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Table 5 Doctor-nurse game: interprofessional non-communication

From: What is needed to sustain improvements in hospital practices post-COVID-19? a qualitative study of interprofessional dissonance in hospital infection prevention and control

MUD1 described his decision to have unit registrars perform hand hygiene audits during medical rounds, and the subsequent improvement in doctors’ hand hygiene compliance. However, he noticed that, when the results were presented at weekly interdisciplinary meetings, senior nurses “seemed to be getting a bit grumpy”; when asked why, the NUM explained that ward auditors had been auditing hand hygiene for months, using standardised methods prescribed by Hand Hygiene Australia (https://www.hha.org.au/). MUD1 was irritated that nurses were “reporting them somewhere but not to us” and that “it took [them] a while to realise this [duplication] doesn’t make a lot of sense”. He regarded the ward auditors’ methods as unnecessarily complex strict and was sceptical of results showing consistently lower compliance among doctors than nurses.