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Nurses’ perceptions of the sustainability of a standardised assessment for preventing complications in a ICU: a qualitative study

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....

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Main Authors: Soh, Kim Lam, Davidson, Patricia M., Leslie, Gavin, DiGiacomo, Michelle, Soh, Kim Geok
Format: Article
Language:English
Published: Taylor & Francis 2019
Online Access:http://psasir.upm.edu.my/id/eprint/81505/1/Nurses%E2%80%99%20perceptions%20of%20the%20sustainability%20of%20a%20standardised%20assessment%20for%20preventing%20complications%20in%20a%20ICU%20a%20qualitative%20study.pdf
http://psasir.upm.edu.my/id/eprint/81505/
https://pubmed.ncbi.nlm.nih.gov/31403398/
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spelling my.upm.eprints.815052020-10-29T21:57:34Z http://psasir.upm.edu.my/id/eprint/81505/ Nurses’ perceptions of the sustainability of a standardised assessment for preventing complications in a ICU: a qualitative study Soh, Kim Lam Davidson, Patricia M. Leslie, Gavin DiGiacomo, Michelle Soh, Kim Geok 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. Taylor & Francis 2019 Article PeerReviewed text en http://psasir.upm.edu.my/id/eprint/81505/1/Nurses%E2%80%99%20perceptions%20of%20the%20sustainability%20of%20a%20standardised%20assessment%20for%20preventing%20complications%20in%20a%20ICU%20a%20qualitative%20study.pdf Soh, Kim Lam and Davidson, Patricia M. and Leslie, Gavin and DiGiacomo, Michelle and Soh, Kim Geok (2019) Nurses’ perceptions of the sustainability of a standardised assessment for preventing complications in a ICU: a qualitative study. Contemporary Nurse, 55 (2-3). pp. 221-236. ISSN 1037-6178 https://pubmed.ncbi.nlm.nih.gov/31403398/ 10.1080/10376178.2019.1643751
institution Universiti Putra Malaysia
building UPM Library
collection Institutional Repository
continent Asia
country Malaysia
content_provider Universiti Putra Malaysia
content_source UPM Institutional Repository
url_provider http://psasir.upm.edu.my/
language English
description 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.
format Article
author Soh, Kim Lam
Davidson, Patricia M.
Leslie, Gavin
DiGiacomo, Michelle
Soh, Kim Geok
spellingShingle Soh, Kim Lam
Davidson, Patricia M.
Leslie, Gavin
DiGiacomo, Michelle
Soh, Kim Geok
Nurses’ perceptions of the sustainability of a standardised assessment for preventing complications in a ICU: a qualitative study
author_facet Soh, Kim Lam
Davidson, Patricia M.
Leslie, Gavin
DiGiacomo, Michelle
Soh, Kim Geok
author_sort Soh, Kim Lam
title Nurses’ perceptions of the sustainability of a standardised assessment for preventing complications in a ICU: a qualitative study
title_short Nurses’ perceptions of the sustainability of a standardised assessment for preventing complications in a ICU: a qualitative study
title_full Nurses’ perceptions of the sustainability of a standardised assessment for preventing complications in a ICU: a qualitative study
title_fullStr Nurses’ perceptions of the sustainability of a standardised assessment for preventing complications in a ICU: a qualitative study
title_full_unstemmed Nurses’ perceptions of the sustainability of a standardised assessment for preventing complications in a ICU: a qualitative study
title_sort nurses’ perceptions of the sustainability of a standardised assessment for preventing complications in a icu: a qualitative study
publisher Taylor & Francis
publishDate 2019
url http://psasir.upm.edu.my/id/eprint/81505/1/Nurses%E2%80%99%20perceptions%20of%20the%20sustainability%20of%20a%20standardised%20assessment%20for%20preventing%20complications%20in%20a%20ICU%20a%20qualitative%20study.pdf
http://psasir.upm.edu.my/id/eprint/81505/
https://pubmed.ncbi.nlm.nih.gov/31403398/
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score 13.223943

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