• Intensieve zorg

• Ja

Nursing participation in how new working methods for nurses are introduced on the ICU is thought to improve patient outcomes and the autonomy of the nurses. Hard evidence by direct comparison in the presence or absence of IC-nursing participation is not available. The ICU of the St Antonius Hospital offered this opportunity of an experimental and a control group with a minimal chance of mutual influence between the groups. We investigated the differences in care using two different implementation methods: a) a method which does not allow participation in implementation decisions and b) a method which does allow participation. The result differences between the groups show that participation of nurses in the implementation resulted in better patient outcomes and more nursing compliance. It also resulted in more professional clinical autonomy, changes in the personal orientation of nurses towards their activities and in their personal norms and values. The differences suggest that participation led to changing of the protocol while the goals of the protocol were adhered to. The increase in professional clinical autonomy, not connected to the innovation suggests that taking part of the participation was more important than the participation actions.

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