Nurses' perceptions of standardised assessment and prevention of complications in an ICU

Aims and objectives: To describe nurses' perceptions of evidence-based recommendations to prevent complications in a Malaysian intensive care unit. Background: Ventilator-associated pneumonia, catheter-related blood stream infection and pressure ulcer are three frequent adverse events in the in...

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Main Authors: Soh, Kim Lam, Davidson, Patricia Mary, Leslie, Gavin, DiGiacomo, Michelle, Soh, Kim Geok
Format: Article
Language:English
Published: Blackwell Publishing 2013
Online Access:http://psasir.upm.edu.my/id/eprint/17149/
http://psasir.upm.edu.my/id/eprint/17149/1/Nurses%27%20perceptions%20of%20standardised%20assessment%20and%20prevention%20of%20complications%20in%20an%20ICU.pdf
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author Soh, Kim Lam
Davidson, Patricia Mary
Leslie, Gavin
DiGiacomo, Michelle
Soh, Kim Geok
author_facet Soh, Kim Lam
Davidson, Patricia Mary
Leslie, Gavin
DiGiacomo, Michelle
Soh, Kim Geok
author_sort Soh, Kim Lam
building UPM Institutional Repository
collection Online Access
description Aims and objectives: To describe nurses' perceptions of evidence-based recommendations to prevent complications in a Malaysian intensive care unit. Background: Ventilator-associated pneumonia, catheter-related blood stream infection and pressure ulcer are three frequent adverse events in the intensive care unit. Implementing evidenced-based practice is critical in prevention of these complications. Design: A qualitative focus group study. Methods: Focus groups were conducted with nurses in the intensive care unit of a regional hospital in Malaysia following evidence-based interventions. Focus group transcripts were analysed using the method of thematic analyses. Results: Thirty-four nurses participated in eight focus groups. The main themes derived from the interviews: (1) nurses' knowledge impacts on the change process; (2) initial resistance, ambivalence and movement to acceptance; and (3) hierarchical organisational structure can hinder the change process. Conclusion: Enhancing nurses' knowledge and attitudes of evidence-based practice, providing them with tools to monitor their clinical practice, and empowering them to change practice are likely to be important in influencing clinical outcomes. Increasing the emphasis on evidence-based practice in nursing curricula and engaging in cultural change processes in the workplace are necessary to improve clinical outcomes. Relevance to clinical practice: These findings provide valuable information for implementing clinical practice improvement interventions.
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spelling upm-171492016-04-08T09:12:23Z http://psasir.upm.edu.my/id/eprint/17149/ Nurses' perceptions of standardised assessment and prevention of complications in an ICU Soh, Kim Lam Davidson, Patricia Mary Leslie, Gavin DiGiacomo, Michelle Soh, Kim Geok Aims and objectives: To describe nurses' perceptions of evidence-based recommendations to prevent complications in a Malaysian intensive care unit. Background: Ventilator-associated pneumonia, catheter-related blood stream infection and pressure ulcer are three frequent adverse events in the intensive care unit. Implementing evidenced-based practice is critical in prevention of these complications. Design: A qualitative focus group study. Methods: Focus groups were conducted with nurses in the intensive care unit of a regional hospital in Malaysia following evidence-based interventions. Focus group transcripts were analysed using the method of thematic analyses. Results: Thirty-four nurses participated in eight focus groups. The main themes derived from the interviews: (1) nurses' knowledge impacts on the change process; (2) initial resistance, ambivalence and movement to acceptance; and (3) hierarchical organisational structure can hinder the change process. Conclusion: Enhancing nurses' knowledge and attitudes of evidence-based practice, providing them with tools to monitor their clinical practice, and empowering them to change practice are likely to be important in influencing clinical outcomes. Increasing the emphasis on evidence-based practice in nursing curricula and engaging in cultural change processes in the workplace are necessary to improve clinical outcomes. Relevance to clinical practice: These findings provide valuable information for implementing clinical practice improvement interventions. Blackwell Publishing 2013-03 Article PeerReviewed application/pdf en http://psasir.upm.edu.my/id/eprint/17149/1/Nurses%27%20perceptions%20of%20standardised%20assessment%20and%20prevention%20of%20complications%20in%20an%20ICU.pdf Soh, Kim Lam and Davidson, Patricia Mary and Leslie, Gavin and DiGiacomo, Michelle and Soh, Kim Geok (2013) Nurses' perceptions of standardised assessment and prevention of complications in an ICU. Journal of Clinical Nursing, 22 (5-6). pp. 856-865. ISSN 0962-1067; ESSN: 1365-2702 http://onlinelibrary.wiley.com/doi/10.1111/jocn.12017/abstract 10.1111/jocn.12017
spellingShingle Soh, Kim Lam
Davidson, Patricia Mary
Leslie, Gavin
DiGiacomo, Michelle
Soh, Kim Geok
Nurses' perceptions of standardised assessment and prevention of complications in an ICU
title Nurses' perceptions of standardised assessment and prevention of complications in an ICU
title_full Nurses' perceptions of standardised assessment and prevention of complications in an ICU
title_fullStr Nurses' perceptions of standardised assessment and prevention of complications in an ICU
title_full_unstemmed Nurses' perceptions of standardised assessment and prevention of complications in an ICU
title_short Nurses' perceptions of standardised assessment and prevention of complications in an ICU
title_sort nurses' perceptions of standardised assessment and prevention of complications in an icu
url http://psasir.upm.edu.my/id/eprint/17149/
http://psasir.upm.edu.my/id/eprint/17149/
http://psasir.upm.edu.my/id/eprint/17149/
http://psasir.upm.edu.my/id/eprint/17149/1/Nurses%27%20perceptions%20of%20standardised%20assessment%20and%20prevention%20of%20complications%20in%20an%20ICU.pdf