scholarly journals Intervention to reduce unnecessary urinary catheter use in a large academic health science centre: A one‐group, pretest, posttest study with a theory‐based process evaluation

Nursing Open ◽  
2021 ◽  
Author(s):  
Chantal Backman ◽  
Krista R. Wooller ◽  
Delvina Hasimja‐Saraqini ◽  
Melissa Demery Varin ◽  
Michelle Crick ◽  
...  
Keyword(s):  
Process Evaluation ◽  
Urinary Catheter ◽  
Health Science ◽  
Academic Health ◽  
Science Centre ◽  
Academic Health Science Centre

Intervention to reduce unnecessary urinary catheter use in a large academic health science centre: A theory-based process evaluation

2020 ◽  
Author(s):  
Chantal Backman ◽  
Krista R Wooller ◽  
Delvina Hasimja-Saraqini ◽  
Melissa Demery Varin ◽  
Michelle Crick ◽  
...  
Keyword(s):  
Process Evaluation ◽  
Urinary Catheter ◽  
Phase 1 ◽  
Health Science ◽  
Phase 2 ◽  
Urinary Catheters ◽  
Academic Health ◽  
Barriers And Enablers ◽  
Science Centre ◽  
Academic Health Science Centre

Abstract Background: Inappropriate use of urinary catheters can increase the risk of catheter-associated urinary tract infections (CAUTI) leading to increased morbidity and increased costs. The overall purpose of this study was to evaluate an intervention to reduce unnecessary urinary catheter use and prevent CAUTI in hospitalized patients across a large academic health science centre. Methods: This was a two-phase study, which took place between 2017 and 2019. Phase 1 was a pre- and post-intervention design to test the impact of a CAUTI protocol across the organization. Audits on 4 units pre and post were conducted, and data were analyzed descriptively. Phase 2 was a theory-based process evaluation to understand the barriers and enablers to the implementation. Semi-structured interviews were conducted and then analyzed using a systematic approach. Results: Phase 1: All inpatients with urinary catheters admitted on the four selected units during the study period (n=99, pre) and (n=99, post) were included. CAUTI prevalence rate was 18.2% pre vs 14.1% post (p=.563). Phase 2: participants (n=18) who worked during the study period on the four audit units were interviewed, and a total of 13 barriers and 19 enablers were found across the participant groups. Conclusion: No statistically significant difference in CAUTI prevalence rates were noted. The theory-based process evaluation provided insights into barriers and enablers to the implementation which may help reformulate the intervention in the future.

scholarly journals Burnout among faculty physicians in an academic health science centre

2011 ◽  
Vol 16 (7) ◽  
pp. 409-413 ◽  
Author(s):  
James Gardner Wright ◽  
Nicole Khetani ◽  
Derek Stephens
Keyword(s):  
Health Science ◽  
Academic Health ◽  
Science Centre ◽  
Academic Health Science Centre

scholarly journals Leaders’ perspectives on learning health systems: a qualitative study

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Joanne Enticott ◽  
Sandra Braaf ◽  
Alison Johnson ◽  
Angela Jones ◽  
Helena J. Teede
Keyword(s):  
Qualitative Study ◽  
Health Data ◽  
Health Science ◽  
Data Driven ◽  
Quality Data ◽  
Continuous Learning ◽  
Academic Health ◽  
Science Centre ◽  
Academic Health Science Centre ◽  
Skilled Workforce

Abstract Background Integrated utilisation of digital health data has the power to transform healthcare to deliver more efficient and effective services, and the learning health system (LHS) is emerging as a model to achieve this. The LHS uses routine data from service delivery and patient care to generate knowledge to continuously improve healthcare. The aim of this project was to explore key features of a successful and sustainable LHS to inform implementation in an Academic Health Science Centre context. Methods We purposively identified and conducted semi-structured qualitative interviews with leaders, experienced in supporting or developing data driven innovations in healthcare. A thematic analysis using NVivo was undertaken. Results Analysis of 26 interviews revealed five themes thought to be integral in an effective, sustainable LHS: (1) Systematic approaches and iterative, continuous learning with implementation into healthcare contributing to new best-practice care; (2) Broad stakeholder, clinician and academic engagement, with collective vision, leadership, governance and a culture of trust, transparency and co-design; (3) Skilled workforce, capability and capacity building; (4) Resources with sustained investment over time and; (5) Data access, systems and processes being integral to a sustainable LHS. Conclusions This qualitative study provides insights into the elements of a sustainable LHS across a range of leaders in data-driven healthcare improvement. Fundamentally, an LHS requires continuous learning with implementation of new evidence back into frontline care to improve outcomes. Structure, governance, trust, culture, vision and leadership were all seen as important along with a skilled workforce and sustained investment. Processes and systems to optimise access to quality data were also seen as vital in an effective, sustainable LHS. These findings will inform a co-designed framework for implementing a sustainable LHS within the Australian healthcare and Academic Health Science Centre context. It is anticipated that application of these findings will assist to embed and accelerate the use of routine health data to continuously generate new knowledge and ongoing improvement in healthcare delivery and health outcomes.

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