Factors influencing knowledge translation into critical care practice: The reality facing intensive care nurses in Limpopo Province
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Abstract
Background. Nurses working in intensive care units (ICUs) must incorporate new knowledge and evidence-based practice (EBP) into their daily routines to enhance patient outcomes. However, this integration often falls short in ICU settings. Weekly clinical audits reveal incidents where ICU nurses neglect evidence-based interventions, impacting patient outcomes and ICU stays.
Objective. To explore the factors influencing the translation of knowledge into ICU practice.
Methods. We conducted exploratory, qualitative research to investigate ICU nurses’ perspectives on knowledge translation into ICU practices. The study employed purposive sampling to select ICU nurses. We used paired interviews and group discussions to gather insights from ICU nurses regarding the factors influencing the translation of knowledge into ICU practices. Data analysis was performed using Boomer and McCormack’s nine steps of creative hermeneutic data analysis.
Results. One main theme, ‘We are just surviving’ emerged, encompassing two sub-themes: management and workplace culture. Under management, participants described barriers, such as resource scarcity, behaviour, outdated evidence-informed protocols and workload. Under workplace culture, participants mentioned negative attitudes and a lack of teamwork, contributing to poor-quality care.
Conclusion. In ICUs, nurses are expected to integrate new knowledge and scientific evidence into their daily practice, yet they face challenges in doing so. Interventions should be implemented to address management and workplace culture.
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References
Wensing M, Grol R. Knowledge translation in health: How implementation science could contribute more. BMC Med 2019;17(1):88. https://doi.org/10.1186/s12916-019-1322-9
Mallidou AA, Atherton P, Chan L, et al. Core knowledge translation competencies: A scoping review. BMC Health Serv Res 2018;18(1):502. https://doi.org/10.1186/s12913-018-3314-4
Jabri F, Docent T, Azimirad M, Turunen H. A systematic review of healthcare professionals’ core competency instrument. 2021, 23(1), 87-102. https://doi.org/10.1111/nhs.12804
Sujan MA, Furniss D, Anderson J, Braithwaite J, Hollnagel E. Resilient Health Care as the basis for teaching patient safety – A Safety-II critique of the World Health Organisation patient safety curriculum. Safety Science 2019;118:15-21. https://doi.org/10.1016/j.ssci.2019.04.046
Chen W, Hu S, Liu X, et al. Intensive care nurses’ knowledge and practice of evidence-based recommendations for endotracheal suctioning: A multisite cross-sectional study in Changsha, China. BMC Nurs 2021;20(186):1-12. https://doi.org/10.1186/s12912-021-00715-y
Boomer CA, McCormack B. Creating the conditions for growth: A collaborative practice development programme for clinical nurse leaders. J Nurs Manage 2010;18(6):633-644. https:// doi.org/10.1111/j.1365-2834.2010.01143.x
Slemp GR, Kern ML, Patrick KJ, Ryan RM. Leader autonomy support in the workplace: A meta- analytic review. Motiv Emot 2018;42(5):706-724. https://doi.org/10.1007/s11031-018-9698-y
Shah M, Asad M. Effect of motivation on employee retention: Mediating role of perceived organisational support. Eur Online J Nat Soc 2018;7(2):511. https://european-science.com/eojnss/ article/view/5280
Schaefer JD, Welton JM. Evidence based practice readiness: A concept analysis. J Nurs Manage 2018;26(6):621-629. https://doi.org/10.1111/jonm.12599
Rajaeian Z, Alavi N. Barriers to Nursing Performance from the perspective of nurses working in intensive care units. J Crit Care Nurs 2018;11(1):1-6.
Darawad MW, Alfasfos N, Zaki I, et al. ICU nurses’ perceived barriers to effective enteral nutrition practices: A multicenter survey study. Open Nurs J 2018;12:67-75.
Pelzang R, Hutchinson AM. Patient safety policies, guidelines, and protocols in Bhutan. Int J Health Plan M 2019;34(2):491-500. https://doi.org/10.1002/hpm.2729
Araque KA, Kadayakkara DK, Gigauri N, et al. Reducing severe hypoglycaemia in hospitalised patients with diabetes: Early outcomes of standardised reporting and management. BMJ Open Quality 2018;7(2):e000120. https://doi.org/10.1136/bmjoq-2017-000120
Mannion R, Smith J. Hospital culture and clinical performance: where next? BMJ Quality Safety 2018;27(3):179-181. https://doi.org/10.1136/bmjqs-2017-007668
Oppenauer V, Van De Voorde K. Exploring the relationships between high involvement work system practices, work demands and emotional exhaustion: A multi-level study. Int J Hum Resour 2018;29(2):311-337. https://doi.org/10.1080/09585192.2016.1146321
Perreira TA, Berta W, Ginsburg L, Barnsley J, Herbert M. Insights into nurses’ work: Exploring relationships among work attitudes and work-related behaviours. Health Care Manag Rev 2018;43(4):315-327.
Patel J, Tinker A, Corna L. Younger workers’ attitudes and perceptions towards older colleagues. Work Older People 2018;22(3):129-138. https://doi.org/10.1108/WWOP-02-2018- 0004
Lögde A, Rudolfsson G, Broberg RR, et al. I am quitting my job. Specialist nurses in perioperative context and their experiences of the process and reasons to quit their job. Int J Quality Health Care 2018;30(4):313-320. https://doi.org/10.1093/intqhc/mzy023
Mahmoodi K, Tahrekhani M. The relationship between physicians and nurses in hospitals affiliated with Zanjan University of Medical Sciences, Iran. J Nurs Educ Pract 2018;8(1). https://doi.org/10.5430/jnep.v8n1p33
Karki A, Thapa S, Thulung B. Attitude towards collaborative care among nurses and physicians at a teaching hospital, Chitwan. J Chitwan Med Coll 2018;8(4):47-53. https://www.jcmc.com. np/jcmc/index.php/jcmc/article/view/735
Donovan AL, Aldrich JM, Gross AK, et al. Interprofessional care and teamwork in the ICU. Crit Care Med 2018;46(6):980-990.
Mitonga-Monga J, Flotman A-P, Cilliers F. Job satisfaction and its relationship with organisational commitment: A Democratic Republic of Congo organisational perspective. Acta Commercii 2018;18(1):1-8. https://hdl.handle.net/10520/EJC-f3c69945f
Alzahrani N, Jones R, Abdel-Latif ME. Attitudes of doctors and nurses toward patient safety within emergency departments of two Saudi Arabian hospitals. BMC Health Serv Res 2018;18(1):736. https://doi.org/10.1186/s12913-018-3542-7
Ada Oyije AF, Funmilayo DC, Obiageri AJ. Participative decision making and employee job performance in Nigerian academic libraries. Inf Technol 2018;4(7):15-28.
Guest DE. Human resource management and employee well-being: Towards a new analytic framework. Hum Resour Manag J 2017;27(1):22-38. https://doi.org/10.1111/1748-8583.12139