Using Nonparticipant Observation as a Method to Understand Implementation Context in Evidence‐Based Practice.
Background: The uptake of evidence‐based knowledge in practice is influenced by context. Observations are suggested as a valuable but under‐used approach in implementation research for gaining a holistic understanding of contexts. Aim: The aim of this paper is to demonstrate how data from observatio...
| Publicado en: | Worldviews on Evidence-Based Nursing (John Wiley & Sons, Inc.) Vol. 17; no. 3; pp. 185 - 193 |
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| Autores principales: | , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
John Wiley & Sons, Inc.
Jun2020
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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=144299546&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 144299546 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 17416787 NRNX jtl: Worldviews on Evidence-Based Nursing (John Wiley & Sons, Inc.) issn: 17416787 maglogo: N pubinfo: dt: Jun2020 vid: 17 iid: 3 pid: 52269 pub: John Wiley & Sons, Inc. artinfo: ui: 144299546 144299546 144299546 10.1111/wvn.12449 144299546 ppf: 185 ppct: 8 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Using Nonparticipant Observation as a Method to Understand Implementation Context in Evidence‐Based Practice. aug: au: Eldh, Ann Catrine Rycroft‐Malone, Jo Zijpp, Teatske McMullan, Christel Hawkes, Claire affil: Department of Medicine and Health, Linkoping University, Linkoping, Sweden sug: subj: Medical Practice, Evidence-Based Research, Medical Nonparticipant Observation Implementation Science Knowledge Human Descriptive Statistics Funding Source Data Collection Methods Nursing Homes Europe Interviews Questionnaires Personnel Staffing and Scheduling Leadership Professional Autonomy Nursing Practice, Evidence-Based Scales Content Analysis Qualitative Studies ab: Background: The uptake of evidence‐based knowledge in practice is influenced by context. Observations are suggested as a valuable but under‐used approach in implementation research for gaining a holistic understanding of contexts. Aim: The aim of this paper is to demonstrate how data from observations can provide insights about context and evidence use in implementation research. Methods: Data were collected over 24 months in a randomised trial with an embedded realist evaluation in 24 nursing homes across four European countries; notes from 183 observations (representing 335 hours) were triangulated with interview transcripts and context survey data (from 357 staff interviews and 725 questionnaire responses, respectively). Results: Although there were similarities in several elements of context within survey, interview and observation data, the observations provided additional features of the implementation context. In particular, observations demonstrated if and how the resources (staffing and supplies) and leadership (formal and informal, teamwork, and professional autonomy) affected knowledge use and implementation. Further, the observations illuminated the influence of standards and the physical nursing environment on evidence‐based practice, and the dynamic interaction between different aspects of context. Linking Evidence to Action: Although qualitative observations are resource‐intensive, they add value when used with other data collection methods, further enlightening the understanding of the implementation context and how evidence use and sharing are influenced by context elements. Observations can enhance an understanding of the context, evidence use and knowledge‐sharing triad in implementation research. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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