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Handling a challeng...
Handling a challenging context : experiences of facilitating evidence-based elderly care
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- Nygårdh, Annette (författare)
- Jönköping University,HHJ, Avdelningen för omvårdnad,The Jönköping Academy for Improvement of Health and Welfare,Jönköping University, HHJ, Avdelningen för omvårdnad,Department of Nursing Science, School of Health Sciences, Jönköping University, Jönköping, Sweden
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- Ahlström, Gerd (författare)
- Lund University,Lunds universitet,Äldres hälsa och personcentrerad vård,Forskargrupper vid Lunds universitet,Older people's health and Person-Centred care,Lund University Research Groups
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- Wann-Hansson, Christine (författare)
- Malmö University,Malmö högskola,Institutionen för vårdvetenskap (VV),Department of Care Science, Faculty of Health and Society, Malmö University, Malmö, Sweden
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(creator_code:org_t)
- 2015-04-17
- 2016
- Engelska.
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Ingår i: Journal of Nursing Management. - : John Wiley & Sons. - 0966-0429 .- 1365-2834. ; 24:2, s. 201-210
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Abstract
Ämnesord
Stäng
- AIM: To explore improvement facilitators' experiences of handling their commission to implement evidence-based practice in elderly care for frail older persons. BACKGROUND: Improvement facilitators were put in place across Sweden in a time-limited project by the government, with one part of the project being to evaluate the model before establishing this facilitation of evidence-based practice in elderly care. METHOD: Two focus groups were interviewed twice. Each group comprised three respondents. The interviews were analysed using qualitative content analysis. FINDINGS: A main theme, 'Moving forward by adjusting to the circumstances', described how the improvement facilitators handle their commitment. Five subthemes emerged: identifying barriers, keeping focus, maintaining motivation, building bridges and finding balance. CONCLUSION: The improvement facilitators' commitment is ambiguous because of unclear leadership of, and responsibility for the national investment. They have to handle leaders' different approaches and justify the need for evidence-based practice. The improvement facilitators did not reflect on the impact of programme adaptations on evidence-based practice. IMPLICATIONS FOR NURSING MANAGEMENT: The findings emphasise the need for collaboration between the improvement facilitator and the nurse manager. To fully implement evidence-based practice, negotiations with current practitioners for adaptation to local conditions are necessary. Furthermore, the value of improving organisational performance needs to be rigorously communicated throughout the organisation
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Hälso- och sjukvårdsorganisation, hälsopolitik och hälsoekonomi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Health Care Service and Management, Health Policy and Services and Health Economy (hsv//eng)
Nyckelord
- Elderly care
- Evidence based practice
- Facilitators
- Nurse management
- Quality register
- Elderly care
- Evidence-based practice
- Facilitators
- Nurse management
- Quality register
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
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