Optimizing a knowledge translation intervention: a qualitative formative study to capture knowledge translation needs in nursing homes

BMC Nursing

Trine-Lise Dræge Steinskog¹  MonicaWammenNortvedt¹  Donna Ciliska²  Oscar Tranvåg³  Birgitte Graverholt⁴ 

[1] Western Norway University of Applied Sciences, P.O Box 7030, N-5020, Bergen, Norway;Western Norway University of Applied Sciences, P.O Box 7030, N-5020, Bergen, Norway;McMaster University, 1280 Main St W, L8S 4L8, Hamilton, ON, Canada;Western Norway University of Applied Sciences, P.O Box 7030, N-5020, Bergen, Norway;Norwegian Research Centre for Women’s Health, Oslo University Hospital, Rikshospitalet, P.O. Box 4950, 0424, Oslo, Nydalen, Norway;Western Norway University of Applied Sciences, P.O Box 7030, N-5020, Bergen, Norway;VID Specialized University, P.O. Box 184, Vinderen, NO-0319, Oslo, Norway;

关键词: Professional nursing development;    Evidence-based practice;    Knowledge translation;    Nursing home;    MRC-framework;    Complex intervention;    Intervention development;   

DOI  :  10.1186/s12912-021-00603-5

来源: Springer

【 摘 要 】

BackgroundKnowledge translation (KT) has emerged as an important consideration to reduce knowledge-to-practice gaps in healthcare settings. Research on KT approaches in nursing homes (NHs) is lacking. There is a need to understand the challenges faced in NHs and how these can be managed. This study is part of the larger IMPAKT (IMPlementation and Action for Knowledge Translation) study which addresses KT in NHs. The aim of the study presented here was to identify crucial staff and organizational needs in order to inform the development of a KT intervention in NHs.MethodsA multimethod qualitative approach was applied. We invited practice development nurses (PDNs) to describe current practice, and to identify problems and needs concerning KT in NHs. We followed the recommendations of the development phase of the MRC framework for developing complex interventions. Data were collected through four focus groups and participatory observations in six NHs. Analysis was conducted according to structural thematic analysis based on a phenomenological hermeneutic method.ResultsWe identified three themes that expressed the PDNs’ perceived needs for successful KT implementation: (1) narrowing the PDN role, (2) developing an EBP culture and (3) establishing collaborative alliances. Nine subthemes derived from the PDNs’ experiences and current practice, illustrating needs at individual, relational and organizational levels.ConclusionsRigorous development of complex interventions may add relevance to the intervention, increase the likelihood of success and reduce research waste. Insight into the NH context and organization have helped us define problems and articulate needs that must be addressed when tailoring the IMPAKT intervention.Trial registrationThe IMPAKT trial was retrospectively registered in the ISRCTN Registry (Trial ID: 12,437,773) on March 19th, 2020.

【 授权许可】

CC BY