675 FACILITATORS AND BARRIERS THAT CAN INFLUENCE ADHERENCE TO INFECTION PREVENTION AND CONTROL GUIDELINES. A REVIEW.

Abstract

Abstract Introduction Adherence to infection prevention and control (IPC) can be examined in two different ways: towards patients or among healthcare providers. In both cases, adherence to recommendations remains poor. Facilitators and barriers to adherence to evidence-based practice (EBP) can play a key role in establishing effective strategies, but are still poorly explored, especially in cardiac settings. Methods A review was conducted using the Medline database. Of 529 articles analyzed, only 14 met the inclusion criteria. Several factors were found in the articles included in the review that could facilitate or hinder adherence to the IPC guidelines. Results The main factors identified in the literature reviewed were: organizational factors (safety issues, guideline dissemination, availability of training programmes), environmental factors (social and community environment, work environment, availability of PPE), individual factors (knowledge, attitude, experience, belief, discomfort with PPE use) and factors related to patients and caregivers. Discussion The literature highlights the heterogeneity of factors that might influence adherence to IPC in cardiology settings. Although factors related to the organization, environment and healthcare provider knowledge, experience and beliefs were well explained, factors related to patients and caregivers remained rather unexplored. This underlines the need for further knowledge and insights.