How nursing leaders promote evidence-based practice implementation at point-of-care: A four-country exploratory study.
evidence-based practice
implementation
international comparison
nursing leaders
qualitative study
Journal
Journal of advanced nursing
ISSN: 1365-2648
Titre abrégé: J Adv Nurs
Pays: England
ID NLM: 7609811
Informations de publication
Date de publication:
May 2021
May 2021
Historique:
revised:
18
12
2020
received:
07
10
2020
accepted:
20
01
2021
pubmed:
25
2
2021
medline:
22
6
2021
entrez:
24
2
2021
Statut:
ppublish
Résumé
To describe strategies nursing leaders use to promote evidence-based practice implementation at point-of-care using data from health systems in Australia, Canada, England and Sweden. A descriptive, exploratory case-study design based on individual interviews using deductive and inductive thematic analysis and interpretation. Fifty-five nursing leaders from Australia, Canada, England and Sweden were recruited to participate in the study. Data were collected between September 2015 and April 2016. Nursing leaders both in formal managerial roles and enabling roles across four country jurisdictions used similar strategies to promote evidence-based practice implementation. Nursing leaders actively promote evidence-based practice implementation, work to influence evidence-based practice implementation processes and integrate evidence-based practice implementation into everyday policy and practices. The deliberative, conscious strategies nursing leaders used were consistent across country setting, context and clinical area. These strategies were based on a series of activities and interventions around promoting, influencing and integrating evidence-based practice implementation. We conjecture that these three key strategies may be linked to two overarching ways of demonstrating effective evidence-based practice implementation leadership. The two overarching modes are described as mediating and adapting modes, which reflect complex, dynamic, relationship-focused approaches nursing leaders take towards promoting evidence-based practice implementation. This study explored how nursing leaders promote evidence-based practice implementation. Acknowledging and respecting the complex work of nursing leaders in promoting evidence-based practice implementation through mediating and adapting modes of activity is necessary to improve patient outcomes and system effectiveness.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
2447-2457Subventions
Organisme : Northern Communities Health Foundation
Organisme : National Institute for Health Research Collaboration for Leadership in Applied Health Research and Care
Organisme : Region Dalarna
Organisme : Falun Municipality
Organisme : Centennial Professorship University of Alberta
Organisme : Ontario Ministry of Economic Development and Innovation Early Researcher Award
Informations de copyright
© 2021 John Wiley & Sons Ltd.
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