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Implementing Strategies to Prevent Infections in Acute-Care Settings

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6 Models and Frameworks Tables Table 3. Behavior Change Wheel (BCW) 1. Michie S, van Stralen MM, West R. The behaviour change wheel: a new method for characterising and designing behaviour change interventions. Implement Sci. 2011;6:42. https:// www.behaviourchangewheel.com/ 2. Munir F, Biddle SJH, Davies MJ, Dunstan D, Esliger D, Gray LJ, et al. Stand More AT Work (SMArT Work): using the behaviour change wheel to develop an intervention to reduce sitting time in the workplace. BMC Public Health. 2018;18(1):319. 3. Gould, GS, Bar-Zeev, Y, Bovill, M, et al. Designing an implementation intervention with the Behaviour Change Wheel for health provider smoking cessation care for Australian Indigenous pregnant women. Implement Sci 2017;12:114. 4. Ojo, SO, Bailey, DP, Brierley, ML, Hewson, DJ, Chater, AM. Breaking barriers: using the behavior change wheel to develop a tailored intervention to overcome workplace inhibitors to breaking up sitting time. BMC Public Health 2019;19:1126. 5. Atkins, L, Michie, S. Designing interventions to change eating behaviours. Proc Nutr Soc 2015;74:164–170. 6. Schmidtke, KA, Drinkwater, KG. A cross-sectional survey assessing the influence of theoretically informed behavioural factors on hand hygiene across seven countries during the COVID-19 pandemic. BMC Public Health 2021;21:1432. 7. Lambe, K, Lydon, S, Madden, C, et al. Understanding hand hygiene behaviour in the intensive care unit to inform interventions: an interview study. BMC Health Serv Res 2020;20:353. 8. Tomsic, I, Ebadi, E, Gosse, F, et al. Determinants of orthopedic physicians' self-reported compliance with surgical site infection prevention: results of the WACH-trial's pilot survey on COM-B factors in a German university hospital. Antimicrob Resist Infect Control 2021;10:67. 9. Courtenay, M, Rowbotham, S, Lim, R, Peters, S, Yates, K, Chater, A. Examining influences on antibiotic prescribing by nurse and pharmacist prescribers: a qualitative study using the Theoretical Domains Framework and COM-B. BMJ Open 2019;9. (cont'd) Table 4. Comprehensive Unit-based Safety Program (CUSP) • Focuses broadly on safety culture • Empowers HCP to take responsibility for safety in their area(s) 8 steps: 1,3 1. Culture of safety assessment 2. Sciences of safety education 3. Staff identification of safety concerns 4. Senior executive adoption of a unit 5. Improvements implemented from safety concerns 6. Documentation and analysis of efforts 7. Sharing of results 8. Culture reassessment.

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