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 language | English (US) |
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Pages (from-to) | 221-236 |
Number of pages | 16 |
Journal | Contemporary Nurse |
Volume | 55 |
Issue number | 2-3 |
DOIs | |
State | Published - 2019 |
Keywords
- Malaysia
- clinical practice improvement
- intensive care unit
- qualitative study
ASJC Scopus subject areas
- General Nursing