CLINICIAN PERSPECTIVES OF BARRIERS TO EFFECTIVE IMPLEMENTATION OF A RAPID RESPONSE SYSTEM IN AN ACADEMIC HEALTH CENTRE: A FOCUS GROUP STUDY

Q: How can I download an article?

To download an article from SID, first log in to the site, search for the article title, and click on the 'Download Article' option.

Q: How can I download an ISI article?

To download an ISI article on SID, enter the keyword or article title in the search bar, view the relevant results, click on the desired article, and select the 'Download Article' option.

Q: How can I access the SID database?

To access the SID database, visit SID.ir, create an account, and log in to access scientific resources.

Q: Is downloading articles from SID free?

Some articles on SID are available for free, while others require payment. Details are specified on the article's page.

RIHARI THOMAS JOHN; DIGIACOMO MICHELLE; PHILLIPS JANE; NEWTON PHILLIP; DAVIDSON PATRICIA M.

مرکز اطلاعات علمی Scientific Information Database (SID) - Trusted Source for Research and Academic Resources

Journal Paper

Paper Information

Journal: INTERNATIONAL JOURNAL OF HEALTH POLICY AND MANAGEMENT Year:2017 | Volume:6 | Issue:8 Page(s): 447-456

Download Full-Text

View:

217

Download:

140

Cites:

Information Journal Paper

Title

CLINICIAN PERSPECTIVES OF BARRIERS TO EFFECTIVE IMPLEMENTATION OF A RAPID RESPONSE SYSTEM IN AN ACADEMIC HEALTH CENTRE: A FOCUS GROUP STUDY

Author(s)

Keywords

MEDICAL EMERGENCY TEAM (MET)

QUALITATIVE RESEARCH

HEALTHCARE QUALITY IMPROVEMENT

Abstract

Background: Systemic and structural issues of rapid response system (RRS) models can hinder implementation. This study sought to understand the ways in which acute care clinicians (physicians and nurses) experience and negotiate care for deteriorating patients within the RRS.Methods: Physicians and nurses working within an Australian academic health centre within a jurisdictional-based model of clinical governance participated in focus group interviews. Verbatim transcripts were analysed using thematic content analysis.Results: Thirty-four participants (21 physicians and 13 registered nurses [RNs]) participated in six focus groups over five weeks in 2014. Implementing the RRS in daily practice was a process of informal communication and negotiation in spite of standardised protocols. Themes highlighted several systems or organisational-level barriers to an effective RRS, including (1) responsibility is inversely proportional to clinical experience; (2) actions around system flexibility contribute to deviation from protocol; (3) misdistribution of resources leads to perceptions of inadequate staffing levels inhibiting full optimisation of the RRS; and (4) poor communication and documentation of RRS increases clinician workloads.Conclusion: Implementing a RRS is complex and multifactorial, influenced by various inter- and intra-professional factors, staffing models and organisational culture. The RRS is not a static model; it is both reflexive and iterative, perpetually transforming to meet healthcare consumer and provider demands and local unit contexts and needs. Requiring more than just a strong initial implementation phase, new models of care such as a RRS demand good governance processes, ongoing support and regular evaluation and refinement. Cultural, organizational and professional factors, as well as systems-based processes, require consideration if RRSs are to achieve their intended outcomes in dynamic healthcare settings.

Multimedia

No record.

Cites

No record.

References

No record.

Cite

APA: Copy

RIHARI THOMAS, JOHN, DIGIACOMO, MICHELLE, PHILLIPS, JANE, NEWTON, PHILLIP, & DAVIDSON, PATRICIA M.. (2017). CLINICIAN PERSPECTIVES OF BARRIERS TO EFFECTIVE IMPLEMENTATION OF A RAPID RESPONSE SYSTEM IN AN ACADEMIC HEALTH CENTRE: A FOCUS GROUP STUDY. INTERNATIONAL JOURNAL OF HEALTH POLICY AND MANAGEMENT, 6(8), 447-456. SID. https://sid.ir/paper/338344/en

Vancouver: Copy

RIHARI THOMAS JOHN, DIGIACOMO MICHELLE, PHILLIPS JANE, NEWTON PHILLIP, DAVIDSON PATRICIA M.. CLINICIAN PERSPECTIVES OF BARRIERS TO EFFECTIVE IMPLEMENTATION OF A RAPID RESPONSE SYSTEM IN AN ACADEMIC HEALTH CENTRE: A FOCUS GROUP STUDY. INTERNATIONAL JOURNAL OF HEALTH POLICY AND MANAGEMENT[Internet]. 2017;6(8):447-456. Available from: https://sid.ir/paper/338344/en

IEEE: Copy

JOHN RIHARI THOMAS, MICHELLE DIGIACOMO, JANE PHILLIPS, PHILLIP NEWTON, and PATRICIA M. DAVIDSON, “CLINICIAN PERSPECTIVES OF BARRIERS TO EFFECTIVE IMPLEMENTATION OF A RAPID RESPONSE SYSTEM IN AN ACADEMIC HEALTH CENTRE: A FOCUS GROUP STUDY,” INTERNATIONAL JOURNAL OF HEALTH POLICY AND MANAGEMENT, vol. 6, no. 8, pp. 447–456, 2017, [Online]. Available: https://sid.ir/paper/338344/en

Related Journal Papers

No record.

Related Seminar Papers

No record.

Related Plans

No record.

Recommended Workshops