This paper describes nurses’ perceptions of implementation strategies and the potential sustainability of a practice change intervention to prevent complications in a Malaysian ICU” Soh et al (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.
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Reference:
Soh, K.L., Davidson, P.M., Leslie, G., DiGiacomo, M. and Soh, K.G. (2019) Nurses’ perceptions of the sustainability of a standardised assessment for preventing complications in a ICU: a qualitative study. Contemporary Nurse. 55(2-3), p.221-236. doi: 10.1080/10376178.2019.1643751.