Nursing implementation science: how evidence-based nursing requires evidence-based implementation.
Purpose: Evidence is not always used in practice, and many examples of problematic implementation of research into practice exist. The aim of this paper is to provide an introduction and overview of current developments in implementation science and to apply these to nursing. Methods: We discuss a f...
| Publicado en: | Journal of Nursing Scholarship Vol. 40; no. 4; pp. 302 - 311 |
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| Autores principales: | , , |
| Formato: | tables/charts Journal Article |
| Publicado: |
Wiley-Blackwell
2008 4th Quarter
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105605171&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 105605171 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 15276546 6QP jtl: Journal of Nursing Scholarship issn: 15276546 maglogo: Y pubinfo: dt: 2008 4th Quarter vid: 40 iid: 4 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 105605171 35415645 2010143907 10.1111/j.1547-5069.2008.00243.x NLM19094144 105605171 ppf: 302 ppct: 9 formats: tig: atl: Nursing implementation science: how evidence-based nursing requires evidence-based implementation. aug: au: van Achterberg T Schoonhoven L Grol R affil: Professor of Nursing Science, IQ healthcare 114, Radboud University, Nijmegen Medical Centre, Nijmegen, The Netherlands sug: subj: Diffusion of Innovation Nursing Practice, Evidence-Based Handwashing Health Care Reform Information Resources Models, Theoretical Motivation Professional Compliance Quality of Health Care World Wide Web ab: Purpose: Evidence is not always used in practice, and many examples of problematic implementation of research into practice exist. The aim of this paper is to provide an introduction and overview of current developments in implementation science and to apply these to nursing. Methods: We discuss a framework for implementation, describe common implementation determinants, and provide a rationale for choosing implementation strategies using the available evidence from nursing research and general health services research. Findings: Common determinants for implementation relate to knowledge, cognitions, attitudes, routines, social influence, organization, and resources. Determinants are often specific for innovation, context, and target groups. Strategies focused on individual professionals and voluntary approaches currently dominate implementation research. Strategies such as reminders, decision support, use of information and communication technology (ICT), rewards, and combined strategies are often effective in encouraging implementation of evidence and innovations. Linking determinants to theory-based strategies, however, can facilitate optimal implementation plans. Conclusions: An analytical, deliberate process of clarifying implementation determinants and choosing strategies is needed to improve situations where suboptimal care exists. Use of theory and evidence from implementation science can facilitate evidence-based implementation. More research, especially in the area of nursing, is needed. This research should be focused on the effectiveness of innovative strategies directed to patients, individual professionals, teams, healthcare organizations, and finances. Clinical Relevance: Implementation of evidence-based interventions is crucial to professional nursing and the quality and safety of patient care. pubtype: Academic Journal doctype: tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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