Comparison of the Dissemination and Implementation of Standardized Public Health Nursing Competencies in Academic and Practice Settings

Abstract

Faculty and practitioners who use the competencies value them, and rarely discontinued their use after adoption. Efforts to promote diffusion among faculty and especially practitioners need to continue. Professional organizations can actively provide and share examples of useable formats and best practices associated with the competencies.

Determinants of the implementation of a new practice in hormonal contraception by Quebec nurses

“…In line with other reports, organizational innovativeness was identified as a leading factor in voluntary decision-making and implementation (Greenhalgh et al, 2004;Oppewal, et al, 2006;Robert et al, 2011;Rogers, 2003;van Achterberg et al, 2008;While & Biggs, 2004). The aspects of organizational innovativeness included low centralized decision-making and ''organizational slack'' -availability of premises, nurse and physician availability, access to pharmaceutical drug samples (useful for counseling), absence of professional isolation and technical support (results not shown).…”

“…The more decentralized the decision-making and the greater the organizational slack, the more likely nurses were to implement this new practice and to be efficient. External openness or inter-organizational networking also had an influence on the implementation in our study like in other settings (Greenhalgh et al, 2004;Oppewal, et al, 2006;Robert et al, 2011;Rogers, 2003;van Achterberg et al, 2008;While & Biggs, 2004).…”

“…In the present study, the observation that 57.3% of respondents have implemented the new practice of starting women on hormonal contraception, within two years of their training in hormonal contraception, is an encouraging result. Comparable or better results have been attained with nurses in settings across a broad range of practices (Bowen, Stanton, & Manno, 2012;Montufar, Morales, Vernon, Brambila, & Solorzano, 2005;Oppewal, Lamanna, & Lee Glenn, 2006;van der Weide & Smits, 2004;While & Biggs, 2004). Implementation strategies are expected to be more successful when they match relevant determinants, are linked with relevant theoretical insights, and are supported by evidence for either the theory or the effectiveness of the strategy itself (van Achterberg et al, 2008).…”

“…Therefore, it was easy for them to quickly implement this strategy and grow the intensity in their practice. This factor was found in other studies to be predictive of the implementation of guidelines on nursing diagnosis and intervention for patients with urinary incontinence (van der Weide & Smits, 2004), and has been influential for public health nurses in their compliance to professional standards of practice (Oppewal, Lamanna, & Lee Glenn, 2006). According to Rogers (2003), the basic notion of the compatibility attribute is that a new idea is perceived in relationship to existing practices that are already familiar to the individual.…”

“…First, although our sample size of this study was respectable, the response rate (27%) was limited and may have been influenced by the fact that the study was launched around Christmas, a time when nurses were busy with flu immunization or were on vacation. Notably, in studies with larger sample sizes (Oppewal et al, 2006;Pestka, et al, 2010;Westrick, Watcharadamrongkun, Mount, & Breland, 2009), the response rate was lower than in studies with small sample size (van der Weide & Smits, 2004;While & Biggs, 2004;). E-mail lists do not enable tracking of nurses who change organizations and sample selection bias due to recall errors and social desirability bias may also have been influential.…”