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báo cáo khoa học: " Implementing quality indicators in intensive care units: exploring barriers to and facilitators of behaviour change"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Implementing quality indicators in intensive care units: exploring barriers to and facilitators of behaviour change | de Vos et al. Implementation Science 2010 5 52 http www.implementationscience.eom content 5 1 52 IMPLEMENTATION SCIENCE Implementation Science RESEARCH ARTICLE Open Access Implementing quality indicators in intensive care units exploring barriers to and facilitators of behaviour change Maartje LG de Vos 1 2 Sabine N van der Veer3 Wilco C Graafmans1 4 Nicolette F de Keizer3 Kitty J Jager3 Gert P Westert1 2 and Peter HJ van der Voort5 Background Quality indicators are increasingly used in healthcare but there are various barriers hindering their routine use. To promote the use of quality indicators an exploration of the barriers to and facilitating factors for their implementation among healthcare professionals and managers of intensive care units ICUs is advocated. Methods All intensivists ICU nurses and managers n 142 working at 54 Dutch ICUs who participated in training sessions to support future implementation of quality indicators completed a questionnaire on perceived barriers and facilitators. Three types of barriers related to knowledge attitude and behaviour were assessed using a five-point Likert scale 1 strongly disagree to 5 strongly agree . Results Behaviour-related barriers such as time constraints were most prominent Mean Score MS 3.21 followed by barriers related to knowledge and attitude MS 3.62 MS 4.12 respectively . Type of profession age and type of hospital were related to knowledge and behaviour. The facilitating factor perceived as most important by intensivists was administrative support MS 4.3 p 0.02 for nurses it was education MS 4.0 p 0.01 and for managers it was receiving feedback MS 4.5 p 0.001 . Conclusions Our results demonstrate that healthcare professionals and managers are familiar with using quality indicators to improve care and that they have positive attitudes towards the implementation of quality indicators. Despite these facts it is necessary to lower the barriers related to behavioural factors. In addition as the barriers and