The objective of this integrative review is to synthesise the best available evidence on (i) what and (ii) how theory has been implemented in the development of interventions aiding healthcare staff to prevent and control healthcareassociated infections. Consequently the specific review questions to be addressed are: 1. What theory-based interventions have been implemented to aid healthcare staff prevent and control healthcare-associated infections? 2. How are these interventions structured and applied? 3. To what extent are these interventions effective

Macduff, Colin

Stephen, Audrey

Tsattalios, Konstantinos

English

Open Access Institutional Repository at Robert Gordon University

   AUTHOR(S):   TITLE:    YEAR:   Original citation:    OpenAIR citation:   Version history:    Copyright statement:    OpenAIR takedown statement: This systematic review protocol forms part of research that has been funded by _____________________________. The protocol document was originally hosted by _______________________________________ and made publicly available at ____________________________________________________________________________________. This  work  is  made  freely available  under  open access. The first version of this protocol was originally made available on ________________________________________. This version of the protocol was originally made available on ____________________________________________. In total, there have been ____________ known revisions of the protocol.       This protocol is distributed under a CC ____________ license._________________________________________________________________________  Section 6 of  the “Repository policy  for OpenAIR @ RGU”  (available  from http://www.rgu.ac.uk/staff‐and‐current‐students/library/library‐policies/repository‐policies)  provides  guidance  on  the  criteria  under  which  RGU  will consider withdrawing material from OpenAIR. If you believe that this item is subject to any of these criteria, or for any other reason should not be held on OpenAIR, then please contact openair‐help@rgu.ac.uk with the details of the item and the nature of your complaint.  PROSPERO International prospective register of systematic reviews Theory-based interventions to aid healthcare staff prevent and control healthcare-associated infections: an integrative review protocolKonstantinos Tsattalios, Colin Macduff, Audrey Stephen  CitationKonstantinos Tsattalios, Colin Macduff, Audrey Stephen. Theory-based interventions to aid healthcare staff preventand control healthcare-associated infections: an integrative review protocol. PROSPERO 2016:CRD42016035934Available from  http://www.crd.york.ac.uk/PROSPERO_REBRANDING/display_record.asp?ID=CRD42016035934 Review question(s)The objective of this integrative review is to synthesise the best available evidence on (i) what and (ii) how theory hasbeen implemented in the development of interventions aiding healthcare staff to prevent and control healthcare-associated infections. Consequently the specific review questions to be addressed are:1. What theory-based interventions have been implemented to aid healthcare staff prevent and control healthcare-associated infections?2. How are these interventions structured and applied?3. To what extent are these interventions effective?SearchesPublished articles will be searched via the following databases:Web of Knowledge;CINAHL;AMED;MEDLINE;PsycARTICLES;ERIC;TRIP;American Doctoral Dissertations. References from all eligible studies will be further scrutinised to identify additional possible studies. Published thesesand dissertations databases will be searched.Literature published in the English language will be eligible for inclusion. Unpublished work and non-English language literature will be excluded. Finally, all literature obtained from the search will be stored in RefWorks, and referenced according to Harvard                               Page: 1 / 5referencing style.Types of study to be includedThis review will consider any article with qualitative, quantitative and mixed-methods designs.Identified articles with a less empirical character (e.g. no experimental design, exploratory approach) will be takeninto consideration as long as there is an argument for the importance of a theory or theoretical framework ininterventions aiming to aid healthcare staff prevent and control HAIs. Expert opinions, letters to editors andconference proceedings will be excluded from the review. There will be no restriction in relation to the type of healthcare-associated infection (e.g. MRSA, Norovirus, C.difficile, etc.) or type of healthcare professionals (e.g. physicians, nurses, domestic staff, health visitors, supportworkers, medical educators etc.).Condition or domain being studiedHealthcare-associated infections (HAIs) remain a significant problem across the globe in both developed anddeveloping countries. Failure to adhere to hygiene best practice guidance by healthcare staff is one of the mostimportant factors for high HAIs rates. Healthcare systems are increasingly facing alarming morbidity and mortalityrates as well as financial losses – such rates are associated with HAIs. Interventions aiming at tackling HAIs are focusing on increasing adherence to hygiene practices among healthcarestaff but the extent and quality of evidence around effectiveness appears to be unknown at present. Initial scopingsuggests that systematic study of the nature and scope of the evidence is required.For this reason, an integrative review of studies which have implemented a theory or theoretical framework to informthe intervention would be of particular interest.Participants/ populationAll articles reporting: (i) Healthcare staff (e.g. physicians, nurses, health visitors, support workers, medical educators etc.); and/or(ii) Ancillary staff (e.g. domestic staff, catering assistants, etc.); and/or(iii) Academic student population from health-related disciplines (e.g. nursing, midwifery, etc.) will be eligible for inclusion in the review.Intervention(s), exposure(s)Any theory (e.g. behaviour change theories such as the Theory of Planned Behaviour) or theoretical framework (e.g.Theoretical Domains Framework), that is implemented as part of an intervention, improvement programme ornational guidelines aiming to aid healthcare staff prevent and control healthcare-associated infections. The main focus will be primarily on psychological, social and human relations type theories or theoreticalframeworks etc. Comparator(s)/ controlNot applicable.ContextIncluded studies will involve interventions and/or strategies implemented in primary, secondary and tertiaryhealthcare settings as well as healthcare in the community.Studies reporting similar settings not included in the above list will also be considered for inclusion as long as theircontext belongs to healthcare.                               Page: 2 / 5Outcome(s)Primary outcomes1) To specify the nature, scope and quality of evidence relating to theory-based interventions in this field. 2) To identify the effectiveness of these theory-based interventions in terms of impacts ranging from increasing staffawareness and knowledge, through intention to change behaviour, to reported/observed behaviour change, tomeasures and proxy measures of infection.Secondary outcomesNone.Data extraction, (selection and coding)The databases will be searched by the lead reviewer. Using the inclusion and exclusion criteria, titles and abstractswill be independently screened by the two reviewers for potentially relevant studies. The selected potentially relevantstudies will be further assessed by obtaining their full texts. Also, reasons for exclusion of studies will be provided. Inthe case of any discrepancies between the two reviewers disagreements will be resolved through consensus orarbitration involving a third reviewer. The retrieved records for all potentially relevant articles will be stored in aRefWorks database. Information and data from the included studies will be coded and extracted independently by thesame two reviewers using an evaluation table. The evaluation table will be divided in columns where each article'sessential elements will be entered as appropriate: author(s) names and year, country of origin, setting,theory/theoretical framework, design/method, sample, type of theory-based intervention, measurement, data analysis,findings, recommendations, appraisal of article. Missing data and information will be retrieved by contacting directlythe author(s) of the articles.Risk of bias (quality) assessmentOnly these articles selected for retrieval will be assessed for their methodological validity.All selected articles will be appraised using the Critical Appraisal Skills Programme (CASP; 2014) various tools andchecklists according to the methodological approach of each article. Any studies which are employing diverse designswill be appraised using the 16-item quality assessment tool (QATSDD) (Sirriyeh, Lawton, Gardner, & Armitage,2012).Strategy for data synthesisThe expected variety of the retrieved quantitative and qualitative findings will be synthesised by an integrativeapproach (Whittemore and Knafl, 2005) implementing narrative synthesis. When needed and, if applicable, basicdescriptive statistics will be carried out to the extracted quantitative data.Analysis of subgroups or subsetsNone planned.Dissemination plansThe findings will be presented in national (e.g. Infection Prevention Society) and international (e.g. Int'nl Conferenceon Prevention and Infection Control (ICPIC)) conferences. Our dissemination plan will, include publication of thefindings in peer reviewed journals appropriate to the field of infection control training and education.Contact details for further informationKonstantinos TsattaliosKonstantinos Tsattalios,Robert Gordon University,School of Nursing and Midwifery,Research Hub, Riverside East Building                               Page: 3 / 5Garthdee Rd, Aberdeen AB10 7QBk.tsattalios@rgu.ac.ukOrganisational affiliation of the reviewRobert Gordon Universityhttp://www.rgu.ac.uk/Review teamMr Konstantinos Tsattalios, Robert Gordon UniversityDr Colin Macduff, Robert Gordon UniversityDr Audrey Stephen, Robert Gordon UniversityAnticipated or actual start date15 September 2016Anticipated completion date31 March 2017Funding sources/sponsorsThe current work is part of the first author’s PhD studies, generously funded through Robert Gordon University,Aberdeen.Conflicts of interestNone knownLanguageEnglishCountryScotlandSubject index terms statusSubject indexing assigned by CRDSubject index termsCross Infection; Delivery of Health Care; Health Planning Guidelines; Humans; Infection Control; Medical StaffStage of reviewOngoingDate of registration in PROSPERO08 September 2016Date of publication of this revision08 September 2016Stage of review at time of this submission Started CompletedPreliminary searches Yes   No Piloting of the study selection process   Yes   No Formal screening of search results against eligibility criteria   No   No Data extraction   No   No Risk of bias (quality) assessment   No   No                                Page: 4 / 5Data analysis   No   No  PROSPEROInternational prospective register of systematic reviewsThe information in this record has been provided by the named contact for this review. CRD has accepted this information in goodfaith and registered the review in PROSPERO. CRD bears no responsibility or liability for the content of this registration record,any associated files or external websites. Powered by TCPDF (www.tcpdf.org)                               Page: 5 / 5

Theory-based interventions to aid healthcare staff prevent and control healthcare-associated infections: an integrative review protocol. [Protocol]

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Theory-based interventions to aid healthcare staff prevent and control healthcare-associated infections: an integrative review protocol.

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