Speaker
Description
Objective: To explore the factors that affect the implementation of Best Practice Guideline (BPG) projects and provide a basis for developing evidence-based strategies to sustain the project.
Methods: A phenomenological approach in qualitative research was adopted to conduct semi-structured in-depth interviews with 15 stakeholders of the BPG projects, and data were analyzed using the Consolidated Framework for Implementation Research (CFIR).
Results: The research identified 23 influencing factors for BPG implementation, and 13 components of 5 fields in the CFIR framework are enablers. The intervention characteristics include relative advantages, high evidence strength and quality, adjustability, and trial availability. Internal factors include alignment of goals and feedback, incorporation of reward mechanism, strong leadership support and encouragement, and adequate knowledge of BPG; External factor includes establishing a rigorous implementation process; and individual characteristics include self-efficacy and exemplary attitude towards patients; Organizations need to reflect and evaluate the process and outcomes of the implementation. In the five domains of CFIR framework,10 components are in the category of barriers: Intervention characteristics include the complexity and high cost of BPG implementation. Internal factors include insufficient available resources, strengthen nurse-patient communication and organizational structure. External factors include inadequate policy support and negative peer pressure. Individual characteristics include lack of implementation confidence and motivational factors. As well, the lack of an execution plan is another barrier in the implementation process.
Conclusions: CFIR theoretical framework can be used to identify the factors affecting the BPG implementation projects and modify the key content of intervention programs to develop evidence based implementation strategies.
Author(s) Credentials and Title
Peiwei Qin holds a master's degree, while Peifen Ma and Xinman Dou hold a doctorate degree
Keywords
Best Practice Guidelines; Evidence-based practice; Implementation
What RNAO BPG or tool/toolkit is this work related to:
leading change toolkit
| Organization Name | Lanzhou University Second Hospital |
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