Factors to drive clinical practice improvement in a Malaysian intensive care unit: assessment of organizational readiness using a mixed method approach

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dc.contributor.author Lam, S
dc.contributor.author Davidson, PM
dc.contributor.author Leslie, G
dc.contributor.author DiGiacomo, M
dc.contributor.author Rolley, JX
dc.contributor.author Soh, K
dc.contributor.author Rahman, A
dc.date.accessioned 2012-02-02T11:00:00Z
dc.date.issued 2011-01
dc.identifier.citation International Journal of Multiple Research Approaches, 2011, 5 (NA), pp. 104 - 121
dc.identifier.issn 1834-0806
dc.identifier.other C1 en_US
dc.identifier.uri http://hdl.handle.net/10453/15561
dc.description.abstract 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.
dc.publisher e-content management pty ltd
dc.relation.hasversion Accepted manuscript version. en_US
dc.title Factors to drive clinical practice improvement in a Malaysian intensive care unit: assessment of organizational readiness using a mixed method approach
dc.type Journal Article
dc.rights.holder Copyright © eContent Management Pty Ltd. en_US
dc.parent International Journal of Multiple Research Approaches
dc.journal.volume NA
dc.journal.volume 5
dc.journal.number NA en_US
dc.publocation Maleny, QLD, Australia en_US
dc.identifier.startpage 104 en_US
dc.identifier.endpage 121 en_US
dc.cauo.name FOH.Faculty of Health en_US
dc.conference Verified OK en_US
dc.for 111708 Health and Community Services
dc.for 111003 Clinical Nursing: Secondary (Acute Care)
dc.for 110310 Intensive Care
dc.personcode 111875
dc.personcode 110950
dc.percentage 50 en_US
dc.classification.name Health and Community Services en_US
dc.classification.type FOR-08 en_US
dc.edition en_US
dc.custom en_US
dc.date.activity en_US
dc.location.activity en_US
dc.description.keywords practice improvement, intensive care unit
pubs.embargo.period Not known
pubs.organisational-group /University of Technology Sydney
pubs.organisational-group /University of Technology Sydney/Faculty of Health
pubs.organisational-group /University of Technology Sydney/Strength - Health Services and Practice Research
utslib.copyright.status Open Access
utslib.copyright.date 2015-04-15 12:23:47.074767+10
pubs.consider-herdc true
utslib.collection.history General (ID: 2)

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