Pushback is an inherent aspect of the Infection Preventionist role. Over time, I have come to anticipate it—and even welcome it—when expressed professionally and constructively. While our primary focus is patient safety, it is natural for healthcare professionals to question recommendations, particularly when they challenge long-standing practices. Many individuals have spent years refining their workflows, making them understandably resistant to change.
Early in my career, I encountered significant resistance while leading the implementation of Trophon for high-level disinfection. At the time, our facility relied exclusively on probe covers for ultrasound probes, without performing high-level disinfection. When we proposed modifying this practice, providers voiced concerns regarding probe availability, workflow disruptions, and costs—each of which was a valid consideration.
Rather than perceiving this resistance as opposition, I reframed it as an opportunity to educate and address legitimate concerns. For those citing cost as a barrier, I emphasized that the financial impact of hospital-acquired infections far exceeded the investment in proper disinfection protocols. Additionally, I provided peer-reviewed research and industry guidelines demonstrating that high-level disinfection aligns with evidence-based best practices.
Through these experiences, I have developed a structured approach to effectively managing pushback. Below are four key strategies:
Anticipate Resistance
Anytime I propose a process change, I prepare for some level of resistance. Change can be challenging, and healthcare professionals often hold differing perspectives on best practices. Initially, this resistance frustrated me, but I have since learned to view it as an opportunity to engage in meaningful dialogue. Anticipating concerns enables me to approach discussions with patience, confidence, and well-reasoned responses.
Build a Data-Driven Case
Gaining stakeholder support requires thorough preparation. Before presenting a proposed change, I ensure that I have robust data, peer-reviewed research, and regulatory guidelines to substantiate my recommendations. Anticipating potential objections and preparing well-supported responses strengthens my credibility and fosters trust among colleagues.
Clearly Communicate the Rationale
Healthcare professionals are more inclined to support change when they understand its purpose and impact. Most individuals prioritize patient safety but require clear, evidence-based explanations. By framing proposed changes in terms of improved patient outcomes, regulatory compliance, and operational efficiency, I enhance the likelihood of acceptance and successful implementation.
Serve as a Knowledgeable and Accessible Resource
Change initiatives often generate questions and concerns. To facilitate adoption, I proactively develop FAQs addressing common inquiries and ensure that team members can readily access guidance. Establishing myself as a reliable resource fosters collaboration, builds credibility, and paves the way for future quality improvement initiatives.
Conclusion
Effectively managing pushback is a critical skill for Infection Preventionists. By anticipating resistance, leveraging data to support recommendations, clearly articulating the rationale behind changes, and serving as a trusted resource, we can successfully navigate challenges and drive meaningful improvements in patient safety. While change is not always met with immediate acceptance, a strategic and evidence-based approach ensures that it is both achievable and impactful.
