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dc.contributor.authorSoh, Kim
dc.contributor.authorDavidson, Patricia
dc.contributor.authorLeslie, Gavin
dc.contributor.authorDiGiacomo, Michelle
dc.contributor.authorRolley, John
dc.contributor.authorSoh, K.
dc.contributor.authorRahman, A.
dc.date.accessioned2017-01-30T12:50:31Z
dc.date.available2017-01-30T12:50:31Z
dc.date.created2011-05-30T20:01:53Z
dc.date.issued2011
dc.identifier.citationSoh, 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.
dc.identifier.urihttp://hdl.handle.net/20.500.11937/25842
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.publishereContent Management Pty Ltd
dc.subjectintensive care unit
dc.subjectclinical practice improvement
dc.subjectmixed methods
dc.subjectprofessional practice environment
dc.subjectorganisational readiness
dc.titleFactors to drive clinical practice improvement in a Malaysian intensive care unit: Assessment of organisational readiness using a mixed method approach
dc.typeJournal Article
dcterms.source.volume5
dcterms.source.number1
dcterms.source.startPage104
dcterms.source.endPage121
dcterms.source.issn1834-0806
dcterms.source.titleInternational Journal of Multiple Research Approaches
curtin.note

Copyright © 2011 eContent Management Pty Ltd.

curtin.departmentSchool of Nursing and Midwifery
curtin.accessStatusOpen access


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