Sustainability of a PICU Situation Awareness Intervention: A Qualitative Study.
Pediatr Qual Saf
; 9(5): e757, 2024.
Article
in En
| MEDLINE
| ID: mdl-39228868
ABSTRACT
Introduction:
We aimed to investigate facilitators and barriers that impact the sustainability of an interprofessional situation awareness bundle.Methods:
This is a single-center qualitative study at a tertiary care pediatric center examining the sustainability of an interprofessional situation awareness bundle to reduce in-hospital cardiac arrests. The bundle includes an automated clinical decision support tool, twice-daily safety huddles, and a bedside mitigation plan. A trained research staff member interviewed participants in October 2022. Interviews were audio recorded and transcribed verbatim, and recruitment continued until data saturation. Inductive and deductive analyses were used here.Results:
The authors interviewed twelve staff members via individual semistructured interviews registered nurses (RN, nâ =â 2) and clinicians [(advanced practice providers, nâ =â 2), pediatric critical care fellows, nâ =â 4 and attendings, nâ =â 4)]. Five main themes were identified (1) the situation awareness bundle is ingrained into daily practice and culture, (2) the bundle has strengthened communication, decision-making, and improved outcomes, (3) standardized processes, stakeholder buy-in, and support of team members are key to adoption and sustainability, (4) variation in processes and fast-changing clinical context remains a challenge for reliable use, and (5) the situation awareness bundle excluded families.Conclusions:
The situation awareness bundle has become ingrained, strengthened, and sustained over the last 5 years through integration into daily practice and culture and leveraging standardized processes, tools and technology. It is associated with improved communication and shared decision-making. Understanding the key components for implementation and sustainability is necessary for ongoing spread and improvement in the future.
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Language:
En
Journal:
Pediatr Qual Saf
/
Pediatric quality & safety
Year:
2024
Document type:
Article
Country of publication: