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Barriers and Enablers to Implementing a High-Dependency Care Model in Pediatric Care: A Preimplementation Study.
Cassidy, Christine; MacEachern, Lauren; Egar, Jeanne; Best, Shauna; Foley, Laura; Rowe, Mary Elizabeth; Curran, Janet.
Afiliación
  • Cassidy C; IWK Health Centre, Halifax, Nova Scotia, Canada (Drs Cassidy and Curran, Mss MacEachern, Best, Foley, and Rowe); and Dalhousie University School of Nursing, Halifax, Nova Scotia, Canada (Drs Cassidy and Curran and Ms Egar).
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. LOCAL

PROBLEM:

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.
Asunto(s)

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

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