TY - JOUR
T1 - Patient involvement can affect clinicians’ perspectives and practices of infection prevention and control
T2 - A “post-qualitative” study using video-reflexive ethnography
AU - Wyer, Mary
AU - Iedema, Rick
AU - Hor, Su Yin
AU - Jorm, Christine
AU - Hooker, Claire
AU - Gilbert, Gwendolyn L.
PY - 2017/12
Y1 - 2017/12
N2 - This study, set in a mixed, adult surgical ward of a metropolitan teaching hospital in Sydney, Australia, used a novel application of video-reflexive ethnography (VRE) to engage patients and clinicians in an exploration of the practical and relational complexities of patient involvement in infection prevention and control (IPC). This study included individual reflexive sessions with eight patients and six group reflexive sessions with 35 nurses. VRE usually involves participants reflecting on video footage of their own (and colleagues’) practices in group reflexive sessions. We extended the method here by presenting, to nurses, video clips of their clinical interactions with patients, in conjunction with footage of the patients themselves analyzing the videos of their own care, for infection risks.We found that this novel approach affected the nurses’ capacities to recognize, support, and enable patient involvement in IPC and to reflect on their own, sometimes inconsistent, IPC practices from patients’ perspectives. As a “post-qualitative” approach, VRE prioritizes participants’ roles, contributions, and learning. Invoking affect as an explanatory lens, we theorize that a “safe space” was created for participants in our study to reflect on and reshape their assumptions, positionings, and practices.
AB - This study, set in a mixed, adult surgical ward of a metropolitan teaching hospital in Sydney, Australia, used a novel application of video-reflexive ethnography (VRE) to engage patients and clinicians in an exploration of the practical and relational complexities of patient involvement in infection prevention and control (IPC). This study included individual reflexive sessions with eight patients and six group reflexive sessions with 35 nurses. VRE usually involves participants reflecting on video footage of their own (and colleagues’) practices in group reflexive sessions. We extended the method here by presenting, to nurses, video clips of their clinical interactions with patients, in conjunction with footage of the patients themselves analyzing the videos of their own care, for infection risks.We found that this novel approach affected the nurses’ capacities to recognize, support, and enable patient involvement in IPC and to reflect on their own, sometimes inconsistent, IPC practices from patients’ perspectives. As a “post-qualitative” approach, VRE prioritizes participants’ roles, contributions, and learning. Invoking affect as an explanatory lens, we theorize that a “safe space” was created for participants in our study to reflect on and reshape their assumptions, positionings, and practices.
KW - Affect theory
KW - Collaborative research
KW - Healthcare-associated infection
KW - Infection prevention and control
KW - Patient involvement
KW - Patient safety
KW - Post-qualitative methodology
KW - Video-reflexive ethnography
UR - http://www.scopus.com/inward/record.url?scp=85012298972&partnerID=8YFLogxK
U2 - 10.1177/1609406917690171
DO - 10.1177/1609406917690171
M3 - Article
AN - SCOPUS:85012298972
SN - 1609-4069
VL - 16
SP - 1
EP - 10
JO - International Journal of Qualitative Methods
JF - International Journal of Qualitative Methods
IS - 1
ER -