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Program evaluation of neuroscience competency programs to implement evidence-based practices.
J Eval Clin Pract ; 23(1): 149-155, 2017 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-27766734
RATIONALE: Program evaluation is essential to help determine the success of an evidence-based practice program and assist with translating these processes across settings.


The purpose of this study was to evaluate the usefulness of 2 competency programs that sought to improve neurocritical care nurses' knowledge of and adherence to evidence-based stroke and spinal cord injury guidelines. These programs consisted of 3 specific implementation strategies, including local opinion leaders, printed educational materials, and educational outreach.


A qualitative study using one-on-one interviews with 10 neurocritical care nurses was used. Semi-structured interview questions examined the nurses' perceptions of the competency programs and the implementation strategies used; themes were identified through first-level coding. The transcripts were deductively analyzed and categorized using a predetermined implementation outcomes framework, including the concepts of acceptability, appropriateness, adoption, and sustainability.


Nurses reported that the 3 implementation strategies used for the competency programs were acceptable and appropriate. Further, the nurses perceived that the evidence-based practices reviewed during the programs were being adopted into practice and provided suggestions for sustaining improvements in nursing knowledge of and adherence to these evidence-based practices.


Findings from this study support the success of the Stroke and Spinal Cord Injury Competency Programs, as well as the usefulness of the 3 implementation strategies used. This study provides insight for improvements for subsequent studies focused on implementing evidence-based practices.





Texto completo: Disponível Coleções: Bases de dados internacionais Base de dados: MEDLINE Assunto principal: Traumatismos da Medula Espinal / Desenvolvimento de Pessoal / Competência Clínica / Acidente Vascular Cerebral / Enfermeiras e Enfermeiros Tipo de estudo: Evaluation_studies / Guia de prática clínica Limite: Humanos Idioma: Inglês Revista: J Eval Clin Pract Assunto da revista: Pesquisa em Serviços de Saúde Ano de publicação: 2017 Tipo de documento: Artigo País de afiliação: Estados Unidos