The Role of Nursing Best Practice Champions in Diffusing Practice Guidelines: A Mixed Methods Study
The Role of Nursing Best Practice Champions in Diffusing Practice Guidelines: A Mixed Methods Study
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DOI：
10.1111/j.1741-6787.2010.00202.x
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发表时间：
2010-01-01
影响因子：
4.3
通讯作者：
Downey, Angela
中科院分区：
文献类型：
--
作者：
Ploeg, Jenny;Skelly, Jennifer;Downey, Angela
背景资料：虽然护理最佳实践冠军的重要性已被广泛推广的循证实践的扩散，很少有关于他们的作用的研究。通过了解更多关于冠军在指南传播中的作用，护理专业可以更积极地管理和促进冠军的作用，同时利用他们的潜力成为医疗保健系统的有效领导者。目的：确定护理最佳实践冠军如何影响最佳实践指南建议的传播。方法：采用混合方法序贯三角设计，包括两个阶段：（1）2006年2月至7月对23名冠军进行了关键信息人访谈;（2）2007年9月至10月对冠军（N = 191）和管理人员（N = 41）进行了调查。定性结果为调查的发展提供了信息，并用于解释第二阶段收集的定量信息。结果：大多数访谈和调查参与者是女性，全职工作，并在实践中工作了20年以上。定性和定量的研究结果表明，冠军影响最佳实践指南建议的使用最容易通过：（1）传播有关临床实践指南的信息，特别是通过教育和指导;（2）在跨学科委员会有说服力的实践领导者;（3）定制的指导方针实施战略的组织环境。结论和影响：我们的研究表明，护理最佳实践冠军有一个多方面的作用，非常适合导航的复杂性，一个动态的卫生系统，以创造积极的变化。了解这一角色可以帮助服务机构和护理专业更充分地利用冠军的潜力，影响和实施循证实践，以促进积极的患者，组织和系统的结果。
Background: While the importance of nursing best practice champions has been widely promoted in the diffusion of evidence-based practice, there has been little research about their role. By learning more about what champions do in guideline diffusion, the nursing profession can more proactively manage and facilitate the role of champions while capitalizing on their potential to be effective leaders of the health care system.Aim: To determine how nursing best practice champions influence the diffusion of Best Practice Guideline recommendations.Methods: A mixed method sequential triangulation design was used involving two phases: (1) key informant interviews with 23 champions between February and July 2006 and (2) a survey of champions (N = 191) and administrators (N = 41) from September to October 2007. Qualitative findings informed the development of surveys and were used in interpreting quantitative information collected in phase 2.Results: Most interview and survey participants were female, employed full-time, and had worked in practice for over 20 years. Qualitative and quantitative findings suggest that champions influence the use of Best Practice Guideline recommendations most readily through: (1) dissemination of information about clinical practice guidelines, specifically through education and mentoring; (2) being persuasive practice leaders at interdisciplinary committees; and (3) tailoring the guideline implementation strategies to the organizational context.Conclusions and Implications: Our research suggests that nursing best practice champions have a multidimensional role that is well suited to navigating the complexities of a dynamic health system to create positive change. Understanding of this role can help service organizations and the nursing profession more fully capitalize on the potential of champions to influence and implement evidence-based practices to advance positive patient, organizational, and system outcomes.