The sociocultural contribution to learning: Why did my students fail to learn Aseptic Non-Touch Technique? Multidimensional factors involved in medical students’ failure to learn this skill

Background: Infection control in the hospital environment is a topical issue in the UK. Aseptic Non-Touch Technique (ANTT) has been recommended as an example of best practice for clinical skills requiring aseptic technique. ANTT is taught to clinical staff and to medical students at a West Midlands teaching hospital.

Aims: To determine the effectiveness of ANTT training within an undergraduate population and to explore the factors involved in medical students’ failure to learn this skill

Method: 132 Students underwent training and assessment in ANTT. A sample of 42 students underwent re-testing in ANTT 7–10 weeks later. Student questionnaires and semi-structured interviews with students and trainers were undertaken to determine students’ daily practice of ANTT, and practice observed in staff.

Results: Student performance deteriorated significantly 10 weeks after initial ANTT training (p < 0.001). Qualitative data demonstrates an emphasis on assessment, poor observed practice in staff, and a lack of resources in the clinical setting. Further themes include acceptance of hierarchy, and a lack of belief in ANTT amongst students.

Conclusion: In order to bring about effective training in ANTT, we must look to the sociocultural contribution of the hospital environment alongside formal ANTT training.