To Assess Prerequisites Before an Implementation Strategy in an Orthopaedic Department in Sweden
| Autor: | Ewa Idvall, Christel Bahtsevani |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
Health Planning Guidelines
Attitude of Health Personnel Hospital Departments MEDLINE Context (language use) 03 medical and health sciences Overall response rate Nursing Surveys and Questionnaires Humans Medicine Orthopedics and Sports Medicine Orthopaedic department Sweden Advanced and Specialized Nursing 030504 nursing Descriptive statistics Information Dissemination business.industry 030503 health policy & services Critical factors Guideline University hospital Organizational Innovation Personnel Hospital Evidence-Based Practice Guideline Adherence 0305 other medical science business |
| Zdroj: | Orthopaedic Nursing. 35:100-107 |
| ISSN: | 0744-6020 |
| DOI: | 10.1097/nor.0000000000000225 |
| Popis: | Promoting Action on Research Implementation in Health Services (PARiHS) asserts that the success of knowledge implementation relates to multiple factors in a complex and dynamic way, and therefore the effects of implementation strategies vary by method and context. An instrument based on the PARiHS framework was developed to help assess critical factors influencing implementation strategies so that strategies can be tailored to promote implementation.The purpose of this study was to use the Evaluation Before Implementation Questionnaire (EBIQ), to describe staff perceptions in one orthopaedic department, and to investigate differences between wards.Staff members in four different wards at one orthopaedic department at a university hospital in Sweden were invited to complete a questionnaire related to planning for the implementation of a clinical practice guideline. The 23 items in the EBIQ were expected to capture staff perceptions about the evidence, context, and facilitation factors that influence the implementation process. Descriptive statistics and differences between wards were analyzed. Although the overall response rate was low (n = 49), two of the four wards accounted for most of the completed questionnaires (n = 25 and n = 12, respectively), enabling a comparison of these wards. We found significant differences between respondents' perceptions at the two wards in six items regarding context and facilitation in terms of receptiveness to change, forms of leadership, and evaluation and presence of feedback and facilitators.The EBIQ instrument requires further testing, but there appears to be initial support for pre-implementation use of the EBIQ as a means to enhance planning for implementation. |
| Databáze: | OpenAIRE |
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