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Factors and Conditions that Influence the Implementation of Standardized Nursing Care Plans

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 con...

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Autores principales: Jansson, Inger, Bahtsevani, Christel, Pilhammar-Andersson, Ewa, Forsberg, Anna
Formato: Texto
Lenguaje:English
Publicado: Bentham Open 2010
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3024554/
https://www.ncbi.nlm.nih.gov/pubmed/21283733
http://dx.doi.org/10.2174/1874434601004010025
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author Jansson, Inger
Bahtsevani, Christel
Pilhammar-Andersson, Ewa
Forsberg, Anna
author_facet Jansson, Inger
Bahtsevani, Christel
Pilhammar-Andersson, Ewa
Forsberg, Anna
author_sort Jansson, Inger
collection PubMed
description 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.
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spelling pubmed-30245542011-01-31 Factors and Conditions that Influence the Implementation of Standardized Nursing Care Plans Jansson, Inger Bahtsevani, Christel Pilhammar-Andersson, Ewa Forsberg, Anna Open Nurs J Article 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. Bentham Open 2010-10-12 /pmc/articles/PMC3024554/ /pubmed/21283733 http://dx.doi.org/10.2174/1874434601004010025 Text en © Jansson et al.; Licensee Bentham Open. http://creativecommons.org/licenses/by-nc/3.0/ This is an open access article licensed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted, non-commercial use, distribution and reproduction in any medium, provided the work is properly cited.
spellingShingle Article
Jansson, Inger
Bahtsevani, Christel
Pilhammar-Andersson, Ewa
Forsberg, Anna
Factors and Conditions that Influence the Implementation of Standardized Nursing Care Plans
title Factors and Conditions that Influence the Implementation of Standardized Nursing Care Plans
title_full Factors and Conditions that Influence the Implementation of Standardized Nursing Care Plans
title_fullStr Factors and Conditions that Influence the Implementation of Standardized Nursing Care Plans
title_full_unstemmed Factors and Conditions that Influence the Implementation of Standardized Nursing Care Plans
title_short Factors and Conditions that Influence the Implementation of Standardized Nursing Care Plans
title_sort factors and conditions that influence the implementation of standardized nursing care plans
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3024554/
https://www.ncbi.nlm.nih.gov/pubmed/21283733
http://dx.doi.org/10.2174/1874434601004010025
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