From skepticism to assurance and control [Elektronisk resurs] Implementation of a patient safety system at a pediatric hospital in Sweden
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Almblad, Ann-Charlotte, 1965- (författare)
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Målqvist, Mats, 1971- (författare)
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Engvall, Gunn, 1955- (författare)
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Internationell barnhälsa och nutrition/Mårtensson (medarbetare)
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Uppsala universitet Medicinska och farmaceutiska vetenskapsområdet (utgivare)
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Uppsala universitet Medicinska och farmaceutiska vetenskapsområdet (utgivare)
- Publicerad: 2018
- Engelska.
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Ingår i: PLoS ONE. - 1932-6203. ; 13:11
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Sammanfattning
Ämnesord
Stäng
- BACKGROUND: The use of evidence-based practice among healthcare professionals directly correlates to better outcomes for patients and higher professional satisfaction. Translating knowledge in practice and mobilizing evidence-based clinical care remains a continuing challenge in healthcare systems across the world. PURPOSE: To describe experiences from the implementation of an Early Detection and Treatment Program for Children (EDT-C) among health care professionals at a pediatric hospital in Sweden. DESIGN AND METHODS: Sixteen individual interviews were conducted with physicians, nurses and nurse assistants, which of five were instructors. Data were analyzed with qualitative content analysis. RESULTS: An overarching theme was created: From uncertainty and skepticism towards assurance and control. The theme was based on the content of eight categories: An innovation suitable for clinical practice, Differing conditions for change, Lack of organizational slack, Complex situations, A pragmatic implementation strategy, Delegated responsibility, Experiences of control and Successful implementation. CONCLUSIONS: Successful implementation was achieved when initial skepticism among staff was changed into acceptance and using EDT-C had become routine in their daily work. Inter-professional education including material from authentic patient cases promotes knowledge about different professions and can strengthen teamwork. EDT-C with evidenced-based material adapted to the context can give healthcare professionals a structured and objective tool with which to assess and treat patients, giving them a sense of control and assurance.
Ämnesord
- Medical and Health Sciences (hsv)
- Clinical Medicine (hsv)
- Pediatrics (hsv)
- Medicin och hälsovetenskap (hsv)
- Klinisk medicin (hsv)
- Pediatrik (hsv)
- Health Sciences (hsv)
- Health Care Service and Management, Health Policy and Services and Health Economy (hsv)
- Hälsovetenskaper (hsv)
- Hälso- och sjukvårdsorganisation, hälsopolitik och hälsoekonomi (hsv)
Genre
- government publication (marcgt)
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