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Infection Control Link Nurses A different educational approach to a familiar concept. Tracey Cooper Consultant Nurse Infection Control Southampton University.

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Presentation on theme: "Infection Control Link Nurses A different educational approach to a familiar concept. Tracey Cooper Consultant Nurse Infection Control Southampton University."— Presentation transcript:

1 Infection Control Link Nurses A different educational approach to a familiar concept. Tracey Cooper Consultant Nurse Infection Control Southampton University Hospitals NHS Trust

2 Tracey Cooper Background Inherited link nurse group Some staff told to be ICLN Short meetings monthly Role not defined Objectives not defined Difficult to identify positive impact of role

3 Tracey Cooper Current Evidence? Little published objective evidence Subjective benefits identified –Improved awareness –Higher profile for infection control Measurable objectives described by 1 study (Ching & Seto 1990)

4 Tracey Cooper Traditional ICLN Model No input to programme by ICLNs ICN sets content Little networking Follows traditional educational model..a bit of a dinosaur!

5 Tracey Cooper Educational Theory……. Traditional model –Students passive recipients of information –No control over content, method –Based upon knowledge of how children learn Adult Learning –Adults learn differently –Need control over content, methods –Must be relevant

6 Tracey Cooper …....Into Practice Role description, application process Quarterly, half-day meetings Facilitation of change-management skills Group selection of primary topic for action Agreement on plan for the year

7 Tracey Cooper The Plan Baseline audit Analysis & feedback Practice interventions Re-audit Analysis & feedback Supported by ICNS

8 Tracey Cooper Research Studies 3 inter-related studies –Link Nurses knowledge and attitudes –Measurable practice improvement –Link nurses experience

9 Tracey Cooper Study 1: Knowledge & Attitudes Pre & post questionnaires administered Attitudes: very positive throughout Knowledge –Significantly improved at end of study –Lowest scores at start improved the most BUT: Small sample size (n=10)

10 Tracey Cooper Study 2: Practice Improvement Handwashing facilities chosen Audit tool developed using Delphi method Self-administered Analysis by ICT & feedback to ICLN Practice interventions by ICLN Audit interventionre-audit

11 Tracey Cooper Study 2: Measurable Outcomes Comparative data: 222 sinks in 14 areas 10 of the 11 standards showed: –Significant improvement –Improvements were associated with the study period (p 0.05)

12 Tracey Cooper Study 3: Experiences ICLN need to challenge poor practice –Confidence –Skills –Empowerment –Traditional model did not facilitate this Focus group used to gather data Phenomenology: The Lived Experience

13 Tracey Cooper Study 3: Themes 1.Experience of application process 2.Effect of the educational programme 3.Authority, influence & empowerment 4.Support & facilitation of the role 5.Barriers to effectiveness 6.Quality & practice improvement

14 Tracey Cooper Empowered Practice? I always looked around to see what was going on but I wouldnt have challenged them quite the same. Now you say – this is my role, this is what Im trying to do.

15 Tracey Cooper Conclusions There appears to have been knowledge improvement Practice improvement has been demonstrated This approach has had a positive impact on the ability of ICLNs to deliver practice improvement Further studies are required, building upon this

16 Tracey Cooper Can This Be Used Elsewhere? Repeat in other organisations? Pick n Mix Utilise structure for practice improvement Involve ICLNs in planning programme

17 Tracey Cooper And Finally……………. Link Nurses can make a difference to practice It is possible to demonstrate this objectively AND A link nurse programme can make a positive difference to the Link Nurses

18 Tracey Cooper Work Supported By: Isle of Wight Healthcare NHS Trust


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