How nursing leaders promote evidence-based practice implementation at point-of-care: A four-country exploratory study.
J Adv Nurs
; 77(5): 2447-2457, 2021 May.
Article
em En
| MEDLINE
| ID: mdl-33626205
ABSTRACT
AIMS:
To describe strategies nursing leaders use to promote evidence-based practice implementation at point-of-care using data from health systems in Australia, Canada, England and Sweden.DESIGN:
A descriptive, exploratory case-study design based on individual interviews using deductive and inductive thematic analysis and interpretation.METHODS:
Fifty-five nursing leaders from Australia, Canada, England and Sweden were recruited to participate in the study. Data were collected between September 2015 and April 2016.RESULTS:
Nursing leaders both in formal managerial roles and enabling roles across four country jurisdictions used similar strategies to promote evidence-based practice implementation. Nursing leaders actively promote evidence-based practice implementation, work to influence evidence-based practice implementation processes and integrate evidence-based practice implementation into everyday policy and practices.CONCLUSION:
The deliberative, conscious strategies nursing leaders used were consistent across country setting, context and clinical area. These strategies were based on a series of activities and interventions around promoting, influencing and integrating evidence-based practice implementation. We conjecture that these three key strategies may be linked to two overarching ways of demonstrating effective evidence-based practice implementation leadership. The two overarching modes are described as mediating and adapting modes, which reflect complex, dynamic, relationship-focused approaches nursing leaders take towards promoting evidence-based practice implementation. IMPACT This study explored how nursing leaders promote evidence-based practice implementation. Acknowledging and respecting the complex work of nursing leaders in promoting evidence-based practice implementation through mediating and adapting modes of activity is necessary to improve patient outcomes and system effectiveness.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Sistemas Automatizados de Assistência Junto ao Leito
/
Liderança
Limite:
Humans
País/Região como assunto:
America do norte
/
Europa
/
Oceania
Idioma:
En
Revista:
J Adv Nurs
Ano de publicação:
2021
Tipo de documento:
Article
País de afiliação:
Austrália