Speaker
Description
Background: The effects of the guideline implementation may not immediately be obvious; however, the role and significance of the practice change project will become apparent when the guidelines are continuously applied. Sustainability is the key to maintain the results of practice change and continuous development of evidence-based practice. The continuous application of the guidelines can not only improve patient outcomes, but improve nurses’ work efficiency, and their evidence-based practice ability. This paper discusses the factors that affect guideline sustainability and provides a basis to plan appropriate action strategies.
Methods: Using the National Health Service (NHS) questionnaire scoring system, these three hospitals in China conduct the survey among nurses who implemented Best Practice Guidelines. Data were analyzed by statistical analysis; and adhered to the STROBE reporting guidelines.
Results: Through the survey, it was found that 122 evaluators had great differences in the evaluation of project sustainability. The score ranged from 100 to 39.30, and the average score was 85.17. The average score is greater than 55 indicating that the project is more likely to continue. The average scores of process, staff and organization dimensions were 25.85,45.88 and 13.45 respectively. As well, the continuous implementation of the guidelines includes three factors: project characteristics, staff dimensions and organizational environment.
Conclusion: The results of the NHS sustainability questionnaire identified areas of strength in promoting sustainability and issues that needed to be improved. The clinical value of the project, the supportive environment provided by human resources and infrastructure for the project, and the degree of cooperation between interprofessional teams are important factors affecting the sustainability of the project.
What RNAO BPG or tool/toolkit is this work related to:
leading change toolkit
Keywords
Best Practice Guidelines; Evidence-based practice; Implementation; Sustainability
Author(s) Credentials and Title
Peiwei Qin has a master's degree, while Peifen Ma and Xinman Dou have a doctorate degree
| Organization Name | Lanzhou University Second Hospital |
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