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Nurses' perceptions of the sustainability of a standardised assessment for preventing complications in a ICU: a qualitative study.
- Source :
-
Contemporary Nurse: A Journal for the Australian Nursing Profession . Apr-Jun2019, Vol. 55 Issue 2/3, p221-236. 16p. 1 Diagram, 2 Charts. - Publication Year :
- 2019
-
Abstract
- Background: Quality improvement projects have been widely adopted to prevent complications in the ICU. Objective: This paper describes nurses' perceptions of implementation strategies and the potential sustainability of a practice change intervention to prevent complications in a Malaysian ICU. Design: A participatory action research using five focus group discussions were undertaken with 19 nurses in a single ICU in regional Malaysia. Focus group transcripts were analysed using thematic analysis. Results: The main themes derived from the interviews were: [1] Empowering staff to embrace evidence-based practices; [2] Staff knowledge, attitudes, and beliefs that impact on behaviour; and [3] management support and leadership are influential in staff behaviours (acceptance & perseverance of change process). Discussion: Resistance to change was recognized as a barrier to adopting evidence based recommendations. There is a need to improve nurses' knowledge, attitude and awareness of the importance of assessment for VAP, CRBSI and PIs in the ICU. [ABSTRACT FROM AUTHOR]
- Subjects :
- *PREVENTION of bloodborne infections
*CATHETER-related infections
*ACTION research
*PRESSURE ulcers
*CONTENT analysis
*FOCUS groups
*INTENSIVE care nursing
*NURSES' attitudes
*NURSING assessment
*QUALITY assurance
*QUALITATIVE research
*EVIDENCE-based nursing
*THEMATIC analysis
*EVALUATION of human services programs
*HOSPITAL nursing staff
*VENTILATOR-associated pneumonia
*INFECTION prevention
Subjects
Details
- Language :
- English
- ISSN :
- 10376178
- Volume :
- 55
- Issue :
- 2/3
- Database :
- Academic Search Index
- Journal :
- Contemporary Nurse: A Journal for the Australian Nursing Profession
- Publication Type :
- Academic Journal
- Accession number :
- 138027134
- Full Text :
- https://doi.org/10.1080/10376178.2019.1643751