Skip to main content
Top
Published in: BMC Health Services Research 1/2012

Open Access 01-12-2012 | Research article

MRSA model of learning and adaptation: a qualitative study among the general public

Authors: Rodney E Rohde, Jovita Ross-Gordon

Published in: BMC Health Services Research | Issue 1/2012

Login to get access

Abstract

Background

More people in the US now die from Methicillin Resistant Staphylococcus aureus (MRSA) infections than from HIV/AIDS. Often acquired in healthcare facilities or during healthcare procedures, the extremely high incidence of MRSA infections and the dangerously low levels of literacy regarding antibiotic resistance in the general public are on a collision course. Traditional medical approaches to infection control and the conventional attitude healthcare practitioners adopt toward public education are no longer adequate to avoid this collision. This study helps us understand how people acquire and process new information and then adapt behaviours based on learning.

Methods

Using constructivist theory, semi-structured face-to-face and phone interviews were conducted to gather pertinent data. This allowed participants to tell their stories so their experiences could deepen our understanding of this crucial health issue. Interview transcripts were analysed using grounded theory and sensitizing concepts.

Results

Our findings were classified into two main categories, each of which in turn included three subthemes. First, in the category of Learning, we identified how individuals used their Experiences with MRSA, to answer the questions: What was learned? and, How did learning occur? The second category, Adaptation gave us insights into Self-reliance, Reliance on others, and Reflections on the MRSA journey.

Conclusions

This study underscores the critical importance of educational programs for patients, and improved continuing education for healthcare providers. Five specific results of this study can reduce the vacuum that currently exists between the knowledge and information available to healthcare professionals, and how that information is conveyed to the public. These points include: 1) a common model of MRSA learning and adaptation; 2) the self-directed nature of adult learning; 3) the focus on general MRSA information, care and prevention, and antibiotic resistance; 4) the interconnected nature of adaptation; and, 5) the need for a consistent step by step plan to deal with MRSA provided at the time of diagnosis.
Appendix
Available only for authorised users
Literature
1.
go back to reference Washer P, Joffe H: The "hospital superbug": Social representations of mrsa. Soc Sci Med. 2006, 63: 2141-2152. 10.1016/j.socscimed.2006.05.018.CrossRefPubMed Washer P, Joffe H: The "hospital superbug": Social representations of mrsa. Soc Sci Med. 2006, 63: 2141-2152. 10.1016/j.socscimed.2006.05.018.CrossRefPubMed
3.
go back to reference Darzi AZ: Our nhs our future: Nhs next stage review interim report. 2007, London: Department of Health Darzi AZ: Our nhs our future: Nhs next stage review interim report. 2007, London: Department of Health
4.
go back to reference Easton PM, Marwick CA, Williams FL, Stringer K, McCowan C, Davey P, Nathwani D: A survey on public knowledge and perceptions of methicillin-resistant staphylococcus aureus. J Antimicrob Chemother. 2009, 63: 209-214.CrossRefPubMed Easton PM, Marwick CA, Williams FL, Stringer K, McCowan C, Davey P, Nathwani D: A survey on public knowledge and perceptions of methicillin-resistant staphylococcus aureus. J Antimicrob Chemother. 2009, 63: 209-214.CrossRefPubMed
5.
go back to reference Gill J, Kumar R, Todd J, Wiskin C: Methicillin-resistant staphylococcus aureus: Awareness and perceptions. J Hosp Infect. 2006, 62: 333-337. 10.1016/j.jhin.2005.09.009.CrossRefPubMed Gill J, Kumar R, Todd J, Wiskin C: Methicillin-resistant staphylococcus aureus: Awareness and perceptions. J Hosp Infect. 2006, 62: 333-337. 10.1016/j.jhin.2005.09.009.CrossRefPubMed
6.
go back to reference Newton JT, Constable D, Senior V: Patient's perceptions of methicillin-resistant staphylococcus aureus and source isolation: A qualitative analysis of source-isolated patients. J Hosp Infect. 2001, 48: 275-280. 10.1053/jhin.2001.1019.CrossRefPubMed Newton JT, Constable D, Senior V: Patient's perceptions of methicillin-resistant staphylococcus aureus and source isolation: A qualitative analysis of source-isolated patients. J Hosp Infect. 2001, 48: 275-280. 10.1053/jhin.2001.1019.CrossRefPubMed
7.
go back to reference Hawkings NJ, Wood F, Butler CC: Public attitudes towards bacterial resistance: A qualitative study. J Antimicrob Chemother. 2007, 59: 1155-1160. 10.1093/jac/dkm103.CrossRefPubMed Hawkings NJ, Wood F, Butler CC: Public attitudes towards bacterial resistance: A qualitative study. J Antimicrob Chemother. 2007, 59: 1155-1160. 10.1093/jac/dkm103.CrossRefPubMed
8.
go back to reference Creswell JW: Qualitative inquiry and research design: Choosing among five traditions. 1998, Thousand Oaks, CA: Sage Publications, Inc. Creswell JW: Qualitative inquiry and research design: Choosing among five traditions. 1998, Thousand Oaks, CA: Sage Publications, Inc.
9.
go back to reference Marshall C, Rossman GB: Designing qualitative research. 2006, London: Sage Publications, 4 Marshall C, Rossman GB: Designing qualitative research. 2006, London: Sage Publications, 4
10.
go back to reference Creswell JW: Research design: Qualitative, quantitative, and mixed methods approaches. 2009, NE: University of Nebraska-Lincoln, 3 Creswell JW: Research design: Qualitative, quantitative, and mixed methods approaches. 2009, NE: University of Nebraska-Lincoln, 3
11.
go back to reference Denzin NK, Lincoln YS: Introduction: The discipline and practice of qualitative research. Handbook of qualitative research. Edited by: Denzin NK, Lincoln YS. 2005, Thousand Oaks, CA: Sage, 1-32. 3 Denzin NK, Lincoln YS: Introduction: The discipline and practice of qualitative research. Handbook of qualitative research. Edited by: Denzin NK, Lincoln YS. 2005, Thousand Oaks, CA: Sage, 1-32. 3
12.
go back to reference Maxwell J: Qualitative research design: An interactive approach. 2004, Thousand Oaks, CA: Sage, 2 Maxwell J: Qualitative research design: An interactive approach. 2004, Thousand Oaks, CA: Sage, 2
13.
go back to reference Strauss AL, Corbin J: Basics of qualitative research: Techniques and procedures for developing grounded theory. 1998, Thousand Oaks, CA: Sage, 2 Strauss AL, Corbin J: Basics of qualitative research: Techniques and procedures for developing grounded theory. 1998, Thousand Oaks, CA: Sage, 2
14.
go back to reference Dobbert ML: Ethnographic research: Theory and application for modern schools and societies. 1982, New York: Praeger Dobbert ML: Ethnographic research: Theory and application for modern schools and societies. 1982, New York: Praeger
15.
go back to reference Patton MQ: Qualitative research and evaluation methods. 2002, Thousand Oaks, CA: Sage, 3 Patton MQ: Qualitative research and evaluation methods. 2002, Thousand Oaks, CA: Sage, 3
16.
go back to reference Moscovici S: The phenomenon of social representations. Social representations. Edited by: Farr RM, Moscovici S. 1984, Cambridge: Cambridge University Press, 3-70. Moscovici S: The phenomenon of social representations. Social representations. Edited by: Farr RM, Moscovici S. 1984, Cambridge: Cambridge University Press, 3-70.
17.
go back to reference Gould DJ, Drey NS, Millar M, Wilks M, Chamney M: Patients and the public: Knowledge, sources of information and perceptions about healthcare-associated infection. J Hosp Infect. 2009, 72: 1-8. 10.1016/j.jhin.2009.01.024.CrossRefPubMed Gould DJ, Drey NS, Millar M, Wilks M, Chamney M: Patients and the public: Knowledge, sources of information and perceptions about healthcare-associated infection. J Hosp Infect. 2009, 72: 1-8. 10.1016/j.jhin.2009.01.024.CrossRefPubMed
Metadata
Title
MRSA model of learning and adaptation: a qualitative study among the general public
Authors
Rodney E Rohde
Jovita Ross-Gordon
Publication date
01-12-2012
Publisher
BioMed Central
Published in
BMC Health Services Research / Issue 1/2012
Electronic ISSN: 1472-6963
DOI
https://doi.org/10.1186/1472-6963-12-88

Other articles of this Issue 1/2012

BMC Health Services Research 1/2012 Go to the issue