The realities of practice change: Nurses' perceptions.
content analysis
evidence-based practice
hospital
implementation
nursing
nursing practice
practice change
Journal
Journal of clinical nursing
ISSN: 1365-2702
Titre abrégé: J Clin Nurs
Pays: England
ID NLM: 9207302
Informations de publication
Date de publication:
May 2021
May 2021
Historique:
revised:
23
01
2021
received:
28
09
2020
accepted:
27
01
2021
pubmed:
10
2
2021
medline:
29
7
2021
entrez:
9
2
2021
Statut:
ppublish
Résumé
To explore registered nurses' perceptions of practice change and describe factors that influence the adoption of practice changes. Nurses play a critical role in optimising patient outcomes. Healthcare organisations and nurses must do their part to achieve the Quadruple Aim, which requires nurses to change their practice. Nurses are ideally positioned to improve patient outcomes by changing their practice to align it with research evidence and organisational initiatives; however, this experience of practice change by nurses is grossly under-studied. A qualitative design, inductive content analysis, was used to understand nurses' perceptions of practice change. Eleven registered nurses, who worked in one hospital system, participated in one-on-one semi-structured interviews. The Consolidated Criteria for Reporting Qualitative Studies (COREQ) were followed. The 11 participants described 63 distinct experiences with practice changes. Their experiences with and perceptions of practice change are categorised as (1) There is A History; (2) It's A Lot of Work; (3) It Happens to Nurses; and (4) Doing Right for the Patient. Nurses experience practice change as a central part of the work they do; it occurs frequently and multiple practice changes may co-occur. Nurses identify strategies, such as thoughtful planning, engaging nurses, and communicating the rationale for and the outcomes of the practice change, to facilitate changing practice. Involving nurses in practice changes could alleviate some inhibiting factors for adopting new practices. Local hospital and national policies should explore creative and practical ways to balance the competing needs of nurses providing direct care at the bedside and dedicated time to be engaged in practice change initiatives. With the ongoing focus on improving patient care and optimising patient safety, nurses should be viewed as highly valued members of the team when designing and implementing practice changes.
Sections du résumé
AIMS AND OBJECTIVES
OBJECTIVE
To explore registered nurses' perceptions of practice change and describe factors that influence the adoption of practice changes.
BACKGROUND
BACKGROUND
Nurses play a critical role in optimising patient outcomes. Healthcare organisations and nurses must do their part to achieve the Quadruple Aim, which requires nurses to change their practice. Nurses are ideally positioned to improve patient outcomes by changing their practice to align it with research evidence and organisational initiatives; however, this experience of practice change by nurses is grossly under-studied.
DESIGN
METHODS
A qualitative design, inductive content analysis, was used to understand nurses' perceptions of practice change.
METHODS
METHODS
Eleven registered nurses, who worked in one hospital system, participated in one-on-one semi-structured interviews. The Consolidated Criteria for Reporting Qualitative Studies (COREQ) were followed.
FINDINGS
RESULTS
The 11 participants described 63 distinct experiences with practice changes. Their experiences with and perceptions of practice change are categorised as (1) There is A History; (2) It's A Lot of Work; (3) It Happens to Nurses; and (4) Doing Right for the Patient.
CONCLUSION
CONCLUSIONS
Nurses experience practice change as a central part of the work they do; it occurs frequently and multiple practice changes may co-occur. Nurses identify strategies, such as thoughtful planning, engaging nurses, and communicating the rationale for and the outcomes of the practice change, to facilitate changing practice.
RELEVANCE TO CLINICAL PRACTICE
CONCLUSIONS
Involving nurses in practice changes could alleviate some inhibiting factors for adopting new practices. Local hospital and national policies should explore creative and practical ways to balance the competing needs of nurses providing direct care at the bedside and dedicated time to be engaged in practice change initiatives. With the ongoing focus on improving patient care and optimising patient safety, nurses should be viewed as highly valued members of the team when designing and implementing practice changes.
Types de publication
Journal Article
Langues
eng
Pagination
1417-1428Subventions
Organisme : Eckburg Research Fund within the University of Wisconsin - Madison, School of Nursing
Informations de copyright
© 2021 John Wiley & Sons Ltd.
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