Changing personnel behavior to promote quality care practices in an intensive care unit

Changing personnel behavior to promote quality care practices in an intensive care unit

The delivery of safe high quality patient care is a major issue in clinical settings. However, the implementation of evidence-based practice and educational interventions are not always effective at improving performance. A staff-led behavioral management process was implemented in a large single-si...

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Veröffentlicht in:Therapeutics and clinical risk management 2005-12, Vol.1 (4), p.321-332
Hauptverfasser: Cooper, Dominic, Farmery, Keith, Johnson, Martin, Harper, Christine, Clarke, Fiona L, Holton, Phillip, Wilson, Susan, Rayson, Paul, Bence, Hugh
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Intensive care
Original Research
Staphylococcus aureus
Staphylococcus infections
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container_end_page 332
container_issue 4
container_start_page 321
container_title Therapeutics and clinical risk management
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creator Cooper, Dominic
Farmery, Keith
Johnson, Martin
Harper, Christine
Clarke, Fiona L
Holton, Phillip
Wilson, Susan
Rayson, Paul
Bence, Hugh
description The delivery of safe high quality patient care is a major issue in clinical settings. However, the implementation of evidence-based practice and educational interventions are not always effective at improving performance. A staff-led behavioral management process was implemented in a large single-site acute (secondary and tertiary) hospital in the North of England for 26 weeks. A quasi-experimental, repeated-measures, within-groups design was used. Measurement focused on quality care behaviors (ie, documentation, charting, hand washing). The results demonstrate the efficacy of a staff-led behavioral management approach for improving quality-care practices. Significant behavioral change (F [6, 19] = 5.37, p < 0.01) was observed. Correspondingly, statistically significant (t-test [t] = 3.49, df = 25, p < 0.01) reductions in methicillin-resistant Staphylococcus aureus (MRSA) were obtained. Discussion focuses on implementation issues.
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source Taylor & Francis Open Access; DOVE Medical Press OA Journals; PubMed Central; EZB Electronic Journals Library; PubMed Central Open Access
subjects Intensive care
Original Research
Staphylococcus aureus
Staphylococcus infections
title Changing personnel behavior to promote quality care practices in an intensive care unit
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