Category | Subcategory | Statement | Agree (%) | Disagree (%) | NAa (%) |
---|---|---|---|---|---|
P | Attitude | I think that having a checklist to structure the verbal handover is useful.c | 153 (92.2) | 7 (4.2) | 6 (3.6) |
P | Attitude | I think that there is room to improve the communication between ICU and general ward.c, g | 145 (87.3) | 19 (11.4) | 2 (1.2) |
I | Resources | I experience enough demand from the ward to implement/sustain the consulting ICU nurse position. | 138 (83.1) | 20 (12.0) | 8 (4.8) |
O | ICT infrastructure | I think that when making an up-to-date medication overview at ICU discharge a electronic patient file is indispensable. d | 130 (78.3) | 32 (19.3) | 4 (2.4) |
I | Utility | I think that there are differences between intensivists in when they deem a patient ready for ICU discharge, because there are no specific ICU discharge criteria. | 128 (77.1) | 32 (19.3) | 6 (3.6) |
S | Collaboration | I do sometimes overestimate the possibilities in a general ward.e | 124 (74.7) | 38 (22.9) | 4 (2.4) |
S | Leadership | I think that improving the ICU discharge process deserves more attention from the management.e, f | 121 (72.9) | 40 (24.1) | 5 (3.0) |
O | Resources | I think that implementing improvement interventions takes a lot of energy and time. | 117 (70.5) | 46 (27.7) | 3 (1.8) |
I | Utility | I think it is desirable to set more specific ICU discharge criteria. | 115 (69.3) | 48 (28.9) | 3 (1.8) |
I | Feasibility | I think that planning the discharge of an ICU patient 24Â h in advance is not feasible in daily practice, because the time between the decision to discharge and actual handover is often less than 24Â h.d | 109 (65.7) | 54 (32.5) | 3 (1.8) |
O | Resources | A major reason for not performing a verbal handover between physicians is the fact that the ward physician is often not available. | 108 (65.1) | 50 (30.1) | 8 (4.8) |
S | Culture | In my experience ward professional do give feedback when the handover to the general ward was suboptimal, | 92 (55.4) | 68 (41.0) | 6 (3.6) |
O | Resources | I think that a lack of financial resources is a barrier for implementing improvement interventions. | 82 (49.4) | 79 (47.6) | 5 (3.0) |
O | Resources | In my opinion it is organisationally impossible to make step down facilities.d | 82 (49.4) | 70 (42.2) | 14 (8.4) |
O | Resources | I think that because of an insufficient nursing staff it is not feasible to monitor post-ICU patient on the wards. b | 76 (45.8) | 83 (50.0) | 7 (4.2) |
Sy | Professional associations | I think that relocating ICU tasks to the wards by a consulting ICU nurse is not desirable. c | 65 (39.2) | 100 (60.2) | 1 (0.6) |
I | Credibility | I think the ICU discharge criteria as described in the NVIC guideline are sufficiently based on scientific evidence. | 62 (37.3) | 79 (47.6) | 25 (15.1) |
I | Utility | I think that the ICU discharge criteria as described in the NVIC guideline are unclear. | 58 (34.9) | 91 (54.8) | 17 (10.2) |
P | Attitude | I think that intensivists should be involved in care for ICU patients until they are discharged from the hospital. | 43 (25.9) | 123 (74.1) | 0 (0.0) |
I | Credibility | If there is no scientific evidence for an intervention, I think that this intervention should not be implemented into daily practice. | 42 (25.3) | 123 (74.1) | 1 (0.6) |
O | Structure | I think that the size of my hospital makes it more difficult to improve the ICU discharge process.c, e, f, g | 42 (25.3) | 115 (69.3) | 9 (5.4) |
O | Resources | I think the current nursing staff is not sufficient for introducing a consulting ICU nurse position. | 41 (24.7) | 117 (70.5) | 8 (4.8) |
IP | Accessibility | I’ve never seen written ICU discharge criteria in our ICU.c, d | 39 (23.5) | 124 (74.7) | 3 (1.8) |
I | Feasibility | I think that performing structured handover takes a lot of time. | 34 (20.5) | 130 (78.3) | 2 (1.2) |
I | Credibility | Because little is known about causes of ICU readmissions, we can’t do anything about this problem. | 31 (18.7) | 134 (80.7) | 1 (0.6) |
I | Utility | I think it is impossible to set more specific ICU discharge criteria. | 30 (18.1) | 124 (74.7) | 12 (7.2) |
P | Attitude | I think that the sickest patient should be the priority of the intensivist. Patients who are almost ready for ICU discharge are of less importance.f | 21 (12.7) | 143 (86.1) | 2 (1.2) |