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%, < .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.
Sigma Membership
Non-member
Type
Presentation
Format Type
Text-based Document
Study Design/Type
N/A
Research Approach
N/A
Keywords:
Guideline Implementation, Nursing, Multifaceted Strategies
Recommended Citation
Breimaier, Helga Elisabeth and Lohrmann, Christa Elisabeth, "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" (2012). INRC (Congress). 96.
https://www.sigmarepository.org/inrc/2012/presentations_2012/96
Conference Name
23rd International Nursing Research Congress
Conference Host
Sigma Theta Tau International
Conference Location
Brisbane, Australia
Conference Year
2012
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Acquisition
Proxy-submission
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
Brisbane, Australia
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%, < .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.