Preconditions for successful guideline implementation: perceptions of oncology nurses.
Preconditions for successful guideline implementation: perceptions of oncology nurses.
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DOI：
10.1186/1472-6955-10-23
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发表时间：
2011-11-08
期刊：
影响因子：
3.2
通讯作者：
Komatsu H
中科院分区：
文献类型：
--
作者：
Yagasaki K;Komatsu H
虽然循证指南对于提高患者护理质量非常重要，但实践中的实施低于预期。随着最近对团队护理的关注，指南旨在促进跨多学科护理的整合。我们进行了一项探索性研究，以了解肿瘤科护士的看法，指导方针的执行，并了解他们的意见，他们的经验如何影响执行。定性研究与焦点小组访谈。我们收集了11名在日本有5年以上肿瘤护理经验的护士的数据。使用扎根理论分析数据。分析结果将“成功实施准则的先决条件”确定为核心类别。有4个类别（目标一致性，平等的伙伴关系，专业的自我发展和用户友好）和11个子类别有关的组织，多学科，个人和指导方针的水平。虽然这些准则被认为很重要，但在实践中没有得到充分执行。如果组织要在临床环境中成功实施指南，则必须满足组织、多学科、个人和指南层面的先决条件。通过关注这些先决条件来确定战略的优先顺序将有助于促进指南的成功实施。
Although evidence-based guidelines are important for improving the quality of patient care, implementation in practice is below expectations. With the recent focus on team care, guidelines are intended to promote the integration of care across multiple disciplines. We conducted an exploratory study to understand oncology nurses' perceptions of guideline implementation and to learn their views on how their experiences affected the implementation. A qualitative study was used with focus group interviews. We collected data from 11 nurses with more than 5 years of oncology nursing experience in Japan. The data were analyzed using grounded theory. Results of the analysis identified "preconditions for successful guideline implementation" as a core category. There were 4 categories (goal congruence, equal partnership, professional self-development and user-friendliness) and 11 subcategories related to organizational, multidisciplinary, individual, and guideline levels. Although the guidelines were viewed as important, they were not fully implemented in practice. There are preconditions at the organizational, multidisciplinary, individual, and guideline levels that must be met if an organization is to successfully implement the guideline in clinical settings. Prioritizing strategies by focusing on these preconditions will help to facilitate successful guideline implementation.