Implementing Evidence-Based Practice In Healthcare

Harvey, Gill; Kitson, Alison

doi:10.4324/9780203557334

Cited by 211 publications

(263 citation statements)

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“…At the same time, staff clearly expressed a need for greater support during the implementation process, with regard to both guidance in the SDM model and support with the concrete use of the DST. The literature clearly reports that facilitators play a key role in supporting staff in understanding what and how they need to change in order to translate evidence into practice (der Zijpp et al, 2016; Eriksson et al, 2016; Harvey & Kitson, 2015). Additionally, a facilitator is more than a role that can simply be assigned or expected.…”

Section: Discussionmentioning

confidence: 99%

“…The local facilitators were assigned to engage and support staff in the implementation of SDM in practice. Reports suggest that facilitators play a key role in the progress and success of the implementation of an intervention, by providing ongoing support to the individuals, teams and organization (der Zijpp et al, 2016; Eriksson et al, 2016; Harvey & Kitson, 2015). To facilitate the implementation of the DST , it was expected that the facilitator role would be sanctioned by the head of the service and included as part of the facilitator’s everyday tasks.…”

Section: Methodsmentioning

confidence: 99%

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Psychiatric service staff perceptions of implementing a shared decision-making tool: a process evaluation study

Schön

Grim

Wallin

et al. 2018

International Journal of Qualitative Studies on Health and Well

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Purpose: Shared decision making, SDM, in psychiatric services, supports users to experience a greater sense of involvement in treatment, self-efficacy, autonomy and reduced coercion. Decision tools adapted to the needs of users have the potential to support SDM and restructure how users and staff work together to arrive at shared decisions.The aim of this study was to describe and analyse the implementation process of an SDM intervention for users of psychiatric services in Sweden. Method: The implementation was studied through a process evaluation utilizing both quantitative and qualitative methods. In designing the process evaluation for the intervention, three evaluation components were emphasized: contextual factors, implementation issues and mechanisms of impact. Results: The study addresses critical implementation issues related to decision-making authority, the perceived decision-making ability of users and the readiness of the service to increase influence and participation. It also emphasizes the importance of facilitation, as well as suggesting contextual adaptations that may be relevant for the local organizations. Conclusion: The results indicate that staff perceived the decision support tool as user-friendly and useful in supporting participation in decision-making, and suggest that such concrete supports to participation can be a factor in implementation if adequate attention is paid to organizational contexts and structures.

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Psychiatric service staff perceptions of implementing a shared decision-making tool: a process evaluation study

Schön

Grim

Wallin

et al. 2018

International Journal of Qualitative Studies on Health and Well

View full text Add to dashboard Cite

show abstract

“…Numerous theories, models and frameworks have been used to illustrate central factors involved in the use of best available knowledge in practice. For example, the PARIHS (Promoting Action on Research Implementation in Health Services) framework (Rycroft-Malone 2004), now the iPARIHS framework (Harvey and Kitson 2015), has been widely used to guide intervention strategies and illustrate the interplay between the individuals involved in the EBP implementation, the innovation itself to be implemented and the context in which implementation occurs. Moreover, a number of individual characteristics of importance to the application of research evidence (such as problem-solving ability, attitudes and education) have been explored (Squires et al 2011).…”

Section: Introductionmentioning

confidence: 99%

“…Consequently, the perspective of the recipients plays a lead role in implementing EBP. Another core concept in the iPARIHS framework is the innovation itself (Harvey and Kitson 2015), i.e. the evidence to be implemented.…”

Section: Introductionmentioning

confidence: 99%

“…In the current study, iPARIHS is used as a conceptual framework to help understand the results from the discussions of the different focus groups. According to the iPARIHS framework (Harvey and Kitson 2015), characteristics of the recipients (i.e. the users of evidence, their skills and knowledge, motivation, values and beliefs and power and authority) are critical factors for successful implementation into healthcare practices.…”

Section: Introductionmentioning

confidence: 99%

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Research Use and Evidence-Based Practice Among Swedish Medical Social Workers: A Qualitative Study

et al. 2018

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The aim of this study was to explore medical social workers' perceptions of evidencebased practice (EBP), including factors relevant for the successful implementation of evidence into medical social work practice. Eight focus group interviews were conducted that included 27 medical social workers. Data were analyzed using qualitative content analysis, which resulted in two categories: "knowledge in practice" and "challenges in relation to the implementation of EBP" and four subcategories: "practice based on research evidence or experience", "obtaining new evidence of practice", "research and the social work context", and "barriers and facilitating factors". Participants tended to perceive EBP as theoretical and positivistic while perceiving their own knowledge as eclectic and experience-based. Although they perceived the relevance of research findings to their clinical practice, they expressed a need for support to translate research into policy and practice. They also reported that studies about their specific work were scarce. The medical social workers' suggestion for the facilitation of knowledge exchange needs further investigation.

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Guiding Theories, Models, and Frameworks

2021

Knowledge Translation in Nursing and Healthcare

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Implementing Evidence-Based Practice In Healthcare

Cited by 211 publications

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Psychiatric service staff perceptions of implementing a shared decision-making tool: a process evaluation study

Psychiatric service staff perceptions of implementing a shared decision-making tool: a process evaluation study

Research Use and Evidence-Based Practice Among Swedish Medical Social Workers: A Qualitative Study

Guiding Theories, Models, and Frameworks

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