve the infection prevention programme.