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Implementation science: describing implementation methods used by pediatric intensive care units in a national
Insights
Pediatric Intensive Care Units (PICUs) widely use 20 implementation methods to reduce central line-associated bloodstream infections (CLABSI). These methods are crucial for applying evidence-based practices effectively in critical care settings.
Area of Science:
- Healthcare Quality Improvement
- Pediatric Critical Care
- Evidence-Based Practice Implementation
Background:
- Significant delays exist in translating research findings into clinical practice, with evidence-based practice implementation remaining a challenge.
- Effective strategies are needed to bridge the gap between research evidence and bedside application in healthcare.
- Understanding the most effective implementation methods is crucial for improving patient care.
Purpose of the Study:
- To investigate the utilization of 20 specific implementation methods within 57 Pediatric Intensive Care Units (PICUs).
- To assess the adoption of these methods in a collaborative effort to eliminate central line-associated bloodstream infections (CLABSI) in critically ill children.
- To identify the range of implementation strategies employed by PICUs.
Main Methods:
- A descriptive research design was employed using a Likert scale survey.
- The survey assessed the intensity of use for 20 predefined implementation methods.
- Participating PICUs were also prompted to identify any additional, non-surveyed implementation methods they utilized.
Main Results:
- A high to very high level of usage was reported for most of the 20 implementation methods across the 57 participating PICUs.
- This indicates a broad adoption of these strategies within the surveyed pediatric intensive care settings.
Conclusions:
- The 20 implementation methods examined in this study encompass the majority of strategies currently employed by PICUs.
- The widespread use suggests these methods are considered valuable for improving care and reducing infections like CLABSI.
Background:
In 2001, the Committee on Quality in Health Care in America found it took 17 years for evidence from randomized controlled trials to be applied to practice, with little improvement over the last decade. Even abbreviated and summarized evidence fails to be consistently implemented at the bedside. More emphasis needs to be placed on understanding which Implementation Methods are most effective in successfully implementing evidence-based practice at the bedside.
Purpose:
The purpose of the study was to explore the use of 20 Implementation Methods by 57 Pediatric Intensive Care Units (PICUs) participating in the National Association of Children's Hospitals and Related Institutions (NACHRI, 2011) collaborative to eliminate central line associated blood stream infections (CLABSI) in critically ill children.
Methods:
This descriptive research study was conducted using a Likert survey to determine the intensity of use of 20 Implementation Methods by PICUs. PICUs were also asked to identify any additional Implementation Methods that were used, but not included in the survey.
Results:
Most Implementation Methods had high or very high use across the 57 PICUs.
Conclusions:
The 20 Implementation Methods identified as part of this study, represented the vast majority of Implementation Methods used by PICUs.
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