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

Clicks: 372
ID: 75927
2020
Article Quality & Performance Metrics
Overall Quality
Not rated
Combines reader engagement with the AI quality analysis. This article has not been analysed, so there is no overall score — reader engagement is measured and shown alongside.
AI Quality Assessment
Not analyzed
Readership in this journal
Emerging

Ranked #15 of 80 articles by views in Pediatric research

Most read Least read

Bar heights use a square-root scale.

Mint this article as an NFT
Not yet minted

Create a permanent, verifiable on-chain record of this article on the Scimatic Network. The NFT is held in your Journament account, and you can withdraw it to your own wallet at any time.

5 SUSD one-off · no wallet required
Sign in to mint
Abstract
Innovation is important to improve patient care, but few studies have explored the factors that initiate change in healthcare organizations.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.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.Innovation can be initiated by several drivers that can impact on the success and sustainability of change.
Reference Key
cuttini2020whatpediatric Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors Cuttini, Marina;Forcella, Emanuela;Rodrigues, Carina;Draper, Elizabeth S;Martins, Ana F;Lainé, Agnés;Willars, Janet;Hasselager, Asbjørn;Maier, Rolf F;Croci, Ileana;Bonet, Mercedes;Zeitlin, Jennifer;
Journal Pediatric research
Year 2020
DOI
10.1038/s41390-019-0733-9
URL
Keywords
sexual behaviour epidemiology (general) gonorrhoea

Citations

No citations found. To add a citation, contact the admin at info@scimatic.org

Comments

No comments yet. Be the first to comment on this article.