Theory-driven, rapid formative research on quality improvement intervention for critical care of patients with COVID-19 in Argentina.

Autor:	Roberti J; Institute for Clinical Effectiveness and Health Policy, (IECS), Buenos Aires, Argentina.; Centre for Research in Epidemiology and Public Health at National Scientific and Technical Research Council (CIESP - CONICET), Buenos Aires, Argentina., Jorro F; Institute for Clinical Effectiveness and Health Policy, (IECS), Buenos Aires, Argentina., Rodríguez V; Institute for Clinical Effectiveness and Health Policy, (IECS), Buenos Aires, Argentina., Belizán M; Institute for Clinical Effectiveness and Health Policy, (IECS), Buenos Aires, Argentina., Arias P; Argentine Society of Intensive Care (SATI), Buenos Aires, Argentina., Ratto ME; Argentine Society of Intensive Care (SATI), Buenos Aires, Argentina., Reina R; Argentine Society of Intensive Care (SATI), Buenos Aires, Argentina., Ini N; Institute for Clinical Effectiveness and Health Policy, (IECS), Buenos Aires, Argentina.; Centre for Research in Epidemiology and Public Health at National Scientific and Technical Research Council (CIESP - CONICET), Buenos Aires, Argentina., Loudet C; Argentine Society of Intensive Care (SATI), Buenos Aires, Argentina., García-Elorrio E; Institute for Clinical Effectiveness and Health Policy, (IECS), Buenos Aires, Argentina.
Jazyk:	angličtina
Zdroj:	Global qualitative nursing research [Glob Qual Nurs Res] 2021 May 12; Vol. 8, pp. 23333936211015660. Date of Electronic Publication: 2021 May 12 (Print Publication: 2021).
DOI:	10.1177/23333936211015660
Abstrakt:	The challenges of implementing interventions in healthcare settings have been more apparent during the COVID-19 pandemic. This pre-implementation evaluation used a rapid qualitative approach to explore barriers and facilitators to an intervention in intensive care units in Argentina, aimed to promote the use of personal protection equipment, provide emotional support for professionals, and achieve patient flow goals. Data were collected using semi-structured interviews with health professionals of 15 public hospitals in Argentina. Normalization Process Theory was used to guide content analysis of the data. Participants identified potential barriers such as the incorporation of non-specialist staff, shortage of resources, lack of communication between groups and shifts. Potential facilitators were also identified: regular feedback and communication related to implementation, adequate training for new and non-specialist staff, and incentives (e.g., scholarships). The immediacy of the pandemic demanded rapid qualitative research, sharing actionable findings in real time. Competing Interests: Declaration of Conflicting Interests: The authors declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article. (© The Author(s) 2021.)
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu