Bridging the gap between guidelines and practice in the management of emerging infectious diseases: a qualitative study of emergency nurses
| Autor: | Enid Wy Kwong, Samantha Mc Pang, Stanley Kk Lam, Maria Sy Hung |
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| Rok vydání: | 2016 |
| Předmět: |
Adult
Male emergency care setting Bridging (networking) Sample (statistics) Emergency Nursing emergency nurse outbreak management Communicable Diseases Emerging Interviews as Topic Young Adult 03 medical and health sciences accident and emergency department 0302 clinical medicine Nursing Global health Humans Relevance (law) Medicine Infection control 030212 general & internal medicine General Nursing Infection Control Practice Patterns Nurses' 030504 nursing business.industry Original Articles guideline‐practice gap General Medicine Guideline infectious disease outbreak Middle Aged Infectious disease (medical specialty) Practice Guidelines as Topic Hong Kong Original Article Female Emergency Service Hospital 0305 other medical science business Qualitative research |
| Zdroj: | Journal of Clinical Nursing |
| ISSN: | 0962-1067 |
| DOI: | 10.1111/jocn.13343 |
| Popis: | Aims and objectives To explore the difficulties and strategies regarding guideline implementation among emergency nurses. Background Emerging infectious diseases remain an underlying source of global health concern. Guidelines for accident and emergency departments would require adjustments for infectious disease management. However, disparities between guidelines and nurses' practice are frequently reported, which undermines the implementation of these guidelines into practice. This article explores the experience of frontline emergency nurses regarding guideline implementation and provides an in-depth account of their strategies in bridging guideline-practice gaps. Design A qualitative descriptive design was used. Methods Semi-structured, face-to-face, individual interviews were conducted between November 2013–May 2014. A purposive sample of 12 frontline emergency nurses from five accident and emergency departments in Hong Kong were recruited. The audio-recorded interviews were transcribed verbatim and analysed with a qualitative content analysis approach. Results Four key categories associated with guideline-practice gaps emerged, including getting work done, adapting to accelerated infection control measures, compromising care standards and resolving competing clinical judgments across collaborating departments. The results illustrate that the guideline-practice gaps could be associated with inadequate provision of corresponding organisational supports after guidelines are established. Conclusions The nurses' experiences have uncovered the difficulties in the implementation of guidelines in emergency care settings and the corresponding strategies used to address these problems. The nurses' experiences reflect their endeavour in adjusting accordingly and adapting themselves to their circumstances in the face of unfeasible guidelines. Relevance to clinical practice It is important to customise guidelines to the needs of frontline nurses. Maintaining cross-departmental consensus on guideline interpretation and operation is also indicated as an important component for effective guideline implementation. |
| Databáze: | OpenAIRE |
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