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Enhancing Implementation of Complex Critical Care Interventions through Interprofessional Education.
Kimberly J Rak1, Jeremy M Kahn1, Kelsey Linstrum1
1Clinical Research, Investigation, and Systems Modeling of Acute Illness Center, Department of Critical Care Medicine, School of Medicine.
ATS Scholar
|October 20, 2021
Summary
Interprofessional education can improve the adoption of evidence-based practices in the intensive care unit (ICU). This study explored team dynamics and barriers to using preventive noninvasive ventilation (NIV) to inform educational strategies.
Area of Science:
- Critical care medicine
- Healthcare team dynamics
- Evidence-based practice implementation
Background:
- Slow adoption of evidence-based teamwork interventions in ICUs.
- Hypothesis: Interprofessional education enhances implementation of complex ICU interventions.
- Focus: Team dynamics, evidence translation, and interprofessional education for preventive noninvasive ventilation (NIV).
Purpose of the Study:
- Qualitatively assess opinions on team dynamics and evidence translation.
- Explore knowledge, attitudes, and practices regarding preventive postextubation NIV.
- Gather insights for developing interprofessional educational strategies.
Main Methods:
- Semistructured interviews and focus groups with ICU nurses, respiratory therapists, and physicians.
- Qualitative thematic content analysis of transcripts.
- Study conducted in four ICUs across four hospitals.
Main Results:
- Participants viewed team dynamics favorably but noted impact on care coordination.
- Interprofessional education was viewed positively, with suggestions for content and delivery.
- Preventive NIV use was infrequent; challenges included patient discomfort and ICU-specific management differences.
Conclusions:
- Interprofessional education shows promise for improving evidence translation in ICUs.
- Identified patient-specific and ICU-wide barriers to preventive NIV implementation.
- Findings inform the development of acceptable, appropriate, and feasible educational strategies for evidence-based practices.
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