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Creating a community of practice to prevent readmissions: An improvement work on shared learning between an intensive care unit and a surgical ward
Jönköping University, School of Health and Welfare, The Jönköping Academy for Improvement of Health and Welfare. Jönköping University, School of Health and Welfare, HHJ, Quality Improvement and Leadership in Health and Welfare.
2016 (English)Independent thesis Advanced level (degree of Master (Two Years)), 20 credits / 30 HE creditsStudent thesis
Abstract [en]

Background

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.

 

Aim

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.

 

Methods

Questionnaires, focus groups, Nelson’s improvement ramp, and qualitative content analysis.

 

Results

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.

 

Discussion

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.
Keyword [en]
improvement knowledge, improvement project, communities of practice, intensive care, critical care outreach service, critical care nurses
National Category
Health Care Service and Management, Health Policy and Services and Health Economy
Identifiers
URN: 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
Presentation
2016-06-02, Forum Humanum, Hälsohögskolan, Barnarpsgatan 39, Jönköping, 09:00 (Swedish)
Supervisors
Examiners
Available from: 2016-07-04 Created: 2016-06-04 Last updated: 2016-09-19Bibliographically approved

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CiteExportLink to record
Permanent link

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Cite
Citation style
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf