Barriers and carriers: a multicenter survey of nurses’ barriers and facilitators to monitoring of nurse‐sensitive outcomes in intensive care units
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 q...
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| Veröffentlicht in: | Nursing open 2017-07, Vol.4 (3), p.149-156 |
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| creator | Stalpers, Dewi De Vos, Maartje L.G. Van Der Linden, Dimitri Kaljouw, Marian J. Schuurmans, Marieke J. |
| description | 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. |
| doi_str_mv | 10.1002/nop2.85 |
| format | Article |
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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.</description><identifier>ISSN: 2054-1058</identifier><identifier>EISSN: 2054-1058</identifier><identifier>DOI: 10.1002/nop2.85</identifier><identifier>PMID: 28694979</identifier><language>eng</language><publisher>United States: John Wiley & Sons, Inc</publisher><subject>attitude ; Audits ; barriers ; behaviour ; Clinical outcomes ; Intensive care ; intensive care units ; knowledge ; Nurses ; Patient satisfaction ; Quality control ; quality indicators ; questionnaires ; Work environment</subject><ispartof>Nursing open, 2017-07, Vol.4 (3), p.149-156</ispartof><rights>2017 The Authors. published by John Wiley & Sons Ltd.</rights><rights>2017. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4615-25223503b6ef0461895f5f2dcc4fb4463311d3b6892085fc78abba776533e3543</citedby><cites>FETCH-LOGICAL-c4615-25223503b6ef0461895f5f2dcc4fb4463311d3b6892085fc78abba776533e3543</cites><orcidid>0000-0002-5394-8028</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5500986/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5500986/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,864,885,1417,11562,27924,27925,45574,45575,46052,46476,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28694979$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Stalpers, Dewi</creatorcontrib><creatorcontrib>De Vos, Maartje L.G.</creatorcontrib><creatorcontrib>Van Der Linden, Dimitri</creatorcontrib><creatorcontrib>Kaljouw, Marian J.</creatorcontrib><creatorcontrib>Schuurmans, Marieke J.</creatorcontrib><title>Barriers and carriers: a multicenter survey of nurses’ barriers and facilitators to monitoring of nurse‐sensitive outcomes in intensive care units</title><title>Nursing open</title><addtitle>Nurs Open</addtitle><description>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.</description><subject>attitude</subject><subject>Audits</subject><subject>barriers</subject><subject>behaviour</subject><subject>Clinical outcomes</subject><subject>Intensive care</subject><subject>intensive care units</subject><subject>knowledge</subject><subject>Nurses</subject><subject>Patient satisfaction</subject><subject>Quality control</subject><subject>quality indicators</subject><subject>questionnaires</subject><subject>Work environment</subject><issn>2054-1058</issn><issn>2054-1058</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>24P</sourceid><sourceid>WIN</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><recordid>eNp1kcuKFDEUhoMozjAOvoEEXChIj7lUUokLQQdvMDgudB1S6WTMUJW0ubT0bh7BleDrzZOYotumFYRATv7znT8nOQA8xOgMI0Seh7giZ4LdAccEsW6BERN3D-IjcJrzNUIIM9EjJO-DIyK47GQvj8HP1zolb1OGOiyh2R1eQA2nOhZvbCg2wVzT2m5gdDDUlG2-vfkFh8NCp40ffdElNqFEOMXgW-zD1b7o9uZHtiH74tcWxlpMnGyGPrRVZr2p7XoLa6vMD8A9p8dsT3f7Cfjy9s3n8_eLi8t3H85fXSxMxzFbEEYIZYgO3DrUFCGZY44sjenc0HWcUoyXLSskQYI50ws9DLrvOaPUUtbRE_By67uqw2SX83OTHtUq-UmnjYraq78zwX9VV3GtGGs_KXgzeLozSPFbtbmoyWdjx1EHG2tWWOJecsrljD7-B72ONYX2vJnivCe8mzt6sqVMijkn6_bNYKTmcat53EqwRj467H3P_RluA55tge9-tJv_-aiPl59Is_sNvMu4pg</recordid><startdate>201707</startdate><enddate>201707</enddate><creator>Stalpers, Dewi</creator><creator>De Vos, Maartje L.G.</creator><creator>Van Der Linden, Dimitri</creator><creator>Kaljouw, Marian J.</creator><creator>Schuurmans, Marieke J.</creator><general>John Wiley & Sons, Inc</general><general>John Wiley and Sons Inc</general><scope>24P</scope><scope>WIN</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ASE</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FPQ</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K6X</scope><scope>KB0</scope><scope>NAPCQ</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-5394-8028</orcidid></search><sort><creationdate>201707</creationdate><title>Barriers and carriers: a multicenter survey of nurses’ barriers and facilitators to monitoring of nurse‐sensitive outcomes in intensive care units</title><author>Stalpers, Dewi ; De Vos, Maartje L.G. ; Van Der Linden, Dimitri ; Kaljouw, Marian J. ; Schuurmans, Marieke J.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4615-25223503b6ef0461895f5f2dcc4fb4463311d3b6892085fc78abba776533e3543</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>attitude</topic><topic>Audits</topic><topic>barriers</topic><topic>behaviour</topic><topic>Clinical outcomes</topic><topic>Intensive care</topic><topic>intensive care units</topic><topic>knowledge</topic><topic>Nurses</topic><topic>Patient satisfaction</topic><topic>Quality control</topic><topic>quality indicators</topic><topic>questionnaires</topic><topic>Work environment</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Stalpers, Dewi</creatorcontrib><creatorcontrib>De Vos, Maartje L.G.</creatorcontrib><creatorcontrib>Van Der Linden, Dimitri</creatorcontrib><creatorcontrib>Kaljouw, Marian J.</creatorcontrib><creatorcontrib>Schuurmans, Marieke J.</creatorcontrib><collection>Wiley Online Library Open Access</collection><collection>Wiley Online Library (Open Access Collection)</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>British Nursing Index</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>British Nursing Index</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Nursing & Allied Health Premium</collection><collection>Access via ProQuest (Open Access)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Nursing open</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Stalpers, Dewi</au><au>De Vos, Maartje L.G.</au><au>Van Der Linden, Dimitri</au><au>Kaljouw, Marian J.</au><au>Schuurmans, Marieke J.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Barriers and carriers: a multicenter survey of nurses’ barriers and facilitators to monitoring of nurse‐sensitive outcomes in intensive care units</atitle><jtitle>Nursing open</jtitle><addtitle>Nurs Open</addtitle><date>2017-07</date><risdate>2017</risdate><volume>4</volume><issue>3</issue><spage>149</spage><epage>156</epage><pages>149-156</pages><issn>2054-1058</issn><eissn>2054-1058</eissn><abstract>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.</abstract><cop>United States</cop><pub>John Wiley & Sons, Inc</pub><pmid>28694979</pmid><doi>10.1002/nop2.85</doi><tpages>10</tpages><orcidid>https://orcid.org/0000-0002-5394-8028</orcidid><oa>free_for_read</oa></addata></record> |
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| subjects | attitude Audits barriers behaviour Clinical outcomes Intensive care intensive care units knowledge Nurses Patient satisfaction Quality control quality indicators questionnaires Work environment |
| title | Barriers and carriers: a multicenter survey of nurses’ barriers and facilitators to monitoring of nurse‐sensitive outcomes in intensive care units |
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