Factors to drive clinical practice improvement in a malaysian intensive care unit

Assessment of organisational readiness using a mixed method approach

Kim Lam Soh, Patricia M. Davidson, Gavin Leslie, Michelle Digiacomo, John X. Rolley, Kim Geok Soh, Aisai Bin Abd Rahman

Research output: Contribution to journalArticle

1 Citation (Scopus)

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 identified 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.

Original languageEnglish
Pages (from-to)104-121
Number of pages18
JournalInternational Journal of Multiple Research Approaches
Volume5
Issue number1
DOIs
Publication statusPublished - 1 Jan 2011
Externally publishedYes

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nurse
audit
Malaysia
sustainability
leadership
staff
planning
interview

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Soh, Kim Lam ; Davidson, Patricia M. ; Leslie, Gavin ; Digiacomo, Michelle ; Rolley, John X. ; Soh, Kim Geok ; Rahman, Aisai Bin Abd. / Factors to drive clinical practice improvement in a malaysian intensive care unit : Assessment of organisational readiness using a mixed method approach. In: International Journal of Multiple Research Approaches. 2011 ; Vol. 5, No. 1. pp. 104-121.
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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. / Soh, Kim Lam; Davidson, Patricia M.; Leslie, Gavin; Digiacomo, Michelle; Rolley, John X.; Soh, Kim Geok; Rahman, Aisai Bin Abd.

In: International Journal of Multiple Research Approaches, Vol. 5, No. 1, 01.01.2011, p. 104-121.

Research output: Contribution to journalArticle

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