id author title date pages extension mime words sentences flesch summary cache txt cord-011011-jxymy4e4 Cuttini, Marina What drives change in neonatal intensive care units? A qualitative study with physicians and nurses in six European countries 2020-01-02 .txt text/plain 5229 282 51 Six categories of drivers to change were identified: availability of new knowledge or technology; guidelines or regulations from outside the unit; need to standardize practices; participation in research; occurrence of adverse events; and wish to improve care. 13 We carried out a qualitative study with physicians and nurses to explore how clinical or organizational innovations are introduced and implemented in neonatal intensive care units (NICUs), a setting characterized by extreme patient fragility, complex technological environment, highly specialized multidisciplinary personnel. (Physician/Germany/39) In one case only the reported research, a randomized clinical trial to identify the lowest baby's weight for safe transition from incubator to open cot, was designed by the informant and carried out within the unit itself: Nevertheless, when the change involves, as in this case, organizational modifications requiring compliance by the whole team and the parents, implementation can still be challenging: ./cache/cord-011011-jxymy4e4.txt ./txt/cord-011011-jxymy4e4.txt