Academic Journal
Airborne infection prevention and control implementation: A positive deviant organisational case study of tuberculosis and COVID-19 at a South African rural district hospital
| Title: | Airborne infection prevention and control implementation: A positive deviant organisational case study of tuberculosis and COVID-19 at a South African rural district hospital |
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| Authors: | Helene-Mari van der Westhuizen, Sarah Tonkin-Crine, Rodney Ehrlich, Chris C. Butler, Trisha Greenhalgh |
| Source: | Global Public Health, Vol 19, Iss 1 (2024) |
| Publisher Information: | Taylor & Francis Group, 2024. |
| Publication Year: | 2024 |
| Collection: | LCC:Public aspects of medicine |
| Subject Terms: | Tuberculosis, COVID-19, infection prevention and control, case study, implementation, SDG 3: Good health and well-being, Public aspects of medicine, RA1-1270 |
| More Details: | There are many examples of poor TB infection prevention and control (IPC) implementation in the academic literature, describing a high-risk environment for nosocomial spread of airborne diseases to patients and health workers. We developed a positive deviant organisational case study drawing on Weickâs theory of organisational sensemaking. We focused on a district hospital in the rural Eastern Cape, South Africa and used four primary care clinics as comparator sites. We interviewed 18 health workers to understand TB IPC implementation over time. We included follow-up interviews on interactions between TB and COVID-19 IPC. We found that TB IPC implementation at the district hospital was strengthened by continually adapting strategies based on synergistic interventions (e.g. TB triage and staff health services), changes in what value health workers attached to TB IPC and establishing organisational TB IPC norms. The COVID-19 pandemic severely tested organisational resilience and COVID-19 IPC measures competed instead of acted synergistically with TB. Yet there is the opportunity for applying COVID-19 IPC organisational narratives to TB IPC to support its use. Based on this positive deviant case we recommend viewing TB IPC implementation as a social process where health workers contribute to how evidence is interpreted and applied. |
| Document Type: | article |
| File Description: | electronic resource |
| Language: | English |
| ISSN: | 17441692 1744-1706 1744-1692 |
| Relation: | https://doaj.org/toc/1744-1692; https://doaj.org/toc/1744-1706 |
| DOI: | 10.1080/17441692.2024.2382343 |
| Access URL: | https://doaj.org/article/09abaabdaa494628b2cd0bcab371c2b0 |
| Accession Number: | edsdoj.09abaabdaa494628b2cd0bcab371c2b0 |
| Database: | Directory of Open Access Journals |
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| ISSN: | 17441692 17441706 |
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| DOI: | 10.1080/17441692.2024.2382343 |
| Published in: | Global Public Health |
| Language: | English |