Organizational Factors Related to the Revision of Policies and Procedures for the Implementation of Best Practice Guidelines

2.50
Hdl Handle:
http://hdl.handle.net/10755/153428
Type:
Presentation
Title:
Organizational Factors Related to the Revision of Policies and Procedures for the Implementation of Best Practice Guidelines
Abstract:
Organizational Factors Related to the Revision of Policies and Procedures for the Implementation of Best Practice Guidelines
Conference Sponsor:Sigma Theta Tau International
Conference Year:2005
Author:St-Pierre, Isabelle, BSN
P.I. Institution Name:University of Ottawa
Title:Student
Co-Authors:Barbara L. Davies, RN, PhD; Nancy Edwards, RN, PhD; Pat Griffin, RN, PhD
Studies have found that nurses use written policies and procedures as a source of information more frequently than research articles. Therefore, the development of evidence-based policies and procedures as part of best practice guideline (BPG) implementation is one strategy to facilitate the integration of research results into practice. Objective: To examine organizational factors that influence modifications to policies and procedures in Canadian institutions that participated in the pilot implementation and evaluation of six BPGs developed by the Registered Nurses Association of Ontario. Methods: A secondary analysis was conducted of data collected at six months after BPG implementation in 11 agencies. Response rates ranged from 46% to 94% of randomly selected nurses on a mailed survey and 62% to 100% of nurses, nurse administrators and clinical resource nurses in semi-structured interviews. A total of 316 staff surveys were analyzed using chi-squares and t-tests. As well, content analysis of 104 interviews was conducted. Findings: A statistically significant relationship (p=0.000) was found between the nurses' perception of modification to policies and procedures and nurses' perception of organizational support. Approximately 75% of the front line staff surveyed perceived that their organization was supportive in facilitating the implementation of BPG. No significant relationship was found between the type of agency - acute care versus others (p=0.149), agency designation as teaching versus non teaching (p=0.876) or nurses' perception of organizational stability (p=0.163) and nurses' perception of modification to policies and procedures. Implications: Organizational support, in the form of nurses' perceived support by top management, sufficient time and training to learn how to use the BPG, adequate number of qualified staff and sufficient equipment and supplies to implement the BPG, is important and is related to the modification of policies and procedures for evidence-based practice.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleOrganizational Factors Related to the Revision of Policies and Procedures for the Implementation of Best Practice Guidelinesen_GB
dc.identifier.urihttp://hdl.handle.net/10755/153428-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Organizational Factors Related to the Revision of Policies and Procedures for the Implementation of Best Practice Guidelines</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">2005</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">St-Pierre, Isabelle, BSN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">University of Ottawa</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Student</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">i.stpierre@sympatico.ca</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Barbara L. Davies, RN, PhD; Nancy Edwards, RN, PhD; Pat Griffin, RN, PhD</td></tr><tr><td colspan="2" class="item-abstract">Studies have found that nurses use written policies and procedures as a source of information more frequently than research articles. Therefore, the development of evidence-based policies and procedures as part of best practice guideline (BPG) implementation is one strategy to facilitate the integration of research results into practice. Objective: To examine organizational factors that influence modifications to policies and procedures in Canadian institutions that participated in the pilot implementation and evaluation of six BPGs developed by the Registered Nurses Association of Ontario. Methods: A secondary analysis was conducted of data collected at six months after BPG implementation in 11 agencies. Response rates ranged from 46% to 94% of randomly selected nurses on a mailed survey and 62% to 100% of nurses, nurse administrators and clinical resource nurses in semi-structured interviews. A total of 316 staff surveys were analyzed using chi-squares and t-tests. As well, content analysis of 104 interviews was conducted. Findings: A statistically significant relationship (p=0.000) was found between the nurses' perception of modification to policies and procedures and nurses' perception of organizational support. Approximately 75% of the front line staff surveyed perceived that their organization was supportive in facilitating the implementation of BPG. No significant relationship was found between the type of agency - acute care versus others (p=0.149), agency designation as teaching versus non teaching (p=0.876) or nurses' perception of organizational stability (p=0.163) and nurses' perception of modification to policies and procedures. Implications: Organizational support, in the form of nurses' perceived support by top management, sufficient time and training to learn how to use the BPG, adequate number of qualified staff and sufficient equipment and supplies to implement the BPG, is important and is related to the modification of policies and procedures for evidence-based practice.</td></tr></table>en_GB
dc.date.available2011-10-26T12:15:59Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T12:15:59Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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