Malmö University Publications
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  • 1.
    Bahtsevani, Christel
    et al.
    Malmö högskola, Faculty of Health and Society (HS), Department of Care Science (VV).
    Idvall, Ewa
    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.
    To Assess Prerequisites Before an Implementation Strategy in an Orthopaedic Department in Sweden2016In: 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.

  • 2.
    MacDonald, Valerie
    et al.
    BC Hip Fracture Redesign Initiative, UBC School of Nursing, Vancouver, British Columbia, Canada.
    Maher, Ann Butler
    ICON Ambassador, Long Branch, NJ.
    Mainz, Hanne
    Orthopaedic Department, Arhaus University Hospital, Arhaus, Denmark.
    Meehan, Anita J.
    Gerontology, Cleveland Clinic Akron General, Akron, OH.
    Brent, Louise
    National Office of Clinical Audit, Royal College of Surgeons in Ireland, Dublin, Ireland.
    Hommel, Ami
    Malmö University, Faculty of Health and Society (HS), Department of Care Science (VV). Skane University Hospital, Lund, Sweden.
    Hertz, Karen
    University Hospital of North Midlands, NHS Trust, Stoke on Trent Staffordshire, United Kingdom.
    Taylor, Anita
    Orthopaedic & Trauma Unit, Royal Adelaide Hospital, Adelaide, South Australia.
    Sheehan, Katie Jane
    Academic Department of Physiotherapy, Division of Health and Social Care Research, Kings College, London, United Kingdom.
    Developing and Testing an International Audit of Nursing Quality Indicators for Older Adults With Fragility Hip Fracture2018In: Orthopedic Nursing, ISSN 0744-6020, E-ISSN 1542-538X, Vol. 37, no 2, p. 115-121Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: Fragility hip fracture in older adults often has poor outcomes, but these outcomes can be improved with attention to specific quality care indicators. PURPOSE: The International Collaboration of Orthopaedic Nursing (ICON) developed an audit process to identify the extent to which internationally accepted nursing quality care indicators for older adults with fragility hip fracture are reflected in policies, protocols, and processes guiding acute care. METHODS: A data abstraction tool was created for each of 12 quality indicators. Data were collected using a mixed-methods approach with unstructured rounds. A rationale document providing evidence for the quality indicators and a user evaluation form were included with the audit tool. A purposeful sample of 35 acute care hospitals representing 7 countries was selected. RESULTS: Thirty-five hospitals (100%) completed the survey. Respondents viewed the content as relevant and applicable for the defined patient population. Although timing and frequency of implementation varied among and within countries, the identified quality indicators were reflected in the majority of policies, protocols, or processes guiding care in the hospitals surveyed. CONCLUSION: Developing and testing an audit of nurse-sensitive quality indicators for older adults with fragility hip fracture demonstrate international consensus on common core best practices to ensure optimal acute care.

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