The use of a nursing implementation framework to enhance the uptake of an evidence‐based intervention.

Background: Evidence‐based practices (EBPs) are instrumental in improving patient outcomes and ensuring high‐quality nursing care, yet their implementation often encounters substantial barriers. The Iowa Implementation for Sustainability Framework and the Precision Implementation Approach© offer sys...

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Publicado en:Worldviews on Evidence-Based Nursing (John Wiley & Sons, Inc.) Vol. 21; no. 6; pp. 644 - 652
Autores principales: Karim, Kesley, Trower, Sommer, Segre, Lisa S.
Formato: research tables/charts Journal Article
Publicado: John Wiley & Sons, Inc. Dec2024
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Dec2024
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      pub: John Wiley & Sons, Inc.
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        10.1111/wvn.12755
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        atl: The use of a nursing implementation framework to enhance the uptake of an evidence‐based intervention.
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        au:
          Karim, Kesley
          Trower, Sommer
          Segre, Lisa S.
        affil: College of Nursing, University of Iowa, Iowa City Iowa,, USA
      sug:
        subj:
          Depression, Postpartum Therapy
          Depression, Postpartum Nursing
          Nursing Practice, Evidence-Based
          Nursing Interventions
          Psychiatric Nursing
          Human
          Iowa
          Conceptual Framework
          Nursing Staff, Hospital Psychosocial Factors
          Meetings
          Confidence
          Maternal Health Services
          Nursing Skills
          Teleconferencing
          Patient Care Conferences
          Strategic Planning
          Implementation Science
          Program Implementation
      ab: Background: Evidence‐based practices (EBPs) are instrumental in improving patient outcomes and ensuring high‐quality nursing care, yet their implementation often encounters substantial barriers. The Iowa Implementation for Sustainability Framework and the Precision Implementation Approach© offer systematic strategies for overcoming barriers and enhancing EBP implementation and sustainability in health care settings. Aim: This project aimed to use the Iowa Implementation for Sustainability Framework and the Precision Implementation Approach© to support the use of an evidence‐based maternal depression intervention within Iowa's Title V Maternal Health Program that serves mothers of young children living in poverty. Methods: This practice‐based implementation was accomplished in three steps: (1) hold intervention‐focused staff meetings, (2) identify barriers to using the intervention, and (3) identify and deliver implementation strategies. Collected data included barriers identified, selected implementation strategies, and evaluation of meeting attendance and impact on confidence. Results: Four of the monthly virtual staff meetings focused on Listening Visits (LV) use. The 7 strategies comprising our approach to supporting LV use addressed three categories of identified barriers: lack of confidence, logistical issues, and not understanding intervention procedures. In the LV‐focused meetings, representation of the 14 maternal health clinics was high, although attendance by individual staff was inconsistent. Post‐meeting polls indicated that 40% to 65% of attendees felt more confident using intervention skills. Linking evidence to action: This practical nursing‐implementation framework facilitated EBP adoption, and our well‐structured targeted strategies effectively increased staff confidence. Nursing managers and educators should consider using this framework to enhance their organizations' capacity to implement EBPs sustainably.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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