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

    158785_36830_Factors to drive clinical practice.pdf (174.3Kb)
    Access Status
    Open access
    Authors
    Soh, Kim
    Davidson, Patricia
    Leslie, Gavin
    DiGiacomo, Michelle
    Rolley, John
    Soh, K.
    Rahman, A.
    Date
    2011
    Type
    Journal Article
    
    Metadata
    Show full item record
    Citation
    Soh, Kim Lam and Davidson, Patricia M. and Leslie, Gavin and DiGiacomo, Michelle and Rolley, John X. and Soh, Kim Geok and Rahman, Aisai Bin Abd. 2011. Factors to drive clinical practice improvement in a Malaysian intensive care unit: Assessment of organisational readiness using a mixed method approach. International Journal of Multiple Research Approaches. 5 (1): pp. 104-121.
    Source Title
    International Journal of Multiple Research Approaches
    ISSN
    1834-0806
    School
    School of Nursing and Midwifery
    Remarks

    Copyright © 2011 eContent Management Pty Ltd.

    URI
    http://hdl.handle.net/20.500.11937/25842
    Collection
    • Curtin Research Publications
    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.

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