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

Kim Lam Soh, Patricia M Davidson, Gavin Leslie, Michelle DiGiacomo, Kim Geok Soh

Research output: Contribution to journalArticle

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.

Original languageEnglish (US)
Pages (from-to)221-236
Number of pages16
JournalContemporary Nurse
Volume55
Issue number2-3
DOIs
StatePublished - Jan 1 2019

Fingerprint

Nurses
Focus Groups
Attitude of Health Personnel
Evidence-Based Practice
Health Services Research
Malaysia
Quality Improvement
Interviews

Keywords

  • clinical practice improvement
  • intensive care unit
  • Malaysia
  • qualitative study

ASJC Scopus subject areas

  • Nursing(all)

Cite this

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.

In: Contemporary Nurse, Vol. 55, No. 2-3, 01.01.2019, p. 221-236.

Research output: Contribution to journalArticle

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. In: Contemporary Nurse. 2019 ; Vol. 55, No. 2-3. pp. 221-236.
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