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Handling a challenging context. : Experiences of facilitating evidence-based elderly care.

Nygårdh, Annette; Ahlström, Gerd LU and Wann-Hansson, Christine LU (2016) In Journal of Nursing Management 24(2). p.201-210
Abstract

Aim: To explore improvement facilitators' experiences of handling their commission to implement evidence-based practice in elderly care for frail older persons. Background: Improvement facilitators were put in place across Sweden in a time-limited project by the government, with one part of the project being to evaluate the model before establishing this facilitation of evidence-based practice in elderly care. Method: Two focus groups were interviewed twice. Each group comprised three respondents. The interviews were analysed using qualitative content analysis. Findings: A main theme, 'Moving forward by adjusting to the circumstances', described how the improvement facilitators handle their commitment. Five subthemes emerged:... (More)

Aim: To explore improvement facilitators' experiences of handling their commission to implement evidence-based practice in elderly care for frail older persons. Background: Improvement facilitators were put in place across Sweden in a time-limited project by the government, with one part of the project being to evaluate the model before establishing this facilitation of evidence-based practice in elderly care. Method: Two focus groups were interviewed twice. Each group comprised three respondents. The interviews were analysed using qualitative content analysis. Findings: A main theme, 'Moving forward by adjusting to the circumstances', described how the improvement facilitators handle their commitment. Five subthemes emerged: identifying barriers, keeping focus, maintaining motivation, building bridges and finding balance. Conclusion: The improvement facilitators' commitment is ambiguous because of unclear leadership of, and responsibility for the national investment. They have to handle leaders' different approaches and justify the need for evidence-based practice. The improvement facilitators did not reflect on the impact of programme adaptations on evidence-based practice. Implications for nursing management: The findings emphasise the need for collaboration between the improvement facilitator and the nurse manager. To fully implement evidence-based practice, negotiations with current practitioners for adaptation to local conditions are necessary. Furthermore, the value of improving organisational performance needs to be rigorously communicated throughout the organisation.

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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Elderly care, Evidence-based practice, Facilitators, Nurse management, Quality register
in
Journal of Nursing Management
volume
24
issue
2
pages
10 pages
publisher
Wiley-Blackwell
external identifiers
  • Scopus:84959565660
ISSN
0966-0429
DOI
10.1111/jonm.12300
language
English
LU publication?
yes
id
d52d5a25-1560-4ed9-ac17-76b36512100c
date added to LUP
2016-05-23 14:59:04
date last changed
2016-09-20 03:09:53
@misc{d52d5a25-1560-4ed9-ac17-76b36512100c,
  abstract     = {<p>Aim: To explore improvement facilitators' experiences of handling their commission to implement evidence-based practice in elderly care for frail older persons. Background: Improvement facilitators were put in place across Sweden in a time-limited project by the government, with one part of the project being to evaluate the model before establishing this facilitation of evidence-based practice in elderly care. Method: Two focus groups were interviewed twice. Each group comprised three respondents. The interviews were analysed using qualitative content analysis. Findings: A main theme, 'Moving forward by adjusting to the circumstances', described how the improvement facilitators handle their commitment. Five subthemes emerged: identifying barriers, keeping focus, maintaining motivation, building bridges and finding balance. Conclusion: The improvement facilitators' commitment is ambiguous because of unclear leadership of, and responsibility for the national investment. They have to handle leaders' different approaches and justify the need for evidence-based practice. The improvement facilitators did not reflect on the impact of programme adaptations on evidence-based practice. Implications for nursing management: The findings emphasise the need for collaboration between the improvement facilitator and the nurse manager. To fully implement evidence-based practice, negotiations with current practitioners for adaptation to local conditions are necessary. Furthermore, the value of improving organisational performance needs to be rigorously communicated throughout the organisation.</p>},
  author       = {Nygårdh, Annette and Ahlström, Gerd and Wann-Hansson, Christine},
  issn         = {0966-0429},
  keyword      = {Elderly care,Evidence-based practice,Facilitators,Nurse management,Quality register},
  language     = {eng},
  month        = {03},
  number       = {2},
  pages        = {201--210},
  publisher    = {ARRAY(0x969b910)},
  series       = {Journal of Nursing Management},
  title        = {Handling a challenging context. : Experiences of facilitating evidence-based elderly care.},
  url          = {http://dx.doi.org/10.1111/jonm.12300},
  volume       = {24},
  year         = {2016},
}