Improved nurse–parent communication in neonatal intensive care unit: evaluation and adjustment of an implementation strategy

Weis, Janne; Zoffmann, Vibeke; Egerod, Ingrid

doi:10.1111/jocn.12599

Cited by 24 publications

(29 citation statements)

References 53 publications

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“…The latter might also support MHCPs who felt insecure in using GSD and help the rejecting GSD novices to better understand the theoretical underpinnings, as the grounded theories were used as framework in the supervision. In a Danish study, the time needed for health professionals to reach GSD certification decreased remarkably when leaders changed from having an “accepting” to an “active” ownership attitude to the GSD implementation (Weis, Zoffmann, & Egerod, ). Thus, we see active ownership from the MHCP leaders as a necessary step in implementing the GSD to ensure that the GSD trainees prioritized and actually joined the planned supervision.…”

Section: Discussionmentioning

confidence: 99%

The deadlock of saying “That is what we already do!” A thematic analysis of mental healthcare professionals’ reactions to using an evidence‐based intervention

Jørgensen

Christiansen

Nissen

et al. 2019

Psychiatric Ment Health Nurs

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Accessible Summary What is known on this subject? There is a need to shed light on healthcare professionals’ reactions to the use of the Guided Self‐Determination method in a mental health hospital to better understand and adjust the implementation process of evidence‐based practice. Healthcare professionals´ values and beliefs play an important role when implementing evidence‐based practice in real‐world healthcare settings. What this paper adds to existing knowledge? The study identifies opposite positions in mental healthcare professionals: being ready or resistant to change when implementing an evidence‐based intervention. The positions are elaborated in four thematic dynamic continuums describing reactions to using the intervention. In addition, this is the first study to explore mental healthcare professionals´ reactions to using the Guided Self‐Determination method in a mental health context. What are the implications for practice? When preparing implementation of an evidence‐based intervention, it is important to consider adaptation of the intervention, the mental healthcare professionals’ acceptability, support from management and participation in supervision. In future research, it is important to consider collecting data from mental healthcare professionals trained in using an evidence‐based intervention, however not using it in clinical practice, to understand barriers towards evidence‐based practice. Abstract IntroductionEvidence‐based interventions are required in mental health nursing to improve quality and outcome for patients. However, there is a need to shed light on professionals’ reactions to the use of evidence‐based interventions to better understand and adjust the implementation process. AimTo explore mental healthcare professionals´ reactions to using the evidence‐based intervention Guided Self‐Determination method in the care of inpatients with severe mental illness. MethodA qualitative study conducted in relation to an 8 months implementation program. Data collection: 9 qualitative interviews and field notes generated from supervision of the intervention. ResultsFour themes emerged from a thematic analysis: “The expert becomes novice,” “Theory used as a looking glass,” “Guided Self‐Determination perceived as an interruption” and “Becoming an informer of the impact of GSD.” DiscussionUsing the themes may help leaders or researchers predict or discover the support needed by individual professionals. Implications for practiceWhen preparing implementation of an evidence‐based intervention, it is important to consider adaptation and acceptability, as well as support from management and participation in supervision. Finally, it is worth to consider collecting data from trained professionals, who did not use the intervention in practice to understand barriers towards evidence‐based practise.

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Section: Discussionmentioning

confidence: 99%

The deadlock of saying “That is what we already do!” A thematic analysis of mental healthcare professionals’ reactions to using an evidence‐based intervention

Jørgensen

Christiansen

Nissen

et al. 2019

Psychiatric Ment Health Nurs

Self Cite

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“…) and person‐centred communication provides a means of engaging parents in care giving (Weis et al . ). Nurse education programmes have been effective in changing attitudes and behaviours to family‐centred care (Milette et al .…”

Section: Introductionmentioning

confidence: 97%

“…Other studies have focused on nurse–parent communication (Weis et al . ), nurse–parent collaboration (Trajkovski et al . ) and nurse education (Milette et al .…”

Section: Introductionmentioning

confidence: 99%

“…Other studies have focused on nurse-parent communication (Weis et al 2014), nurse-parent collaboration (Trajkovski et al 2015) and nurse education (Milette et al 2005. Appreciative enquiry has been used effectively to develop a shared vision for nurse parent collaboration (Trajkovski et al 2015) and person-centred communication provides a means of engaging parents in care giving (Weis et al 2014). Nurse education programmes have been effective in changing attitudes and behaviours to family-centred care (Milette et al 2005) and resulted in increased parental involvement in infant care .…”

Section: Introductionmentioning

confidence: 99%

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Developing family‐centred care in a neonatal intensive care unit: an action research study protocol

Skene

Gerrish

Price

et al. 2015

Journal of Advanced Nursing

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“…[29][30][31][32] In several previous studies concerning documentation, the importance of family members has been mentioned. [33][34][35] Also, families' participation was documented in regard to coordinating the continuity of care. [18] However, the actual participation of family members in the patient care is, in general, quite briefly noted in such documentation, even though it has a crucial relevance for the patient's discharge from hospital and survival at home.…”

Section: Introductionmentioning

confidence: 99%

The invisibility of the patient’s family in nursing documentation: An integrative review

Laitinen

Paavilainen²

2017

CNS

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Objective: The objective of this integrative review is to present the current state of research knowledge regarding references to the patient's family in documentation in health care settings. Methods: Ten (N = 10) research articles from 1998 to 2014 were found and analyzed using inductive, thematic analysis. All articles were evaluated using the critical appraisal tools developed by the Joanna Briggs Institute (JBI). Results: Two main themes were revealed: the content and the structural aspects of family documentation. Quantitative, qualitative and mixed methods were used in generating the data of the reviewed articles. Reference to families in documentation was considered important in all the articles. Structural aspects consisted of semi-structured forms, summary notes and a tick-box system for marking the issues which were discussed with families. The classification system and outcomes assessment regarding family documentation were investigated, and their importance was highlighted. The content of family documentation was typified, for example, by parenting issues in mental health status and how the parents cope when a child is ill. Difficult life situations and advanced care planning brought families into the documentation, albeit rather infrequently. Similarly, references to counseling families or considering their psychosocial, spiritual and cultural dimensions were rarely found in the literature. Additionally, the family's importance in supporting the patient's care was often missed in documentation. Conclusions:The results show the necessity of developing both family nursing and its documentation. Consequently, in order to improve the quality of both of these, more investigation from multiple perspectives is needed.

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Improved nurse–parent communication in neonatal intensive care unit: evaluation and adjustment of an implementation strategy

Abstract: Insights gained from our pioneering work might help nurses in a similar context to reach their goals of improving family-centred care.

Cited by 24 publications

References 53 publications

The deadlock of saying “That is what we already do!” A thematic analysis of mental healthcare professionals’ reactions to using an evidence‐based intervention

The deadlock of saying “That is what we already do!” A thematic analysis of mental healthcare professionals’ reactions to using an evidence‐based intervention

Developing family‐centred care in a neonatal intensive care unit: an action research study protocol

The invisibility of the patient’s family in nursing documentation: An integrative review

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