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  • Gifford, W.Univ Ottawa, Ctr Res Hlth & Nursing, 451 Smyth Rd, Ottawa, ON, Canada.;Univ Ottawa, Fac Hlth Sci, Sch Nursing, 451 Smyth Rd, Ottawa, ON, Canada.,University of Ottawa, Ottawa, Ontario, Canada (författare)

Feasibility and usefulness of a leadership intervention to implement evidence-based falls prevention practices in residential care in Canada

  • Artikel/kapitelEngelska2019

Förlag, utgivningsår, omfång ...

  • 2019-08-19
  • Springer Science and Business Media LLC,2019

Nummerbeteckningar

  • LIBRIS-ID:oai:gup.ub.gu.se/294680
  • https://gup.ub.gu.se/publication/294680URI
  • https://doi.org/10.1186/s40814-019-0485-7DOI
  • http://kipublications.ki.se/Default.aspx?queryparsed=id:231452925URI
  • https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-477238URI
  • https://urn.kb.se/resolve?urn=urn:nbn:se:du-30627URI
  • https://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-159952URI

Kompletterande språkuppgifter

  • Språk:engelska

Ingår i deldatabas

Klassifikation

  • Ämneskategori:ref swepub-contenttype
  • Ämneskategori:art swepub-publicationtype

Anmärkningar

  • Background: Leadership is critical to supporting and facilitating the implementation of evidence-based practices in health care. Yet, little is known about how to develop leadership capacity for this purpose. The aims of this study were to explore the (1) feasibility of delivering a leadership intervention to promote implementation, (2) usefulness of the leadership intervention, and (3) participants' engagement in leadership to implement evidence-based fall prevention practices in Canadian residential care. Methods: We conducted a mixed-method before-and-after feasibility study on two units in a Canadian residential care facility. The leadership intervention was based on the Ottawa model of implementation leadership (O-MILe) and consisted of two workshops and two individualized coaching sessions over 3 months to develop leadership capacity for implementing evidence-based fall prevention practices. Participants (n = 10) included both formal (e.g., managers) and informal (e.g., nurses and care AIDS leaders). Outcome measures were parameters of feasibility (e.g., number of eligible candidates who attended the workshops and coaching sessions) and usefulness of the leadership intervention (e.g., ratings, suggested modifications). We conducted semi-structured interviews guided by the Implementation Leadership Scale (ILS), a validated measure of 12-item in four subcategories (proactive, supportive, knowledgeable, and perseverant), to explore the leadership behaviors that participants used to implement fall prevention practices. We repeated the ILS in a focus group meeting to understand the collective leadership behaviors used by the intervention team. Barriers and facilitators to leading implementation were also explored. Results: Delivery of the leadership intervention was feasible. All participants (n = 10) attended the workshops and eight participated in at least one coaching session. Workshops and coaching were rated useful (≥ 3 on a 0-4 Likert scale where 4 = highly useful) by 71% and 86% of participants, respectively. Participants rated the O-MILe subcategories of supportive and perseverant leadership highest for individual leadership, whereas supportive and knowledgeable leadership were rated highest for team leadership. Conclusions: The leadership intervention was feasible to deliver, deemed useful by participants, and fostered engagement in implementation leadership activities. Study findings highlight the complexity of developing implementation leadership and modifications required to optimize impact. Future trials are now required to test the effectiveness of the leadership intervention on developing leadership for implementing evidence-based practices. © The Author(s). 2019.

Ämnesord och genrebeteckningar

Biuppslag (personer, institutioner, konferenser, titlar ...)

  • Lewis, K. B.Univ Ottawa, Ctr Res Hlth & Nursing, 451 Smyth Rd, Ottawa, ON, Canada.;Univ Ottawa, Fac Hlth Sci, Sch Nursing, 451 Smyth Rd, Ottawa, ON, Canada.,University of Ottawa, Ottawa, Ontario, Canada (författare)
  • Eldh, Ann Catrine,1965-Linköpings universitet,Avdelningen för omvårdnad,Medicinska fakulteten(Swepub:liu)annel80 (författare)
  • Fiset, V.Univ Ottawa, Fac Hlth Sci, Sch Nursing, 451 Smyth Rd, Ottawa, ON, Canada.,University of Ottawa, Ottawa, Ontario, Canada (författare)
  • Abdul-Fatah, T.Univ Ottawa, Fac Hlth Sci, Sch Nursing, 451 Smyth Rd, Ottawa, ON, Canada.,University of Ottawa, Ottawa, Ontario, Canada (författare)
  • Åberg, Anna CristinaHögskolan Dalarna,Uppsala universitet,Geriatrik,Hälsovetenskap och e-hälsa,Dalarna Univ, Sch Educ Hlth & Social Studies, Hogskolegatan 2, Falun, Sweden.,Medicinsk vetenskap,Dalarna University, Falun, Sweden; Uppsala University, Uppsala, Sweden(Swepub:du)aab (författare)
  • Thavorn, K.Ottawa Hosp, Clin Epidemiol Program, Res Inst, 501 Smyth Rd, Ottawa, ON, Canada.;Univ Ottawa, Sch Epidemiol & Publ Hlth, 600 Peter Morand Crescent, Ottawa, ON, Canada.,Ottawa Hospital Research Institute, Ottawa, Ontario, Canada (författare)
  • Graham, I. D.Univ Ottawa, Sch Epidemiol & Publ Hlth, 600 Peter Morand Crescent, Ottawa, ON, Canada.;Ottawa Hosp, Ctr Practice Changing Res, Res Inst, 501 Smyth Rd, Ottawa, ON, Canada.,University of Ottawa, Ottawa, Ontario, Canada; Ottawa Hospital Research Institute, Ottawa, Ontario, Canada (författare)
  • Wallin, LarsHögskolan Dalarna,Karolinska Institutet,Gothenburg University,Göteborgs universitet,Institutionen för vårdvetenskap och hälsa,Institute of Health and Care Sciences,Dalarna Univ, Sch Educ Hlth & Social Studies, Hogskolegatan 2, Falun, Sweden.;Univ Gothenburg, Dept Hlth Care Sci, Gothenburg, Sweden.;Karolinska Inst, Dept Neurobiol Care Sci & Soc, Stockholm, Sweden.,Omvårdnad,Dalarna University, Falun, Sweden; University of Gothenburg, Gothenburg, Sweden; Karolinska Institute, Stockholm, Sweden(Swepub:du)lwa (författare)
  • Univ Ottawa, Ctr Res Hlth & Nursing, 451 Smyth Rd, Ottawa, ON, Canada.;Univ Ottawa, Fac Hlth Sci, Sch Nursing, 451 Smyth Rd, Ottawa, ON, Canada.University of Ottawa, Ottawa, Ontario, Canada (creator_code:org_t)

Sammanhörande titlar

  • Ingår i:Pilot and Feasibility Studies: Springer Science and Business Media LLC5:12055-5784

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