{"title":"评估改善循证外科护理策略的实施情况：焦点小组研究","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":3.8000,"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":"{\"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. 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Evaluating the Implementation of Strategies to Improve Evidence-Based Surgical Care: A Focus Group Study
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.
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.
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