Participants articulated the importance of
embedding the MVWP in practice through organizational
policy. When the MVWP was integrated into a policy,
participants advocated wide and frequent distribution
of the policy because of healthcare provider rotation
through the ICU and novice nurses who need to
understand consistent implementation of the policy.
After presentation during a conference, physicians
and nurses decide we will implement the protocol.
Then we communicate the decision in the division
conference so everyone in the group receives
the same information. We will notify new team
members that we do have a weaning process in
the hospital. (ID, Head nurse, H3)
Participants stated that audit and monitoring
were essential to assess the knowledge and skills of
healthcare providers. Regular audit and monitoring
by leadership helps to identify gaps in MVWP
implementation for quality improvement. Several
approaches were used for audit and monitoring including
observation, asking questions, documentation checks,
and shift reports.