Table 2 Barriers and Facilitators
Barriers | Facilitators | |
|---|---|---|
Material Resources | ● Availability of autoclaves, indicators, soap and alcohol hand rub ● Availability of paper and printer ● Budget restrictions | ● Hospital investment in indicators, soap, and alcohol hand rub ● Access to biomedical engineering services |
Hospital Leadership | ● Lack of awareness | ● Administration buy-In ● Purchasing power |
Hospital Staff | ● Job Burden ● Resistance to SSC use during emergencies ● Fear of punishment in the workplace and/or legal consequences | ● Motivations based on improving patient outcomes ● Individual (financial) incentives ● Positive team dynamics ● 1:1 Conversations ● Personnel with prior QI experience |
Knowledge, Beliefs & Education | ● Belief that there is no problem of SSI in Ethiopia ● Misreported data on SSI ● Misunderstanding of sterility confirmation | ● Orientation by Lifebox ● Presentations and conversations regarding perioperative evidence-based infection prevention practices |
Data Collection | ● Handwriting errors ● Confusion among staff ● Delayed payment ● Insufficient “manpower” ● Difficulty with patient follow-up | ● Teamwork and division of responsibilities ● Creating a schedule for data collection |