To Assess Prerequisites Before an Implementation Strategy in an Orthopaedic Department in Sweden

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To Assess Prerequisites Before an Implementation Strategy in an Orthopaedic Department in Sweden

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Publication Article, peer reviewed scientific
Title To Assess Prerequisites Before an Implementation Strategy in an Orthopaedic Department in Sweden
Author(s) Bahtsevani, Christel ; Idvall, Ewa
Date 2016
English abstract
Promoting Action on Research Implementation in Health Services (PARiHS) asserts that the success of knowledge implementation relates to multiple factors in a complex and dynamic way, and therefore the effects of implementation strategies vary by method and context. An instrument based on the PARiHS framework was developed to help assess critical factors influencing implementation strategies so that strategies can be tailored to promote implementation. The purpose of this study was to use the Evaluation Before Implementation Questionnaire (EBIQ), to describe staff perceptions in one orthopaedic department, and to investigate differences between wards. Staff members in four different wards at one orthopaedic department at a university hospital in Sweden were invited to complete a questionnaire related to planning for the implementation of a clinical practice guideline. The 23 items in the EBIQ were expected to capture staff perceptions about the evidence, context, and facilitation factors that influence the implementation process. Descriptive statistics and differences between wards were analyzed. Although the overall response rate was low (n = 49), two of the four wards accounted for most of the completed questionnaires (n = 25 and n = 12, respectively), enabling a comparison of these wards. We found significant differences between respondents' perceptions at the two wards in six items regarding context and facilitation in terms of receptiveness to change, forms of leadership, and evaluation and presence of feedback and facilitators. The EBIQ instrument requires further testing, but there appears to be initial support for pre-implementation use of the EBIQ as a means to enhance planning for implementation.
DOI http://dx.doi.org/10.1097/NOR.0000000000000225 (link to publisher's fulltext)
Publisher Ingenta
Host/Issue ORTHOPAEDIC NURSING;2
Volume 35
ISSN 0744-6020
Pages 100-107
Language eng (iso)
Subject(s) Nursing
Orthopedics
Medicine
Research Subject Categories::MEDICINE
Handle http://hdl.handle.net/2043/21456 (link to this page)

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