Theory-driven, rapid formative research on quality improvement intervention for critical care of patients with COVID-19 in Argentina.
Javier E RobertiFacundo JorroViviana RodríguezMaría BelizánPilar AriasMaría Elena RattoRosa ReinaNatalí IniCecilia LoudetEzequiel García-ElorrioPublished in: Global qualitative nursing research (2021)
The challenges of implementing interventions in healthcare settings have been more apparent during the COVID-19 pandemic. This pre-implementation evaluation used a rapid qualitative approach to explore barriers and facilitators to an intervention in intensive care units in Argentina, aimed to promote the use of personal protection equipment, provide emotional support for professionals, and achieve patient flow goals. Data were collected using semi-structured interviews with health professionals of 15 public hospitals in Argentina. Normalization Process Theory was used to guide content analysis of the data. Participants identified potential barriers such as the incorporation of non-specialist staff, shortage of resources, lack of communication between groups and shifts. Potential facilitators were also identified: regular feedback and communication related to implementation, adequate training for new and non-specialist staff, and incentives (e.g., scholarships). The immediacy of the pandemic demanded rapid qualitative research, sharing actionable findings in real time.
Keyphrases
- healthcare
- quality improvement
- randomized controlled trial
- loop mediated isothermal amplification
- palliative care
- intensive care unit
- electronic health record
- patient safety
- primary care
- coronavirus disease
- health information
- sars cov
- big data
- mental health
- emergency department
- human health
- physical activity
- case report
- long term care
- risk assessment
- social media
- magnetic resonance imaging
- smoking cessation
- diffusion weighted imaging
- computed tomography
- global health
- deep learning
- acute respiratory distress syndrome
- contrast enhanced
- drug induced