Implementation of Guidelines for Kangaroo Mother Care -- Staff Experiences of Evidence, Context, and Facilitation

2.50
Hdl Handle:
http://hdl.handle.net/10755/152761
Type:
Presentation
Title:
Implementation of Guidelines for Kangaroo Mother Care -- Staff Experiences of Evidence, Context, and Facilitation
Abstract:
Implementation of Guidelines for Kangaroo Mother Care -- Staff Experiences of Evidence, Context, and Facilitation
Conference Sponsor:Sigma Theta Tau International
Conference Year:2004
Conference Date:July 21, 2004
Author:Gunningberg, Lena, PhD
P.I. Institution Name:Surgical Centre, University hospital
Title:Leader of Nursing Research and Development
Co-Authors:Lars Wallin, PhD, RN; Agneta Rudberg, RN
Objective and design: The aim of this study was to explore staffs’ experiences of change in the implementation of guidelines for Kangaroo Mother Care (KMC) in neonatal care. Using a qualitative approach, this was performed in the context of a randomized controlled trial, assessing the impact of external facilitation. Method and sample: Eight focus group interviews were conducted at four units (two intervention and two control units), including 45 nursing staff personnel. Intervention: Monthly meetings with an external facilitator who used a group focused, democratic and enabling approach, supporting the change of clinical practice. Findings: Establishing a change team (consisting of staff members) resulted in several activities (adaptation of KMC guidelines, release parties, education sessions, documentation guidelines, audit, etc) impacting on staffs’ behaviour. Merely disseminating the guidelines generated no effects. At the units accomplishing change, the evidence-based KMC guidelines were perceived to be of significant importance, but commonly translated to a local format. The facilitation provided to the change teams at the intervention units promoted multifaceted implementation activities and was highly appreciated by the change teams. One of the control units accomplished a similar implementation programme as the intervention units, which also resulted in similar outcomes. Conclusions: Facilitation of change teams generated multifaceted implementation activities that affected staffs’ behaviour and was also perceived to positively impact on patients well-being. However, looking at activities performed and staff responses at one of the control units, the external facilitation seemed to be replaceable by an improvement directed organisational culture and internal support from the nurse manager.
Repository Posting Date:
26-Oct-2011
Date of Publication:
21-Jul-2004
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleImplementation of Guidelines for Kangaroo Mother Care -- Staff Experiences of Evidence, Context, and Facilitationen_GB
dc.identifier.urihttp://hdl.handle.net/10755/152761-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Implementation of Guidelines for Kangaroo Mother Care -- Staff Experiences of Evidence, Context, and Facilitation</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2004</td></tr><tr class="item-conference-date"><td class="label">Conference Date:</td><td class="value">July 21, 2004</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Gunningberg, Lena, PhD</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Surgical Centre, University hospital</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Leader of Nursing Research and Development</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">lena.gunningberg@akademiska.se</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Lars Wallin, PhD, RN; Agneta Rudberg, RN</td></tr><tr><td colspan="2" class="item-abstract">Objective and design: The aim of this study was to explore staffs&rsquo; experiences of change in the implementation of guidelines for Kangaroo Mother Care (KMC) in neonatal care. Using a qualitative approach, this was performed in the context of a randomized controlled trial, assessing the impact of external facilitation. Method and sample: Eight focus group interviews were conducted at four units (two intervention and two control units), including 45 nursing staff personnel. Intervention: Monthly meetings with an external facilitator who used a group focused, democratic and enabling approach, supporting the change of clinical practice. Findings: Establishing a change team (consisting of staff members) resulted in several activities (adaptation of KMC guidelines, release parties, education sessions, documentation guidelines, audit, etc) impacting on staffs&rsquo; behaviour. Merely disseminating the guidelines generated no effects. At the units accomplishing change, the evidence-based KMC guidelines were perceived to be of significant importance, but commonly translated to a local format. The facilitation provided to the change teams at the intervention units promoted multifaceted implementation activities and was highly appreciated by the change teams. One of the control units accomplished a similar implementation programme as the intervention units, which also resulted in similar outcomes. Conclusions: Facilitation of change teams generated multifaceted implementation activities that affected staffs&rsquo; behaviour and was also perceived to positively impact on patients well-being. However, looking at activities performed and staff responses at one of the control units, the external facilitation seemed to be replaceable by an improvement directed organisational culture and internal support from the nurse manager.</td></tr></table>en_GB
dc.date.available2011-10-26T11:48:47Z-
dc.date.issued2004-07-21en_GB
dc.date.accessioned2011-10-26T11:48:47Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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