A Qualitative Study Investigating the Barriers to the Implementation of the ‘Sepsis Six Care Bundle’ in Maternity Wards
| Autor: | Gazala Akram, Nouf Abutheraa, June Grant, Alexander B. Mullen |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
RM
Leadership and Management Poor compliance sepsis six care bundle lcsh:Medicine Health Informatics Context (language use) Article sepsis 03 medical and health sciences 0302 clinical medicine Health Information Management Nursing Medicine 030212 general & internal medicine Care bundle implementation science business.industry Health Policy lcsh:R 030208 emergency & critical care medicine behaviour midwives Sepsis Six care bundle Thematic analysis RG business Staff training Qualitative research |
| Zdroj: | Healthcare, Vol 8, Iss 374, p 374 (2020) Healthcare Volume 8 Issue 4 |
| ISSN: | 2227-9032 |
| Popis: | Background: In 2014, the Sepsis Six Care Bundle (SSCB) was introduced into a Scottish health region to improve patient outcomes. Poor compliance was demonstrated with the SSCB across different specialities. This study explored determinants of non-compliance with the SSCB in maternity wards. Methods: In-depth interviews were conducted with midwives in a single Scottish health region. Convenience sampling was used to recruit interviewees. The interviews were digitally recorded, transcribed verbatim, entered into NVivo software, and analysed using thematic analysis. Results: Thirteen face-to-face interviews were completed and lasted an average of 33 min. Three main barriers were identified to SSCB implementation the difficulty of diagnosing sepsis, the suitability of the SSCB in a maternity setting as part of the pre-conditions phase, and the lack of staff training as part of the pre-implementation phase. Conclusion: The findings emphasize the importance of adapting improvement initiatives with sufficient preparation of staff in the rationale use to the context of care bundles. |
| Databáze: | OpenAIRE |
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