Harmonization of practice among different groups of caregivers: a guideline on arterial blood gas utilization

J Nurs Care Qual. 2005 Oct-Dec;20(4):327-34. doi: 10.1097/00001786-200510000-00008.

Abstract

Quality improvement programs based on guidelines should change practice and reduce intraindividual and interindividual variations as well as variations between groups of caregivers. We analyzed a quality improvement program in 3 groups of caregivers. The groups modified differently their practice. Less experienced caregivers modified their practice the most, joining the more experienced professionals. This harmonization was achieved only during the last consolidation period. The analysis of practice could identify the quality of the implementation process and the group on which attention should be focused when such a quality improvement program is undertaken.

Publication types

  • Evaluation Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Algorithms
  • Attitude of Health Personnel
  • Blood Gas Analysis / nursing
  • Blood Gas Analysis / standards*
  • Blood Gas Analysis / statistics & numerical data
  • Clinical Competence / standards
  • Critical Care / standards
  • Critical Care / statistics & numerical data
  • Decision Trees
  • Feedback, Psychological
  • Guideline Adherence / standards*
  • Guideline Adherence / statistics & numerical data
  • Health Knowledge, Attitudes, Practice
  • Hospitals, University
  • Humans
  • Inservice Training / organization & administration
  • Medical Audit
  • Medical Staff, Hospital / education
  • Medical Staff, Hospital / psychology
  • Medical Staff, Hospital / standards
  • Motivation
  • Nursing Audit
  • Nursing Evaluation Research
  • Nursing Staff, Hospital / education
  • Nursing Staff, Hospital / psychology
  • Nursing Staff, Hospital / standards
  • Patient Selection
  • Practice Guidelines as Topic*
  • Practice Patterns, Physicians' / standards*
  • Practice Patterns, Physicians' / statistics & numerical data
  • Program Evaluation
  • Surveys and Questionnaires
  • Total Quality Management / organization & administration*