Developing team leadership to facilitate guideline utilization: planning and evaluating a 3-month intervention strategy
Autor: | Wendy, Gifford, Barbara, Davies, Ann, Tourangeau, Nancy, Lefebre |
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Rok vydání: | 2011 |
Předmět: |
Canada
Practice Patterns Nurses' Attitude of Health Personnel Nursing Audit Nursing Methodology Research Community Health Nursing Home Care Services Diabetic Foot Self Efficacy Leadership Education Nursing Continuing Nursing Education Research Evidence-Based Practice Practice Guidelines as Topic Humans Guideline Adherence Nurse Administrators Staff Development Program Development Qualitative Research Program Evaluation |
Zdroj: | Journal of nursing management. 19(1) |
ISSN: | 1365-2834 |
Popis: | Research describes leadership as important to guideline use. Yet interventions to develop current and future leaders for this purpose are not well understood.To describe the planning and evaluation of a leadership intervention to facilitate nurses' use of guideline recommendations for diabetic foot ulcers in home health care.Planning the intervention involved a synthesis of theory and research (qualitative interviews and chart audits). One workshop and three follow-up teleconferences were delivered at two sites to nurse managers and clinical leaders (n=15) responsible for 180 staff nurses. Evaluation involved workshop surveys and interviews.Highest rated intervention components (four-point scale) were: identification of target indicators (mean 3.7), and development of a team leadership action plan (mean 3.5). Pre-workshop barriers assessment rated lowest (mean 2.9). Three months later participants indicated their leadership performance had changed as a result of the intervention, being more engaged with staff and clear about implementation goals.Creating a team leadership action plan to operationalize leadership behaviours can help in delivery of evidence-informed care. Access to clinical data and understanding team leadership knowledge and skills prior to formal training will assist nursing management in tailoring intervention strategies to identify needs and gaps. |
Databáze: | OpenAIRE |
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