Factors and conditions that influence the implementation of standardized nursing care plans

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Factors and conditions that influence the implementation of standardized nursing care plans

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Publication Article, peer reviewed scientific
Title Factors and conditions that influence the implementation of standardized nursing care plans
Author(s) Jansson, Inger ; Bahtsevani, Christel ; Pilhammar-Andersson, Ewa ; Forsberg, Anna
Date 2010
English abstract
Rationale and Aim: There is a lack of evidence about how to successfully implement standardized nursing care plans (SNCP) in various settings. The aim of this study was to use the “Promotion Action on Research Implementation in Health Services framework” (PARIHS) to explore important factors and conditions at hospital wards that had implemented SNCPs. Method: We employed a retrospective, cross-sectional design and recruited nurses from four units at a rural hospital and seven units at a university hospital in the western and southern region of Sweden where SNCPs had been implemented. Outcome was measured by means of a questionnaire based on the PARIHS-model. Result: In total, 137 nurses participated in the study. The main factors that had motivated the nurses to implement SNCPs were that they were easy to understand and follow as well as corresponding to organisational norms. The SNCPs were normally based on clinical experience, although research more frequently formed the basis of the SNCPs at the university hospital. Internal facilitators acted as important educators, who provided reminders to use the SNCP and feedback to the SNCP users. The patient experience was not considered valuable. Those who claimed that the implementation was successful were generally more positive in all measurable aspects. The use of SNCPs was rarely evaluated. Conclusions: Clinical experience was considered important by the nurses, while they attributed little value to the patient experiences. Successful implementation of research based SNCPs requires internal facilitators with knowledge of evidence-based nursing.
DOI http://dx.doi.org/10.2174/1874434601004010025 (link to publisher's fulltext)
Publisher Bentham Open
Host/Issue The Open Nursing Journal
Volume 4
ISSN 1874-4346
Pages 25-34
Language eng (iso)
Subject(s) Implementation
Standardized Nursing Care Plans
PARISH
Questionnaire
Medicine
Research Subject Categories::INTERDISCIPLINARY RESEARCH AREAS::Caring sciences
Research Subject Categories::INTERDISCIPLINARY RESEARCH AREAS::Caring sciences::Nursing
Handle http://hdl.handle.net/2043/11238 (link to this page)

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