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

Soh, KL; Davidson, PM; Leslie, G; Digiacomo, M; Soh, KG

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

Soh, KL Davidson, PM

Leslie, G Digiacomo, M

Soh, KG

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Publication Type:: Journal Article
Citation:: Journal of Clinical Nursing, 2013, 22 (5-6), pp. 856 - 865
Issue Date:: 2013-03-01

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Field	Value	Language
dc.contributor.author	Soh, KL	en_US
dc.contributor.author	Davidson, PM https://orcid.org/0000-0003-2050-1534	en_US
dc.contributor.author	Leslie, G	en_US
dc.contributor.author	Digiacomo, M https://orcid.org/0000-0001-5484-8224	en_US
dc.contributor.author	Soh, KG	en_US
dc.date.available	2012-07-29	en_US
dc.date.issued	2013-03-01	en_US
dc.identifier.citation	Journal of Clinical Nursing, 2013, 22 (5-6), pp. 856 - 865	en_US
dc.identifier.issn	0962-1067	en_US
dc.identifier.uri	http://hdl.handle.net/10453/32196
dc.description.abstract	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. © 2012 Blackwell Publishing Ltd.	en_US
dc.relation.ispartof	Journal of Clinical Nursing	en_US
dc.relation.isbasedon	10.1111/jocn.12017	en_US
dc.subject.classification	Nursing	en_US
dc.subject.mesh	Humans	en_US
dc.subject.mesh	Sepsis	en_US
dc.subject.mesh	Focus Groups	en_US
dc.subject.mesh	Adult	en_US
dc.subject.mesh	Nursing Staff, Hospital	en_US
dc.subject.mesh	Intensive Care Units	en_US
dc.subject.mesh	Nursing Assessment	en_US
dc.subject.mesh	Malaysia	en_US
dc.subject.mesh	Pressure Ulcer	en_US
dc.subject.mesh	Pneumonia, Ventilator-Associated	en_US
dc.title	Nurses' perceptions of standardised assessment and prevention of complications in an ICU	en_US
dc.type	Journal Article
utslib.citation.volume	5-6	en_US
utslib.citation.volume	22	en_US
utslib.for	1110 Nursing	en_US
utslib.for	1701 Psychology	en_US
utslib.for	1117 Public Health and Health Services	en_US
pubs.embargo.period	Not known	en_US
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney/Faculty of Health/IMPACCT
pubs.organisational-group	/University of Technology Sydney/Faculty of Health/Nursing
utslib.copyright.status	closed_access
pubs.issue	5-6	en_US
pubs.publication-status	Published	en_US
pubs.volume	22	en_US

Abstract:

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. © 2012 Blackwell Publishing Ltd.

Please use this identifier to cite or link to this item:

http://hdl.handle.net/10453/32196