Factors to drive clinical practice improvement in a Malaysian intensive care unit: Assessment of organisational readiness using a mixed method approach
This study assessed organisational readiness and factors to drive clinical practice improvement for VAP, CRBSI and PU in a Malaysian intensive care unit (ICU). A mixed method study approach was undertaken in a 16-bed ICU in regional Malaysia using an environmental scan, key informant interviews, sta...
| Main Authors: | , , , , , , |
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| Format: | Journal Article |
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eContent Management Pty Ltd
2011
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| Online Access: | http://hdl.handle.net/20.500.11937/25842 |
| _version_ | 1848751819523620864 |
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| author | Soh, Kim Davidson, Patricia Leslie, Gavin DiGiacomo, Michelle Rolley, John Soh, K. Rahman, A. |
| author_facet | Soh, Kim Davidson, Patricia Leslie, Gavin DiGiacomo, Michelle Rolley, John Soh, K. Rahman, A. |
| author_sort | Soh, Kim |
| building | Curtin Institutional Repository |
| collection | Online Access |
| description | This study assessed organisational readiness and factors to drive clinical practice improvement for VAP, CRBSI and PU in a Malaysian intensive care unit (ICU). A mixed method study approach was undertaken in a 16-bed ICU in regional Malaysia using an environmental scan, key informant interviews, staff surveys, and patient audit to elucidate factors contributing to planning for clinical practice improvement. Measurements of sustainability of practice and regard for the practice environment were assessed using validated measures. An environmental scan demonstrated high patient occupancy and case load. Nineteen percent of ICU patients developed complications according to validated measures. Survey results indicated that the majority of nurses had a good knowledge of strategies to prevent ICU complications and a positive attitude toward change processes. Engaging executive leadership was identifi ed as crucial in priming the clinical site for practice change. Providing nurses with tools to monitor their clinical practice and empowering them to change practices are important in improving clinical outcomes. |
| first_indexed | 2025-11-14T07:58:47Z |
| format | Journal Article |
| id | curtin-20.500.11937-25842 |
| institution | Curtin University Malaysia |
| institution_category | Local University |
| last_indexed | 2025-11-14T07:58:47Z |
| publishDate | 2011 |
| publisher | eContent Management Pty Ltd |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | curtin-20.500.11937-258422018-09-06T01:19:01Z Factors to drive clinical practice improvement in a Malaysian intensive care unit: Assessment of organisational readiness using a mixed method approach Soh, Kim Davidson, Patricia Leslie, Gavin DiGiacomo, Michelle Rolley, John Soh, K. Rahman, A. intensive care unit clinical practice improvement mixed methods professional practice environment organisational readiness This study assessed organisational readiness and factors to drive clinical practice improvement for VAP, CRBSI and PU in a Malaysian intensive care unit (ICU). A mixed method study approach was undertaken in a 16-bed ICU in regional Malaysia using an environmental scan, key informant interviews, staff surveys, and patient audit to elucidate factors contributing to planning for clinical practice improvement. Measurements of sustainability of practice and regard for the practice environment were assessed using validated measures. An environmental scan demonstrated high patient occupancy and case load. Nineteen percent of ICU patients developed complications according to validated measures. Survey results indicated that the majority of nurses had a good knowledge of strategies to prevent ICU complications and a positive attitude toward change processes. Engaging executive leadership was identifi ed as crucial in priming the clinical site for practice change. Providing nurses with tools to monitor their clinical practice and empowering them to change practices are important in improving clinical outcomes. 2011 Journal Article http://hdl.handle.net/20.500.11937/25842 eContent Management Pty Ltd fulltext |
| spellingShingle | intensive care unit clinical practice improvement mixed methods professional practice environment organisational readiness Soh, Kim Davidson, Patricia Leslie, Gavin DiGiacomo, Michelle Rolley, John Soh, K. Rahman, A. Factors to drive clinical practice improvement in a Malaysian intensive care unit: Assessment of organisational readiness using a mixed method approach |
| title | Factors to drive clinical practice improvement in a Malaysian intensive care unit: Assessment of organisational readiness using a mixed method approach |
| title_full | Factors to drive clinical practice improvement in a Malaysian intensive care unit: Assessment of organisational readiness using a mixed method approach |
| title_fullStr | Factors to drive clinical practice improvement in a Malaysian intensive care unit: Assessment of organisational readiness using a mixed method approach |
| title_full_unstemmed | Factors to drive clinical practice improvement in a Malaysian intensive care unit: Assessment of organisational readiness using a mixed method approach |
| title_short | Factors to drive clinical practice improvement in a Malaysian intensive care unit: Assessment of organisational readiness using a mixed method approach |
| title_sort | factors to drive clinical practice improvement in a malaysian intensive care unit: assessment of organisational readiness using a mixed method approach |
| topic | intensive care unit clinical practice improvement mixed methods professional practice environment organisational readiness |
| url | http://hdl.handle.net/20.500.11937/25842 |