A process evaluation of an intervention to improve respiratory infection control practices in family physician offices.
OBJECTIVE
To conduct a process evaluation of a short-term intervention by public nurses for physicians to facilitate the incorporation of new respiratory infection control practices in physicians' offices.


METHODS
Process evaluation.


METHODS
Family physician offices in Ottawa, Ontario, Canada.


METHODS
Five public health nurse-facilitators and 53 primary care practices including 143 family physicians.


METHODS
Effectiveness of facilitator training assessed by self-administered questionnaires. Data assessing process of facilitation collected through activity logs and narrative reports. Physicians' satisfaction assessed by post-intervention questionnaire.


RESULTS
Facilitators reported that training strongly contributed to their knowledge and skills and all were either satisfied or highly satisfied with their facilitation training. All practices received at least two visits by the facilitator and more than half (51%) were visited three or more times. Facilitators identified the provision of the evidence-based Tool Kit and consensus-building with office staff as key factors contributing to the intervention's success. Of the 45% of physicians who completed the questionnaire (65/143), only 5% reported being somewhat dissatisfied with the intervention, 11% reported the visits were not frequent enough, and 9% thought the visits were too close together. The majority (97%) felt the facilitation program should be available to all family physicians and 98% would continue to use the service if available.


CONCLUSIONS
It is feasible for public health nurses to be trained in outreach facilitation to improve respiratory infection control practices in physicians' offices and this has been widely appreciated by physicians. This model of public health/primary care collaboration deserves further exploration.
Huston
Patricia
P
Public Health and Long-Term Care Branch, City of Ottawa, Ottawa, ON.
Hogg
William
W
Martin
Carmel
C
Soto
Enrique
E
Newbury
Adriana
A
D002983:Clinical Competence; D003159:Community-Institutional Relations; D004502:Education, Medical, Continuing; D004509:Education, Nursing, Continuing; D019317:Evidence-Based Medicine; D005194:Family Practice / Q000193:education* / Q000592:standards; D006801:Humans; D017053:Infection Control / Q000379:methods / Q000592:standards*; D016357:Infection Control Practitioners / Q000193:education* / Q000592:standards; D017145:Models, Educational; D009864:Ontario; D010824:Physicians' Offices / Q000592:standards*; D015397:Program Evaluation; D011637:Public Health Nursing / Q000193:education* / Q000592:standards; D011785:Quality Assurance, Health Care / Q000379:methods*; D012141:Respiratory Tract Infections / Q000517:prevention & control*; D012577:Schools, Medical; D011795:Surveys and Questionnaires