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, Soh Kim en_US
dc.contributor.author Davidson, Patricia en_US
dc.contributor.author Leslie, Gavin D en_US
dc.contributor.author Digiacomo, Michelle en_US
dc.contributor.author Rolley, John en_US
dc.contributor.author Soh, Kim Geok en_US
dc.contributor.author Rahman, Aisai Bin Abd en_US
dc.contributor.editor en_US
dc.date.accessioned 2012-02-02T11:00:00Z
dc.date.available 2012-02-02T11:00:00Z
dc.date.issued 2011 en_US
dc.identifier 2010005049 en_US
dc.identifier.citation Lam Soh Kim et al. 2011, 'Factors to drive clinical practice improvement in a Malaysian intensive care unit: assessment of organizational readiness using a mixed method approach', e-content management pty ltd, vol. 5, no. NA, pp. 104-121. en_US
dc.identifier.issn 1834-0806 en_US
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. en_US
dc.language en_US
dc.publisher e-content management pty ltd en_US
dc.relation.hasversion Accepted manuscript version. en_US
dc.relation.isbasedon doi: 10.5172/mra.2011.5.1.104 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 en_US
dc.rights.holder Copyright © eContent Management Pty Ltd. en_US
dc.parent International Journal of Multiple Research Approaches en_US
dc.journal.volume 5 en_US
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 en_US
dc.personcode 0000070249 en_US
dc.personcode 110950 en_US
dc.personcode 0000068146 en_US
dc.personcode 111875 en_US
dc.personcode 0000066051 en_US
dc.personcode 0000070250 en_US
dc.personcode 0000070251 en_US
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 en_US


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