Creating a community of practice to prevent readmissions: An improvement work on shared learning between an intensive care unit and a surgical ward
Independent thesis Advanced level (degree of Master (Two Years)), 20 credits / 30 HE creditsStudent thesis
ICU readmissions within 72 hours after discharge from the intensive care unit (ICU) is a problem because this leads to higher mortality and longer hospital stays.
This is a particular problem for the hospital studied for this thesis because there are only three fully equipped ICU beds available.
To prevent readmissions by introducing nursing rounds as a concept of “communities of practice” (CoP) and to identify supportive and prohibitive mechanisms in the improvement work and knowledge needed for further improvement work in similar settings.
Questionnaires, focus groups, Nelson’s improvement ramp, and qualitative content analysis.
There were no readmissions from the participating ward after the nursing rounds started, but the reason for this is not clear. The staff experienced the nursing rounds as valuable and they reported greater feelings of confidence, increased exchange, and use of their own knowledge.
The findings presented here support that hypothesis that CoP builds knowledge that can improve patient care. The information provided to the participants during the improvement project was identified as the most supportive mechanism for improvement work, and a lack of resources was seen as the most prohibitive mechanism.
Place, publisher, year, edition, pages
2016. , 46 p.
improvement knowledge, improvement project, communities of practice, intensive care, critical care outreach service, critical care nurses
Health Care Service and Management, Health Policy and Services and Health Economy
IdentifiersURN: urn:nbn:se:hj:diva-30244ISRN: JU-HHJ-KVA-2-20160030OAI: oai:DiVA.org:hj-30244DiVA: diva2:940406
Subject / course
HHJ, Quality improvement and leadership in health and welfare services
2016-06-02, Forum Humanum, Hälsohögskolan, Barnarpsgatan 39, Jönköping, 09:00 (Swedish)
Andersson Gäre, Boel, Professor