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.
(Less)
- author
- Nygårdh, Annette
; Ahlström, Gerd
LU
and Wann-Hansson, Christine
LU
- organization
- publishing date
- 2016-03-01
- 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
- pmid:25882164
- wos:000372022600017
- 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
- 2025-03-23 13:38:00
@article{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}},
keywords = {{Elderly care; Evidence-based practice; Facilitators; Nurse management; Quality register}},
language = {{eng}},
month = {{03}},
number = {{2}},
pages = {{201--210}},
publisher = {{Wiley-Blackwell}},
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}},
doi = {{10.1111/jonm.12300}},
volume = {{24}},
year = {{2016}},
}