title: Changing personnel behavior to promote quality care practices in an intensive care unit.
abstract: The delivery of safe high quality patient care is a major issue in clinical settings. However, the implementation of evidence-based practice and educational interventions are not always effective at improving performance. A staff-led behavioral management process was implemented in a large single-site acute (secondary and tertiary) hospital in the North of England for 26 weeks. A quasi-experimental, repeated-measures, within-groups design was used. Measurement focused on quality care behaviors (ie, documentation, charting, hand washing). The results demonstrate the efficacy of a staff-led behavioral management approach for improving quality-care practices. Significant behavioral change (F [6, 19] = 5.37, p < 0.01) was observed. Correspondingly, statistically significant (t-test [t] = 3.49, df = 25, p < 0.01) reductions in methicillin-resistant Staphylococcus aureus (MRSA) were obtained. Discussion focuses on implementation issues.
authors: Dominic
authors: D
authors: Cooper
authors: Keith
authors: K
authors: Farmery
authors: Martin
authors: M
authors: Johnson
authors: Christine
authors: C
authors: Harper
authors: Fiona L
authors: FL
authors: Clarke
authors: Phillip
authors: P
authors: Holton
authors: Susan
authors: S
authors: Wilson
authors: Paul
authors: P
authors: Rayson
authors: Hugh
authors: H
authors: Bence