Handling a challenging context : experiences of facilitating evidence-based elderly care

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Handling a challenging context : experiences of facilitating evidence-based elderly care

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Publication Article, peer reviewed scientific
Title Handling a challenging context : experiences of facilitating evidence-based elderly care
Author(s) Nygårdh, Anette ; Ahlström, Gerd ; Wann-Hansson, Christine
Date 2015
English abstract
AIM: To explore improvement facilitators' experiences of handling their commission to implement evidence-based practice in elderly care for frail older persons. BACKGROUND: Improvement facilitators were put in place across Sweden in a time-limited project by the government, with one part of the project being to evaluate the model before establishing this facilitation of evidence-based practice in elderly care. METHOD: Two focus groups were interviewed twice. Each group comprised three respondents. The interviews were analysed using qualitative content analysis. FINDINGS: A main theme, 'Moving forward by adjusting to the circumstances', described how the improvement facilitators handle their commitment. Five subthemes emerged: identifying barriers, keeping focus, maintaining motivation, building bridges and finding balance. CONCLUSION: The improvement facilitators' commitment is ambiguous because of unclear leadership of, and responsibility for the national investment. They have to handle leaders' different approaches and justify the need for evidence-based practice. The improvement facilitators did not reflect on the impact of programme adaptations on evidence-based practice. IMPLICATIONS FOR NURSING MANAGEMENT: The findings emphasise the need for collaboration between the improvement facilitator and the nurse manager. To fully implement evidence-based practice, negotiations with current practitioners for adaptation to local conditions are necessary. Furthermore, the value of improving organisational performance needs to be rigorously communicated throughout the organisation
DOI http://dx.doi.org/10.1111/jonm.12300 (link to publisher's fulltext)
Publisher Wiley
Host/Issue Journal of Nursing Management;
Volume 17
ISSN 1365-2834
Language eng (iso)
Subject(s) Elderly care
Evidence based practice
Facilitators
Nurse management
Quality register
Medicine
Research Subject Categories::MEDICINE
Handle http://hdl.handle.net/2043/19863 (link to this page)

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