DOI: 10.4018/IJANTTI.2016070103
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International Journal of Actor-Network Theory and Technological Innovation
Volume 8 • Issue 3 • July-September 2016
Translating Technology in Professional
Practices to Optimize Infection
Prevention and Control:
A Case Study Based on the TRIP-ANT Framework
Randa Attieh, CHU de Québec, Université Laval Research Center, Quebec City, Canada
Marie-Pierre Gagnon, Faculty of Nursing, Université Laval, Quebec City, Canada
Geneviève Roch, Faculty of Nursing, Université Laval, Quebec City, Canada
Sarah L Krein, VA Center for Clinical Management Research (CCMR), University of Michigan Medical School, Ann
Arbor, MI, USA
ABSTRACT
The aim of this study was to explain how the Polymerase Chain Reaction (PCR) technology was
translated into professional practices to prevent and control vancomycin-resistant enterococci
outbreaks via an actor-network, based on the integrated framework TRIP-ANT. A single case study
was conducted in three purposefully selected sites implementing the PCR-VRE assay. The complete
dataset comprised semi-structured interviews with 28 participants and a review of hospital and
external documents. A content analysis was conducted. The authors’ findings indicate the emergence
of four main themes, including illustration of who was involved in the adoption process, attribution
of roles and responsibilities, interaction/communication/ collaboration mechanisms, and changes in
professional practices. Their findings also address five challenges that arose from each theme. The
translation of PCR technology into professional practices relies on the enrolment of an organisational,
clinical, managerial and financial support network, and on the evolution of practices, communications,
and roles and responsibilities.
KeywORdS
Adoption, Change, Collaboration, Communication, Infection Prevention and Control, PCR-VRE, Practices,
Technology
INTROdUCTION
The development of healthcare technology plays a key role in the achievement of evidence-based
outcomes in patient care (Melnyk and Fineout-Overholt, 2011). The attention paid by managers to
healthcare quality and efficiency highlights the need to master the adoption of new technologies,
especially in infection prevention and control (IPC) in order to improve the quality of care and
productivity of the healthcare system (Kyratsis, Ahmad and Holmes, 2012).
Technology adoption relates to a hospital’s decision to acquire a technology and make it available
to healthcare professionals for supporting or enhancing their task performance (Ghodeswar and
Vaidyanathan, 2008). In recent years, several steps have been taken to support the prevention and control
of nosocomial infections (NI), such as the use of rapid screening tests based on the Polymerase Chain
Reaction (PCR) molecular technology to enhance vancomycin-resistant enterococci (VRE) infection
prevention interventions (Versalovic and Lupski, 2002). Rapidly obtaining results compensates for
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