Barriers and carriers: a multicenter survey of nurses' barriers and facilitators to monitoring of nurse-sensitive outcomes in intensive care units

被引：9
|
作者：
Stalpers, Dewi [1 ]
De Vos, Maartje L. G. [2 ]
Van Der Linden, Dimitri [3 ]
Kaljouw, Marian J. [4 ]
Schuurmans, Marieke J. [5 ,6 ]
机构：
[1] St Antonius Hosp, Nieuwegein, Netherlands
[2] Amphia Hosp, Qual & Safety Dept, Breda, Netherlands
[3] Erasmus Univ, Inst Psychol, Rotterdam, Netherlands
[4] Dutch Healthcare Author, Utrecht, Netherlands
[5] Univ Med Ctr Utrecht, Dept Revalidat Nursing Sci & Sports, Utrecht, Netherlands
[6] Univ Appl Sci, Utrecht, Netherlands
来源：
NURSING OPEN | 2017年 / 4卷 / 03期
关键词：
attitude; barriers; behaviour; intensive care units; knowledge; nurses; quality indicators; questionnaires; PATIENT OUTCOMES; HOSPITALS; MANAGEMENT;
D O I：
10.1002/nop2.85
中图分类号：
R47 [护理学];
学科分类号：
1011 ;
摘要：
Aim: To identify nurses' barriers and facilitators to monitoring of nurse-sensitive outcomes in intensive care units (ICUs), and to explore influential nurse characteristics and work environment factors. Design: A cross-sectional survey in three Dutch ICUs between October 2013 - June 2014. Methods: A questionnaire with questions regarding facilitators and three types of barriers: knowledge, attitude and behaviour. The Dutch Essentials of Magnetism II was used to examine work environments. Results: All 126 responding nurses identified pressure ulcers and patient satisfaction as outcomes that are nurse-sensitive and nurses' full responsibility. Lack of time (behaviour) was perceived as the most prominent barrier, followed by unfamiliarity with mandatory indicators (knowledge), and unreliability of indicators as benchmark data (attitude). Education and clear policies were relevant facilitators. Of nurse characteristics, only regularity of shifts was related to perceived attitude related barriers. The work environment factor clinical autonomy was potentially associated with behaviour related barriers.
引用
收藏
页码：149 / 156
页数：8
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