Effectiveness of a Multifaceted Approach to Implement a Fall Prevention Guideline into Nursing Practice in a Hospital Setting: Comparison of Before and In-Between Assessment

2.50
Hdl Handle:
http://hdl.handle.net/10755/243270
Category:
Full-text
Type:
Presentation
Title:
Effectiveness of a Multifaceted Approach to Implement a Fall Prevention Guideline into Nursing Practice in a Hospital Setting: Comparison of Before and In-Between Assessment
Author(s):
Breimaier, Helga Elisabeth; Lohrmann, Christa Elisabeth
Lead Author STTI Affiliation:
N/A
Author Details:
Breimaier, Helga Elisabeth, MScN, BScN, RN, helga.breimaier@medunigraz.at; Lohrmann, Christa Elisabeth, PhD, MA, RN;
Abstract:
Background: Nurses are expected to use research findings in daily nursing practice to promote positive patient outcomes. Clinical practice guidelines (CPGs) are seen as one means to achieve evidence-based care. However, CPGs are not implemented automatically and it is still unclear how to implement them effectively into nursing practice. One recommended approach is the use of multifaceted strategies.

Aim: The study aimed at assessing the effectiveness of a multifaceted approach to implement a fall prevention CPG into nursing practice in an hospital setting.

Methods: A participatory action research approach including working-group meetings to determine appropriate implementation strategies was used to implement a fall prevention CPG in an ophthalmic department of an Austrian university teaching hospital. A before (n=69) and an in-between assessment (n=80), including all nurses and nursing aids, were carried out in autumn 2010 and 2011, respectively, to assess the effectiveness of the used multifaceted strategies. During 4 respectively 3 meetings, data were collected via questionnaire (e.g. about fall prevention knowledge, attitudes towards guidelines), and via group discussions (e.g. about the implementation process). Additionally, semi-structured interviews (12 respectively 11) were conducted. Descriptive analysis was performed with SPSS. Group discussions and interviews were content-analysed using the ‘Consolidated Framework for Implementation Research’ as a framework.

Results: The majority of respondents were female (95.6%; 91.3%), nurses (67.2%; 65.8%), and had work experience of ≥ 10 years (67.2%; 48.1%). Main findings show an improvement of knowledge regarding access to the CPG (47.1%; 74.0%, p<.05). The attitudes towards GCPs remained positive (3.015; 3.070). Qualitative data revealed participants’ raised awareness regarding fall prevention. Necessary devices could be purchased and supporting information material was compiled during working-group meetings.

Conclusion: Results determined within a participatory action research approach on guideline implementation in nursing practice indicate a positive effect of multifaceted strategies.

Keywords:
guideline implementation; nursing; multifaceted strategies
Repository Posting Date:
12-Sep-2012
Date of Publication:
12-Sep-2012 ; 12-Sep-2012
Conference Date:
2012
Conference Name:
23rd International Nursing Research Congress
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Brisbane, Australia

Full metadata record

DC FieldValue Language
dc.language.isoenen
dc.type.categoryFull-texten
dc.typePresentationen
dc.titleEffectiveness of a Multifaceted Approach to Implement a Fall Prevention Guideline into Nursing Practice in a Hospital Setting: Comparison of Before and In-Between Assessmenten
dc.contributor.authorBreimaier, Helga Elisabethen
dc.contributor.authorLohrmann, Christa Elisabethen
dc.contributor.departmentN/Aen
dc.author.detailsBreimaier, Helga Elisabeth, MScN, BScN, RN, helga.breimaier@medunigraz.at; Lohrmann, Christa Elisabeth, PhD, MA, RN;en
dc.identifier.urihttp://hdl.handle.net/10755/243270-
dc.description.abstractBackground: Nurses are expected to use research findings in daily nursing practice to promote positive patient outcomes. Clinical practice guidelines (CPGs) are seen as one means to achieve evidence-based care. However, CPGs are not implemented automatically and it is still unclear how to implement them effectively into nursing practice. One recommended approach is the use of multifaceted strategies. <p>Aim: The study aimed at assessing the effectiveness of a multifaceted approach to implement a fall prevention CPG into nursing practice in an hospital setting. <p>Methods: A participatory action research approach including working-group meetings to determine appropriate implementation strategies was used to implement a fall prevention CPG in an ophthalmic department of an Austrian university teaching hospital. A before (n=69) and an in-between assessment (n=80), including all nurses and nursing aids, were carried out in autumn 2010 and 2011, respectively, to assess the effectiveness of the used multifaceted strategies. During 4 respectively 3 meetings, data were collected via questionnaire (e.g. about fall prevention knowledge, attitudes towards guidelines), and via group discussions (e.g. about the implementation process). Additionally, semi-structured interviews (12 respectively 11) were conducted. Descriptive analysis was performed with SPSS. Group discussions and interviews were content-analysed using the &lsquo;Consolidated Framework for Implementation Research&rsquo; as a framework. <p>Results: The majority of respondents were female (95.6%; 91.3%), nurses (67.2%; 65.8%), and had work experience of &ge; 10 years (67.2%; 48.1%). Main findings show an improvement of knowledge regarding access to the CPG (47.1%; 74.0%, p&lt;.05). The attitudes towards GCPs remained positive (3.015; 3.070). Qualitative data revealed participants&rsquo; raised awareness regarding fall prevention. Necessary devices could be purchased and supporting information material was compiled during working-group meetings. <p>Conclusion: Results determined within a participatory action research approach on guideline implementation in nursing practice indicate a positive effect of multifaceted strategies.en
dc.subjectguideline implementationen
dc.subjectnursingen
dc.subjectmultifaceted strategiesen
dc.date.available2012-09-12T09:19:54Z-
dc.date.issued2012-09-12-
dc.date.issued2012-09-12en
dc.date.accessioned2012-09-12T09:19:54Z-
dc.conference.date2012en
dc.conference.name23rd International Nursing Research Congressen
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen
dc.conference.locationBrisbane, Australiaen
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