Barriers and Enablers to Implementing a High-Dependency Care Model in Pediatric Care: A Preimplementation Study.
J Nurs Care Qual
; 34(4): 370-375, 2019.
Article
en En
| MEDLINE
| ID: mdl-30889080
ABSTRACT
BACKGROUND:
As the level of acuity of pediatric hospital admissions continues to increase, additional pressure is being placed on hospital resources and the nursing workforce. LOCALPROBLEM:
Currently, there is no formalized approach to care for high-acuity patients on our pediatric inpatient unit.METHODS:
We used a qualitative descriptive design, guided by the Theoretical Domains Framework and Capability, Opportunity, Motivation-Behaviour (COM-B) model, to conduct focus groups and interviews with clinicians and administrators to identify potential barriers and enablers to implementing a high-dependency care (HDC) model. An HDC model focuses on the relationship between adequate nursing staff resources and patient acuity to improve patient health outcomes.RESULTS:
Participants identified the need for clear guidelines and supportive physical structures to facilitate HDC implementation. Anticipated benefits included enhanced nursing confidence and family-centered care.CONCLUSIONS:
Study findings highlight multilevel factors to consider prior to implementing an HDC model on a pediatric inpatient unit.
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Enfermería Pediátrica
/
Índice de Severidad de la Enfermedad
/
Atención Dirigida al Paciente
/
Ciencia de la Implementación
/
Gestión del Cambio
/
Hospitales Pediátricos
Tipo de estudio:
Guideline
/
Prognostic_studies
/
Qualitative_research
/
Sysrev_observational_studies
Aspecto:
Implementation_research
Límite:
Child
/
Humans
Idioma:
En
Revista:
J Nurs Care Qual
Asunto de la revista:
ENFERMAGEM
Año:
2019
Tipo del documento:
Article