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

Kim Lam Soh, Patricia M Davidson, Gavin Leslie, Michelle DiGiacomo and Kim Geok Soh

Journal of Clinical Nursing, 2013, vol. 22, issue 5-6, 856-865

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.

Date: 2013
References: Add references at CitEc
Citations:

Downloads: (external link)
https://doi.org/10.1111/jocn.12017

Related works:
This item may be available elsewhere in EconPapers: Search for items with the same title.

Export reference: BibTeX RIS (EndNote, ProCite, RefMan) HTML/Text

Persistent link: https://EconPapers.repec.org/RePEc:wly:jocnur:v:22:y:2013:i:5-6:p:856-865

Access Statistics for this article

More articles in Journal of Clinical Nursing from John Wiley & Sons
Bibliographic data for series maintained by Wiley Content Delivery ().