Table 3

Details of self-reported change to practice (n=496)

Characteristics of practice changen%
Emergency department8921.2
Intensive care unit4210.0
Operating theatre5112.2
Inpatient ward14634.8
Outpatient unit primary care4711.2
Residential aged care facility11928.4
Who was involved in the practice change?*
One discipline group (eg, doctors only)15737.5
Two discipline groups (eg, doctors and nurses)18844.9
Three discipline groups (eg, doctors, nurses and pharmacists)4811.5
Four or more discipline groups389.1
Practice change was related to:*
Education and training28668.3
Policy, procedures and protocols18243.4
Clinical practice28367.5
Evaluation of care14233.9
Documentation of practice20548.9
Improving staff morale/attitude12229.1
Edition of the Clinical Communiqué which influenced practice change*
‘Communiqué cases and the National Health Service Standards’12429.6
‘Recognising early warning signs of the deteriorating patient’34181.4
‘Communication and decision making at the bedside’25360.4
‘Responding as a team to medical emergency’19145.6
The practice change had an impact on:*
Patient care33980.9
The action taken in the practice change was to:*
Introduce a new initiative7116.9
Alter or modify an existing initiative38291.2
Discontinue an existing initiative245.7
Number of initiatives where the Clinical Communiqué was used to change practice*
5 or more194.5
Degree to which the Clinical Communiqué influenced practice change*,†
Selecting area of improvement30673.0
Defining the scope of the project17341.3
Engaging senior management18945.1
Engaging point of care staff27665.9
Identifying required resources20348.5
Setting project timelines7618.1
Gathering background research/analysis22754.2
The Clinical Communiqué influenced practice change:*,‡
By raising awareness of an issue40997.6
By engaging staff35484.5
Because of the authority of the publication31074.0
By suggesting improvement strategies35985.7
By prompting staff to evaluate their existing practice36988.1
If the Clinical Communiqué had not been available, the change would have:*,
Happened anyway12930.8
Taken longer34782.8
Happened on a smaller scale23656.3
Not occurred10926.0
  • * Seventy-seven respondents failed to answer this question and were excluded from analysis (n=419).

  • Five-point Likert scale, 5=strongly agree to 1=strongly disagree. Positive responses are counted as the sum of responses that stated ‘strongly agree’ and ‘agree’.

  • Five-point Likert scale, 5=extremely influential to 1=not at all influential. Positive responses are counted as the sum of responses that stated ‘extremely influential’ and ‘very influential’.