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Background <p>Research on infection prevention and control (IPC) execution among medical staff after the full resumption of routine medical services remains limited. Organizational IPC climate is a crucial factor influencing the awareness and behaviors of medical staff within healthcare institutions. This study aims to explore the associations between organizational IPC climate and IPC execution among Chinese medical staff, thereby offering new evidence for improving the performance of nosocomial infection management.</p> Methods <p>A cross-sectional questionnaire survey was conducted among 13,397 medical staff from 295 medical institutions in Hubei Province, China. The questionnaire was designed to measure IPC climate at both the hospital and department levels, as well as medical staff’s self-reported IPC execution in terms of motivation, process, and outcomes. The structural equation model was applied to examine the relationships among the variables.</p> Results <p>At the hospital level, IPC training and publicity were positively associated with self-reported (SR)-execution motivation (β = 0.518, <i>P</i> &lt; 0.05), SR-execution process (β = 0.829, <i>P</i> &lt; 0.05), and SR-execution outcomes (β = 0.495, <i>P</i> &lt; 0.05), whereas the management model was negatively associated with SR-execution motivation (β = −0.543, <i>P</i> &lt; 0.05), SR-execution process (β = −0.851, <i>P</i> &lt; 0.05), and SR-execution outcomes (β = −0.575, <i>P</i> &lt; 0.05). At the department level, IPC climate was negatively associated with SR-execution motivation (β = −0.037, <i>P</i> &lt; 0.05), SR-execution process (β = −0.040, <i>P</i> &lt; 0.05), and SR-execution outcomes (β = −0.090, <i>P</i> &lt; 0.05).</p> Conclusion <p>Medical institutions could implement continuous, specific, and effective IPC training and various publicity strategies, while optimizing management models by improving systems and procedures, reducing unnecessary burdens, and refining incentive mechanisms. These measures may enhance organizational IPC climate and thus improve IPC execution among medical staff.</p>

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Impact of organizational climate on the execution of infection prevention and control among Chinese medical staff: a multi-center cross-sectional explorative online survey

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2026年3月5日

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  • Simin Ma,
  • Kai Qin,
  • Mingjun Zou,
  • Qianning Wang,
  • Li Tan

摘要

Background

Research on infection prevention and control (IPC) execution among medical staff after the full resumption of routine medical services remains limited. Organizational IPC climate is a crucial factor influencing the awareness and behaviors of medical staff within healthcare institutions. This study aims to explore the associations between organizational IPC climate and IPC execution among Chinese medical staff, thereby offering new evidence for improving the performance of nosocomial infection management.

Methods

A cross-sectional questionnaire survey was conducted among 13,397 medical staff from 295 medical institutions in Hubei Province, China. The questionnaire was designed to measure IPC climate at both the hospital and department levels, as well as medical staff’s self-reported IPC execution in terms of motivation, process, and outcomes. The structural equation model was applied to examine the relationships among the variables.

Results

At the hospital level, IPC training and publicity were positively associated with self-reported (SR)-execution motivation (β = 0.518, P < 0.05), SR-execution process (β = 0.829, P < 0.05), and SR-execution outcomes (β = 0.495, P < 0.05), whereas the management model was negatively associated with SR-execution motivation (β = −0.543, P < 0.05), SR-execution process (β = −0.851, P < 0.05), and SR-execution outcomes (β = −0.575, P < 0.05). At the department level, IPC climate was negatively associated with SR-execution motivation (β = −0.037, P < 0.05), SR-execution process (β = −0.040, P < 0.05), and SR-execution outcomes (β = −0.090, P < 0.05).

Conclusion

Medical institutions could implement continuous, specific, and effective IPC training and various publicity strategies, while optimizing management models by improving systems and procedures, reducing unnecessary burdens, and refining incentive mechanisms. These measures may enhance organizational IPC climate and thus improve IPC execution among medical staff.