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To Assess Prerequisites Before an Implementation Strategy in an Orthopaedic Department in Sweden
Malmö högskola, Faculty of Health and Society (HS), Department of Care Science (VV).
Malmö högskola, Faculty of Health and Society (HS), Department of Care Science (VV). Department of Intensive Care and Perioperative Medicine, Skåne University Hospital, Malmö, Sweden.ORCID iD: 0000-0002-9300-6422
2016 (English)In: Orthopedic Nursing, ISSN 0744-6020, E-ISSN 1542-538X, Vol. 35, no 2, p. 100-107Article in journal (Refereed)
Abstract [en]

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.

Place, publisher, year, edition, pages
Ingenta , 2016. Vol. 35, no 2, p. 100-107
Keywords [en]
Nursing, Orthopedics
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:mau:diva-4654DOI: 10.1097/NOR.0000000000000225ISI: 000373535200006PubMedID: 27028686Scopus ID: 2-s2.0-84962736597Local ID: 21456OAI: oai:DiVA.org:mau-4654DiVA, id: diva2:1401488
Available from: 2020-02-28 Created: 2020-02-28 Last updated: 2024-06-17Bibliographically approved

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Bahtsevani, ChristelIdvall, Ewa

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