Evaluating the Implementation of Strategies to Improve Evidence-Based Surgical Care: A Focus Group Study

IF 3.4 3区医学 Q1 NURSING Journal of Advanced Nursing Pub Date : 2025-04-24 DOI:10.1111/jan.16988

Karolina Härle, Carina Wennerholm, Jenny Drott

{"title":"Evaluating the Implementation of Strategies to Improve Evidence-Based Surgical Care: A Focus Group Study","authors":"Karolina Härle, Carina Wennerholm, Jenny Drott","doi":"10.1111/jan.16988","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <h3> Aim</h3>\n \n <p>To evaluate healthcare professionals' perspectives on factors that lead to success in the implementation of strategies to strengthen evidence-based surgical nursing care.</p>\n </section>\n \n <section>\n \n <h3> Design</h3>\n \n <p>A qualitative study design with focus group interviews, according to Krueger and Casey in a surgical department at a university hospital in Sweden.</p>\n </section>\n \n <section>\n \n <h3> Methods</h3>\n \n <p>Four focus groups were conducted with 18 participants, including specialist nurses in surgical care, registered nurses and assistant nurses. Data were collected in February–March 2024. A semi-structured interview guide was used, and data were analysed using qualitative content analysis.</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>Three themes with seven subthemes were developed to capture the evaluation of health care professionals' perspectives of the implementation strategies to strengthen evidence-based surgical nursing care. The themes were (1) Roles and leadership, (2) Engagement in the implementation, and (3) Facilitators and barriers to implementation. The implementation has meant the transition from theory to practice and integrating new routines into the surgical department. It was a learning process where the health care professionals needed to familiarise themselves with new concepts and working methods. The positive outcome of the project and support from the nursing leadership were important facilitators in the implementation process.</p>\n </section>\n \n <section>\n \n <h3> Conclusions</h3>\n \n <p>The implementation of new ways of working was a complex process with both resistance and learning, but it ultimately led to positive changes in the surgical care environment.</p>\n </section>\n \n <section>\n \n <h3> Implications for the Profession and Impact</h3>\n \n <p>The project has entailed that specialist nurses in surgical care have increased nursing power in the department and extended responsibilities. Support from the head of the department and the management team has been crucial to being able to carry out the project, and the implementation of activities in small steps has been successful.</p>\n </section>\n \n <section>\n \n <h3> Reporting Method</h3>\n \n <p>Adhered to the SRQR guidelines.</p>\n </section>\n \n <section>\n \n <h3> Patient or Public Contribution</h3>\n \n <p>No patient or public contribution.</p>\n </section>\n </div>","PeriodicalId":54897,"journal":{"name":"Journal of Advanced Nursing","volume":"82 1","pages":"688-700"},"PeriodicalIF":3.4000,"publicationDate":"2025-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jan.16988","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Advanced Nursing","FirstCategoryId":"3","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1111/jan.16988","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"NURSING","Score":null,"Total":0}

引用次数: 0

Abstract

Aim

To evaluate healthcare professionals' perspectives on factors that lead to success in the implementation of strategies to strengthen evidence-based surgical nursing care.

Design

A qualitative study design with focus group interviews, according to Krueger and Casey in a surgical department at a university hospital in Sweden.

Methods

Four focus groups were conducted with 18 participants, including specialist nurses in surgical care, registered nurses and assistant nurses. Data were collected in February–March 2024. A semi-structured interview guide was used, and data were analysed using qualitative content analysis.

Results

Three themes with seven subthemes were developed to capture the evaluation of health care professionals' perspectives of the implementation strategies to strengthen evidence-based surgical nursing care. The themes were (1) Roles and leadership, (2) Engagement in the implementation, and (3) Facilitators and barriers to implementation. The implementation has meant the transition from theory to practice and integrating new routines into the surgical department. It was a learning process where the health care professionals needed to familiarise themselves with new concepts and working methods. The positive outcome of the project and support from the nursing leadership were important facilitators in the implementation process.

Conclusions

The implementation of new ways of working was a complex process with both resistance and learning, but it ultimately led to positive changes in the surgical care environment.

Implications for the Profession and Impact

The project has entailed that specialist nurses in surgical care have increased nursing power in the department and extended responsibilities. Support from the head of the department and the management team has been crucial to being able to carry out the project, and the implementation of activities in small steps has been successful.

Reporting Method

Adhered to the SRQR guidelines.

Patient or Public Contribution

No patient or public contribution.

Abstract Image

查看原文

微信好友朋友圈 QQ好友复制链接

本刊更多论文

评估改善循证外科护理策略的实施情况：焦点小组研究

评估医护人员对成功实施加强循证外科护理策略的因素的看法。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文去求助

来源期刊

Journal of Advanced Nursing 医学-护理

CiteScore

6.40

自引率

7.90%

发文量

369

审稿时长

3 months

期刊介绍： The Journal of Advanced Nursing (JAN) contributes to the advancement of evidence-based nursing, midwifery and healthcare by disseminating high quality research and scholarship of contemporary relevance and with potential to advance knowledge for practice, education, management or policy. All JAN papers are required to have a sound scientific, evidential, theoretical or philosophical base and to be critical, questioning and scholarly in approach. As an international journal, JAN promotes diversity of research and scholarship in terms of culture, paradigm and healthcare context. For JAN’s worldwide readership, authors are expected to make clear the wider international relevance of their work and to demonstrate sensitivity to cultural considerations and differences.