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Published on: February 23, 2024
Factors influencing the implementation of best practice in burn care in Western Australia
T L McWilliams1, D Twigg2, J Hendricks3
1Edith Cowan University, Joondalup, Western Australia; Total Care Burns Unit, Perth Children's Hospital, Perth, Western Australia.
Insights
Telehealth services can improve pediatric burn care, but technology issues hinder clinician adherence to best practices. Optimizing IT is crucial for effective pre-burn unit treatment and patient outcomes.
Area of Science:
- Pediatric Burn Care
- Clinical Practice Guidelines
- Healthcare Technology
Background:
- Optimal initial management of pediatric burn patients is critical for reducing morbidity and mortality.
- Factors influencing non-specialist clinician adherence to best practices in pediatric burn care remain underexplored.
Purpose of the Study:
- To identify factors influencing clinician behavior and adherence to best practices in the initial care of pediatric burn patients.
- To explore barriers and facilitators for clinicians providing acute pre-admission burn care for children.
Main Methods:
- A qualitative study using general inductive methods was employed.
- Data were collected through interviews with nineteen clinicians using standardized open-ended questions.
- The Gilbert Behaviour Engineering Model guided the interview framework.
Main Results:
- The availability of telehealth services was a key factor supporting clinical practice.
- Information technology (IT) issues presented significant challenges for clinicians.
- Barriers related to IT impacted both adherence to best practices and telehealth accessibility.
Conclusions:
- Telehealth services are valuable resources for clinicians managing pediatric burn patients.
- IT infrastructure and accessibility are major barriers that require optimization to support best practices in burn care.
- Understanding these factors can inform the development of improved care models for pediatric burn patients.
Aims And Objectives:
The study aimed to determine the factors which influence clinician behaviour and adherence to best practice when clinicians provide the initial care for paediatric burn patients admitted to a burns unit.
Background:
Optimal initial care of burn patients influences morbidity and mortality. Non-burn specialist clinician adherence to best practice is influenced by previously unexplored factors.
Design:
General inductive qualitative methods were used to explore factors which influenced clinicians providing acute pre-admission burn care for children in Western Australia.
Methods:
Interviews of nineteen clinicians using standardised open-ended questions based on the Gilbert Behaviour Engineering Model were used to collect data.
Results:
The main influencing factors identified were the telehealth service which supported practice, whilst IT issues provided challenges to clinicians.
Conclusion:
Telehealth services support clinicians when providing burn care, however IT issues are an major barrier to both best practice and accessing the telehealth service and should be optimised to support clinical care IMPACT STATEMENT: What does this paper contribute to the wider global community? It provides burn clinicians with an insight into the factors which facilitate optimal care for patients prior to transfer to burn units, as well as the barriers faced by non-burn specialist clinicians when patients initially present for care. Models of care which acknowledge these factors can help facilitate optimal patient care.
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