2.50
Hdl Handle:
http://hdl.handle.net/10755/162205
Category:
Abstract
Type:
Presentation
Title:
Key Factors in the Sustained Implementation of Best Practice Guidelines (BPGs)
Author(s):
Ritchie, Judith; Semenic, Sonia; Sourdif, Jacynthe; Lonero, Elena; Biron, Alain; Pluye, Pierre; Rycroft-Malone, Joanne; O'Connor, Patricia; Rose, Patricia; Cote, Jose; Lang, Ariella; Laizner, Andrea; Lee, Virginia
Author Details:
Judith Ritchie, RN, PhD, Associate Director for Nursing Research, McGill University Health Centre, Montreal, Quebec, Canada, email: judith.ritchie@muhc.mcgill.ca; Sonia Semenic; Jacynthe Sourdif; Elena Lonero; Alain Biron; Pierre Pluye; Joanne Rycroft-Malone; Patricia O'Connor; Patricia Rose; Jose Cote; Ariella Lang; Andrea Laizner; Virginia Lee
Abstract:
Background: This follow-up study, based on the PARIHS framework, was designed to assess factors influencing sustained practice change 18 months following implementation of nursing BPGs. Methods: This study involved 17 hospital units from an earlier study that assessed nursing practices and patient outcomes at baseline and 6 months post-BPG implementation. At 18 months, we reviewed 496 patient charts for documentation of nursing practices, and determined rates of pressure ulcers, falls or pain. Nurses (n=264) completed a survey of their perceptions about evidence, context and facilitation. Staff nurses and leaders on selected units participated in in-depth interviews about their strategies to sustain practice change. Results: At 18 months, 14 units sustained at least moderate levels of practice change, 2 continued to display no change from baseline and 1 unit reverted to baseline. The level of practice change was not associated with improved patient outcomes. Nurses' perceptions of the evidence, context and facilitation were most positive on moderate success units. Analysis of the qualitative data is underway. Conclusion: Relationships between the elements of the PARIHS framework, sustained practice change and patient outcomes are complex. There are important questions about the relationships between practice change and patient outcomes.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2009
Conference Name:
CASN Nursing Research Conference
Conference Host:
Canadian Association of Schools of Nursing
Conference Location:
Moncton, New Brunswick, Canada
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titleKey Factors in the Sustained Implementation of Best Practice Guidelines (BPGs)en_GB
dc.contributor.authorRitchie, Judithen_US
dc.contributor.authorSemenic, Soniaen_US
dc.contributor.authorSourdif, Jacyntheen_US
dc.contributor.authorLonero, Elenaen_US
dc.contributor.authorBiron, Alainen_US
dc.contributor.authorPluye, Pierreen_US
dc.contributor.authorRycroft-Malone, Joanneen_US
dc.contributor.authorO'Connor, Patriciaen_US
dc.contributor.authorRose, Patriciaen_US
dc.contributor.authorCote, Joseen_US
dc.contributor.authorLang, Ariellaen_US
dc.contributor.authorLaizner, Andreaen_US
dc.contributor.authorLee, Virginiaen_US
dc.author.detailsJudith Ritchie, RN, PhD, Associate Director for Nursing Research, McGill University Health Centre, Montreal, Quebec, Canada, email: judith.ritchie@muhc.mcgill.ca; Sonia Semenic; Jacynthe Sourdif; Elena Lonero; Alain Biron; Pierre Pluye; Joanne Rycroft-Malone; Patricia O'Connor; Patricia Rose; Jose Cote; Ariella Lang; Andrea Laizner; Virginia Leeen_US
dc.identifier.urihttp://hdl.handle.net/10755/162205-
dc.description.abstractBackground: This follow-up study, based on the PARIHS framework, was designed to assess factors influencing sustained practice change 18 months following implementation of nursing BPGs. Methods: This study involved 17 hospital units from an earlier study that assessed nursing practices and patient outcomes at baseline and 6 months post-BPG implementation. At 18 months, we reviewed 496 patient charts for documentation of nursing practices, and determined rates of pressure ulcers, falls or pain. Nurses (n=264) completed a survey of their perceptions about evidence, context and facilitation. Staff nurses and leaders on selected units participated in in-depth interviews about their strategies to sustain practice change. Results: At 18 months, 14 units sustained at least moderate levels of practice change, 2 continued to display no change from baseline and 1 unit reverted to baseline. The level of practice change was not associated with improved patient outcomes. Nurses' perceptions of the evidence, context and facilitation were most positive on moderate success units. Analysis of the qualitative data is underway. Conclusion: Relationships between the elements of the PARIHS framework, sustained practice change and patient outcomes are complex. There are important questions about the relationships between practice change and patient outcomes.en_GB
dc.date.available2011-10-27T09:58:51Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T09:58:51Z-
dc.conference.date2009-
dc.conference.nameCASN Nursing Research Conferenceen_US
dc.conference.hostCanadian Association of Schools of Nursingen_US
dc.conference.locationMoncton, New Brunswick, Canadaen_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.-
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