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Factors and conditions that have an impact in relation to a successful implementation and maintenance of individual care plan.

Jansson, Inger ; Pilhammar- Andersson, Eva and Forsberg, Anna LU (2011) In Worldviews on Evidence-Based Nursing 8(2). p.66-75
Abstract
Background: The gap between what is stated in legislation about written individualized nursing care plans (ICP) and how they are used in practice is still too wide.
Aim: To explore attitudes and experiences among nurses and managers in order to capture which factors and conditions impact on the successful implementation of individual care plans within hospital care, as well as the strategies that were adopted to ensure continued use.
Method: The study was carried out through directed content analysis guided by the Promoting Action on Research Implementation in Health Services framework. Interviews were conducted with 15 informants on different operational and decision levels at a hospital that is well known in Sweden for its work... (More)
Background: The gap between what is stated in legislation about written individualized nursing care plans (ICP) and how they are used in practice is still too wide.
Aim: To explore attitudes and experiences among nurses and managers in order to capture which factors and conditions impact on the successful implementation of individual care plans within hospital care, as well as the strategies that were adopted to ensure continued use.
Method: The study was carried out through directed content analysis guided by the Promoting Action on Research Implementation in Health Services framework. Interviews were conducted with 15 informants on different operational and decision levels at a hospital that is well known in Sweden for its work in the ICP area.
Findings: Important factors for implementation on the wards were clear instructions from the hospital management at the start of implementation as well as clear roles and mandates for those involved. The work of internal facilitators was crucial for the continuation of the process. Clinical experience was important as the long‐term driving force.
Implications: On the basis of the findings of this study, we argue that it is important for hospital managers to recruit leaders that focus on individual nursing care and can highlight needs and instigate change. It seems also important that the organization takes advantage of the potential of skilled facilitators.
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author
; and
publishing date
type
Contribution to journal
publication status
published
subject
in
Worldviews on Evidence-Based Nursing
volume
8
issue
2
pages
66 - 75
publisher
Wiley-Blackwell
external identifiers
  • scopus:79958774083
ISSN
1741-6787
DOI
10.1111/j.1741-6787.2010.00195.x
language
English
LU publication?
no
id
a0abbf23-e432-4898-af48-f981129a123f
date added to LUP
2019-05-31 21:25:30
date last changed
2022-03-25 19:55:09
@article{a0abbf23-e432-4898-af48-f981129a123f,
  abstract     = {{Background: The gap between what is stated in legislation about written individualized nursing care plans (ICP) and how they are used in practice is still too wide.<br/>Aim: To explore attitudes and experiences among nurses and managers in order to capture which factors and conditions impact on the successful implementation of individual care plans within hospital care, as well as the strategies that were adopted to ensure continued use.<br/>Method: The study was carried out through directed content analysis guided by the Promoting Action on Research Implementation in Health Services framework. Interviews were conducted with 15 informants on different operational and decision levels at a hospital that is well known in Sweden for its work in the ICP area.<br/>Findings: Important factors for implementation on the wards were clear instructions from the hospital management at the start of implementation as well as clear roles and mandates for those involved. The work of internal facilitators was crucial for the continuation of the process. Clinical experience was important as the long‐term driving force.<br/>Implications: On the basis of the findings of this study, we argue that it is important for hospital managers to recruit leaders that focus on individual nursing care and can highlight needs and instigate change. It seems also important that the organization takes advantage of the potential of skilled facilitators.<br/>}},
  author       = {{Jansson, Inger and Pilhammar- Andersson, Eva and Forsberg, Anna}},
  issn         = {{1741-6787}},
  language     = {{eng}},
  number       = {{2}},
  pages        = {{66--75}},
  publisher    = {{Wiley-Blackwell}},
  series       = {{Worldviews on Evidence-Based Nursing}},
  title        = {{Factors and conditions that have an impact in relation to a successful implementation and maintenance of individual care plan.}},
  url          = {{http://dx.doi.org/10.1111/j.1741-6787.2010.00195.x}},
  doi          = {{10.1111/j.1741-6787.2010.00195.x}},
  volume       = {{8}},
  year         = {{2011}},
}