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Tailored implementation of evidence-based practice in the community care for the aged - initial experiences in a collaborative project in the city of Gothenburg, Sweden

Gustafsson, Susanne (author)
Gothenburg University,Göteborgs universitet,Centrum för åldrande och hälsa (AgeCap),Institutionen för neurovetenskap och fysiologi, sektionen för klinisk neurovetenskap och rehabilitering,Centre for Ageing and Health (Agecap),Institute of Neuroscience and Physiology, Department of Clinical Neuroscience and Rehabilitation
Sjöström, Manuela (author)
Gothenburg University,Göteborgs universitet,Institutionen för socialt arbete,Department of Social Work
Berglund, Helene, 1957 (author)
Gothenburg University,Göteborgs universitet,Institutionen för vårdvetenskap och hälsa,Institute of Health and Care Sciences
 (creator_code:org_t)
2015
2015
English.
In: Nordic Conference on implementation of Evidence-Based Practice 20150203-20150204 Bergen, Norge.
  • Conference paper (peer-reviewed)
Abstract Subject headings
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  • Background: Evidence-based practice (EBP) appears promising in order to strengthen both interprofessional team work and the client´s involvement in his/her care processes. It is therefore of interest to implement EBP in the community care for the aged. But implementation is not always a simple and straightforward process; it may face resistance or difficulties. Factors such as usability, adaptations, barriers, fidelity, and anticipated impact need to be studied when implementing EBP in a new context. Aim: To evaluate the implementation of EBP in community health and social care for the aged in a Swedish setting. This includes the study of the implementation process as well as the impact of EBP on interprofessional teamwork and the care receivers' experiences of care quality. Methods: An explanatory case study in two urban districts in the city of Gothenburg, Sweden, where the implementation of EBP is delivered as a collaborative project with a tailored multifaceted implementation strategy. Data will be collected through documentary information, observations, focus groups, interviews, and a survey, and analyzed using both qualitative and quantitative methods. Results: The collaborative project is on-going with three facilitators using a multifaceted implementation strategy including cooperation between researchers and users, education/learning, and facilitation. Data collection has commenced. Initial experiences reveal that the introductory phase, containing time for persons involved in the collaborative project to get to know each other, each other's areas of expertise and respective organizations, took longer than expected. Also, different care-professions have experienced thus far conducted educational activities in different ways, and some express limited ability to prioritize project activities. Conclusion: The future results of this explanatory case study may be useful for gaining knowledge of and understanding the implementation of EBP in community care for the aged, and to improve the quality of care, support and rehabilitation of older persons.

Subject headings

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)
MEDICIN OCH HÄLSOVETENSKAP  -- Hälsovetenskap -- Annan hälsovetenskap (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Health Sciences -- Other Health Sciences (hsv//eng)

Keyword

Health Care Service and Management
Health Policy and Services and Health Economy
Annan hälsovetenskap
Other Health Sciences
Evidence-based practice
implementation
Evidence-based practice
impementation

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Jönköping University
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