Determinants of Evidence-based Practice Uptake in Rural Intensive Care Units. A Mixed Methods Study.

ABSTRACT: Rationale: Evidence-based practices promote quality care for intensive care unit patients but chronic evidence-to-practice gaps limit their reach.Objectives: To characterize key determinants of evidence-based practice uptake in the rural intensive care setting.Methods: A parallel convergent mixed methods design was used with six hospitals receiving a quality improvement intervention. Guided by implementation science principles, we identified barriers and facilitators to uptake using clinician surveys (N = 90), key informant interviews (N = 14), and an implementation tracking log. Uptake was defined as completion of eight practice change steps within 12 months. After completing qualitative and quantitative data analyses for each hospital, site, staff, and

SUBMITTER: Sterba KR 

PROVIDER: S-EPMC7722472 | biostudies-literature | 2020 Sep

REPOSITORIES: biostudies-literature