The implementation of a guideline of care for patients with a Sengstaken-Blakemore tube in situ in a general intensive care unit using transitional change theory.
The use of the Sengstaken-Blakemore tube as a life-saving treatment for bleeding oesophageal varices is slowly becoming the least preferred method possibly due to the potential complications associated with its placement. Nursing practice pertaining to the care of this patient group appears ad hoc and reliant on local knowledge and experience as opposed to recognised evidence of best practice. Therefore, this paper focuses on the application of Lewin's transitional change theory used to introduce a change in nursing practice with the application of a guideline to enhance the care of patients with a Sengstaken-Blakemore tube in situ within a general intensive care unit. This method identified some of the complexities surrounding the change process including the driving and restraining forces that must be harnessed and minimised in order for the adoption of change to be successful.
Christensen
Teresa
T
General Intensive Care Unit, Southampton General Hospital, Tremona Road, Southampton, United Kingdom.
Christensen
Martin
M
D001291:Attitude of Health Personnel; D019985:Benchmarking; D003299:Cooperative Behavior; D003422:Critical Care / Q000458:organization & administration*; D004059:Diffusion of Innovation; D004932:Esophageal and Gastric Varices / Q000150:complications / Q000628:therapy*; D019317:Evidence-Based Medicine; D006471:Gastrointestinal Hemorrhage / Q000209:etiology / Q000628:therapy; D007722:Health Knowledge, Attitudes, Practice; D006489:Hemostatic Techniques / Q000451:nursing; D006801:Humans; D007400:Interprofessional Relations; D007441:Intubation, Gastrointestinal / Q000451:nursing*; D009042:Motivation; D015403:Nursing Evaluation Research; D009741:Nursing Staff, Hospital / Q000193:education / Q000458:organization & administration / Q000523:psychology; D009936:Organizational Innovation; D010347:Patient Care Planning; D018579:Patient Selection; D010865:Pilot Projects; D011209:Power, Psychological; D017410:Practice Guidelines as Topic; D011582:Psychological Theory; D035502:Trust