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Paediatric nurses' adoption of aseptic non-touch technique

24 January 2019
Volume 28 · Issue 2



in 2015, NHS Wales introduced a national standardised approach to aseptic non-touch technique (ANTT). This approach aims to standardise practice and promote better clinical outcomes.


to provide insight into the challenges faced by clinical staff adopting ANTT during intravenous therapy.


focused ethnography across two paediatric wards in NHS Wales. Data collection included participant observation, audit questionnaires and semi-structured interviews. Data were analysed according to Wolcott's (1994) process and emerging themes were reflected upon against the theoretical framework of Kirkpatrick's (1994) model of training evaluation.


absence of feedback following training, individual preference, lack of opportunity to practise the ANTT technique, lack of clarity and standardisation and expectations of parents/medical staff are all challenges faced by registered nurses.

Implications of the study:

the findings may be used by NHS managers to support national initiatives within staff training and development programmes, and to improve infection prevention initiatives. Organisational culture is a modifier of healthcare worker behaviour and requires further attention locally and nationally. Quality assurance in the adoption of standardised best practice must take into account staff training and development needs, and workplace culture.

All healthcare organisations should adopt a single standardised approach to aseptic non-touch technique (ANTT) (Box 1) and review their policies, procedures, training and audit of practice in relation to aseptic technique (Public Health Wales, 2017). In 2015, the Welsh Government invested in a quality assured clinical practice framework in relation to ANTT with the aim of reducing inappropriate variation (Rowley and Clare, 2011a). All healthcare organisations were to adopt a single standardised approach to ANTT and review their policies, procedures, training and audit of practice in relation to aseptic technique (Public Health Wales, 2017). The Association of Safe Aseptic Practice pledged to work in partnership with healthcare organisations to significantly reduce healthcare-associated infections through standardising aseptic technique (Rowley and Clare, 2011b).

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