Nurses’ perceptions of the sustainability of a standardised assessment for preventing complications in a ICU: a qualitative study
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....
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Taylor & Francis
2019
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| Online Access: | http://psasir.upm.edu.my/id/eprint/81505/ http://psasir.upm.edu.my/id/eprint/81505/1/Nurses%E2%80%99%20perceptions%20of%20the%20sustainability%20of%20a%20standardised%20assessment%20for%20preventing%20complications%20in%20a%20ICU%20a%20qualitative%20study.pdf |
| _version_ | 1848859120332963840 |
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| author | Soh, Kim Lam Davidson, Patricia M. Leslie, Gavin DiGiacomo, Michelle Soh, Kim Geok |
| author_facet | Soh, Kim Lam Davidson, Patricia M. Leslie, Gavin DiGiacomo, Michelle Soh, Kim Geok |
| author_sort | Soh, Kim Lam |
| building | UPM Institutional Repository |
| collection | Online Access |
| description | 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. |
| first_indexed | 2025-11-15T12:24:17Z |
| format | Article |
| id | upm-81505 |
| institution | Universiti Putra Malaysia |
| institution_category | Local University |
| language | English |
| last_indexed | 2025-11-15T12:24:17Z |
| publishDate | 2019 |
| publisher | Taylor & Francis |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | upm-815052020-10-29T21:57:34Z http://psasir.upm.edu.my/id/eprint/81505/ 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 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. Taylor & Francis 2019 Article PeerReviewed text en http://psasir.upm.edu.my/id/eprint/81505/1/Nurses%E2%80%99%20perceptions%20of%20the%20sustainability%20of%20a%20standardised%20assessment%20for%20preventing%20complications%20in%20a%20ICU%20a%20qualitative%20study.pdf Soh, Kim Lam and Davidson, Patricia M. and Leslie, Gavin and DiGiacomo, Michelle and Soh, Kim Geok (2019) Nurses’ perceptions of the sustainability of a standardised assessment for preventing complications in a ICU: a qualitative study. Contemporary Nurse, 55 (2-3). pp. 221-236. ISSN 1037-6178 https://pubmed.ncbi.nlm.nih.gov/31403398/ 10.1080/10376178.2019.1643751 |
| spellingShingle | 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 |
| title | Nurses’ perceptions of the sustainability of a standardised assessment for preventing complications in a ICU: a qualitative study |
| title_full | Nurses’ perceptions of the sustainability of a standardised assessment for preventing complications in a ICU: a qualitative study |
| title_fullStr | Nurses’ perceptions of the sustainability of a standardised assessment for preventing complications in a ICU: a qualitative study |
| title_full_unstemmed | Nurses’ perceptions of the sustainability of a standardised assessment for preventing complications in a ICU: a qualitative study |
| title_short | Nurses’ perceptions of the sustainability of a standardised assessment for preventing complications in a ICU: a qualitative study |
| title_sort | nurses’ perceptions of the sustainability of a standardised assessment for preventing complications in a icu: a qualitative study |
| url | http://psasir.upm.edu.my/id/eprint/81505/ http://psasir.upm.edu.my/id/eprint/81505/ http://psasir.upm.edu.my/id/eprint/81505/ http://psasir.upm.edu.my/id/eprint/81505/1/Nurses%E2%80%99%20perceptions%20of%20the%20sustainability%20of%20a%20standardised%20assessment%20for%20preventing%20complications%20in%20a%20ICU%20a%20qualitative%20study.pdf |