What drives change in neonatal intensive care units? A qualitative study with physicians and nurses in six European countries

Detalhes bibliográficos
Autor(a) principal: Cuttini, M
Data de Publicação: 2020
Outros Autores: Forcella, E, Rodrigues, C, Draper, ES, Martins, AF, Lainé, A, Willars, J, Hasselager, A, Maier, RF, Croci, I, Bonet, M, Zeitlin, J
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: https://hdl.handle.net/10216/143102
Resumo: Background: Innovation is important to improve patient care, but few studies have explored the factors that initiate change in healthcare organizations. Methods: As part of the European project EPICE on evidence-based perinatal care, we carried out semi-structured interviews (N = 44) with medical and nursing staff from 11 randomly selected neonatal intensive care units in 6 countries. The interviews focused on the most recent clinical or organizational change in the unit relevant to the care of very preterm infants. Thematic analysis was performed using verbatim transcripts of recorded interviews. Results: Reported changes concerned ventilation, feeding and nutrition, neonatal sepsis, infant care, pain management and care of parents. Six categories of drivers to change were identified: availability of new knowledge or technology; guidelines or regulations from outside the unit; need to standardize practices; participation in research; occurrence of adverse events; and wish to improve care. Innovations originating within the unit, linked to the availability of new technology and seen to provide clear benefit for patients were more likely to achieve consensus and rapid implementation. Conclusions: Innovation can be initiated by several drivers that can impact on the success and sustainability of change.
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spelling What drives change in neonatal intensive care units? A qualitative study with physicians and nurses in six European countriesBackground: Innovation is important to improve patient care, but few studies have explored the factors that initiate change in healthcare organizations. Methods: As part of the European project EPICE on evidence-based perinatal care, we carried out semi-structured interviews (N = 44) with medical and nursing staff from 11 randomly selected neonatal intensive care units in 6 countries. The interviews focused on the most recent clinical or organizational change in the unit relevant to the care of very preterm infants. Thematic analysis was performed using verbatim transcripts of recorded interviews. Results: Reported changes concerned ventilation, feeding and nutrition, neonatal sepsis, infant care, pain management and care of parents. Six categories of drivers to change were identified: availability of new knowledge or technology; guidelines or regulations from outside the unit; need to standardize practices; participation in research; occurrence of adverse events; and wish to improve care. Innovations originating within the unit, linked to the availability of new technology and seen to provide clear benefit for patients were more likely to achieve consensus and rapid implementation. Conclusions: Innovation can be initiated by several drivers that can impact on the success and sustainability of change.Springer Nature20202020-01-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttps://hdl.handle.net/10216/143102eng0031-39981530-044710.1038/s41390-019-0733-9Cuttini, MForcella, ERodrigues, CDraper, ESMartins, AFLainé, AWillars, JHasselager, AMaier, RFCroci, IBonet, MZeitlin, Jinfo:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2023-11-29T13:43:10Zoai:repositorio-aberto.up.pt:10216/143102Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T23:46:30.236367Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv What drives change in neonatal intensive care units? A qualitative study with physicians and nurses in six European countries
title What drives change in neonatal intensive care units? A qualitative study with physicians and nurses in six European countries
spellingShingle What drives change in neonatal intensive care units? A qualitative study with physicians and nurses in six European countries
Cuttini, M
title_short What drives change in neonatal intensive care units? A qualitative study with physicians and nurses in six European countries
title_full What drives change in neonatal intensive care units? A qualitative study with physicians and nurses in six European countries
title_fullStr What drives change in neonatal intensive care units? A qualitative study with physicians and nurses in six European countries
title_full_unstemmed What drives change in neonatal intensive care units? A qualitative study with physicians and nurses in six European countries
title_sort What drives change in neonatal intensive care units? A qualitative study with physicians and nurses in six European countries
author Cuttini, M
author_facet Cuttini, M
Forcella, E
Rodrigues, C
Draper, ES
Martins, AF
Lainé, A
Willars, J
Hasselager, A
Maier, RF
Croci, I
Bonet, M
Zeitlin, J
author_role author
author2 Forcella, E
Rodrigues, C
Draper, ES
Martins, AF
Lainé, A
Willars, J
Hasselager, A
Maier, RF
Croci, I
Bonet, M
Zeitlin, J
author2_role author
author
author
author
author
author
author
author
author
author
author
dc.contributor.author.fl_str_mv Cuttini, M
Forcella, E
Rodrigues, C
Draper, ES
Martins, AF
Lainé, A
Willars, J
Hasselager, A
Maier, RF
Croci, I
Bonet, M
Zeitlin, J
description Background: Innovation is important to improve patient care, but few studies have explored the factors that initiate change in healthcare organizations. Methods: As part of the European project EPICE on evidence-based perinatal care, we carried out semi-structured interviews (N = 44) with medical and nursing staff from 11 randomly selected neonatal intensive care units in 6 countries. The interviews focused on the most recent clinical or organizational change in the unit relevant to the care of very preterm infants. Thematic analysis was performed using verbatim transcripts of recorded interviews. Results: Reported changes concerned ventilation, feeding and nutrition, neonatal sepsis, infant care, pain management and care of parents. Six categories of drivers to change were identified: availability of new knowledge or technology; guidelines or regulations from outside the unit; need to standardize practices; participation in research; occurrence of adverse events; and wish to improve care. Innovations originating within the unit, linked to the availability of new technology and seen to provide clear benefit for patients were more likely to achieve consensus and rapid implementation. Conclusions: Innovation can be initiated by several drivers that can impact on the success and sustainability of change.
publishDate 2020
dc.date.none.fl_str_mv 2020
2020-01-01T00:00:00Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
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url https://hdl.handle.net/10216/143102
dc.language.iso.fl_str_mv eng
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1530-0447
10.1038/s41390-019-0733-9
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publisher.none.fl_str_mv Springer Nature
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