TY - JOUR
T1 - Barriers and carriers
T2 - a multicenter survey of nurses’ barriers and facilitators to monitoring of nurse-sensitive outcomes in intensive care units
AU - Stalpers, Dewi
AU - De Vos, Maartje L.G.
AU - Van Der Linden, Dimitri
AU - Kaljouw, Marian J.
AU - Schuurmans, Marieke J.
PY - 2017/7/1
Y1 - 2017/7/1
N2 - 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.
AB - 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.
KW - attitude
KW - barriers
KW - behaviour
KW - intensive care units
KW - knowledge
KW - nurses
KW - quality indicators
KW - questionnaires
UR - http://www.scopus.com/inward/record.url?scp=85048618888&partnerID=8YFLogxK
U2 - 10.1002/nop2.85
DO - 10.1002/nop2.85
M3 - Article
AN - SCOPUS:85048618888
SN - 2054-1058
VL - 4
SP - 149
EP - 156
JO - Nursing Open
JF - Nursing Open
IS - 3
ER -