Handling a challenging context. : Experiences of facilitating evidence-based elderly care.
Författare
Summary, in English
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.
Avdelning/ar
- Older people's health and Person-Centred care
Publiceringsår
2016-03-01
Språk
Engelska
Sidor
201-210
Publikation/Tidskrift/Serie
Journal of Nursing Management
Volym
24
Issue
2
Dokumenttyp
Artikel i tidskrift
Förlag
Wiley-Blackwell
Ämne
- Health Care Service and Management, Health Policy and Services and Health Economy
Nyckelord
- Elderly care
- Evidence-based practice
- Facilitators
- Nurse management
- Quality register
Status
Published
Forskningsgrupp
- Older people's health and Person-Centred care
ISBN/ISSN/Övrigt
- ISSN: 0966-0429