Leadership facilitation strategies to establish evidence‐based practice in an acute care hospital

Hauck, Sheila; Winsett, Rebecca P.; Kuric, J

doi:10.1111/j.1365-2648.2012.06053.x

Cited by 66 publications

(99 citation statements)

References 25 publications

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“…Although Hauck, Winsett and Kuric's [46] work focused on transformational leadership to achieve organizational change pertaining to evidence-based practice (EBP), lessons learned in their study are applicable in addressing the issues the participants in this study reported. For example, they suggest that for change to be successfully implemented, a broad vision of the structure and processes need to be in place.…”

Section: Discussionmentioning

confidence: 96%

An exploratory mixed methods study of urban and rural registered nurses’ experience of clinical reasoning

Sedgwick

Sedgwick²,

Awosoga³

et al. 2017

JNEP

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Background and objective: Engaging in clinical reasoning frequently occurs in busy, high pressured, stressful settings with competing demands. Patient outcomes are affected in part by RNs' clinical reasoning ability. This study aims to explore the extent to which the clinical context influences clinical reasoning among urban and rural registered nurses. Methods: In this exploratory study using a mixed method approach, 11 rural hospital RNs and 7 RNs practicing in urban medical or surgical units completed a survey and a semi-structured individual qualitative interview. Data were generated over a two month period in 2015. Descriptive statistics and Mann-Whitney U was used to test for differences among groups. Qualitative data analysis procedures were used to help identify two major themes. Results: The perceived lack of time influenced the participants' ability to engage in clinical reasoning. The findings also suggest that rule following hampered the participants' ability to confidently share their clinical reasoning. Conclusions: To deepen RNs clinical reasoning an examination of the clinical environment's structure and processes that support or impede engagement in clinical reasoning is required. Specific strategies that enhance clinical reasoning need to be unit specific and driven by RNs.

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Section: Discussionmentioning

confidence: 96%

An exploratory mixed methods study of urban and rural registered nurses’ experience of clinical reasoning

Sedgwick

Sedgwick²,

Awosoga³

et al. 2017

JNEP

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“…Las estrategias claves de éxito son la educación y el establecimiento de oportunidades internas para difundir los resultados; la transformación del liderazgo del personal de enfermería impulsa el cambio organizacional y proporciona la visión, los recursos y el tiempo favoreciendo la gestión administrativa y financiera de la instituciones (26).…”

Section: Liderazgo Como Competencia De Los Trabajadores Y Concepción unclassified

Liderazgo en los servicios de salud

Espitia

2014

Cienc. Salud virtual

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RESUMENEl liderazgo en los servicios de salud, implica comprender el primero como un componente fundamental del proceso de gestión organizacional, como competencia de los trabajadores para impactar la satisfacción laboral y la calidad de la atención. El objetivo de este estudio fue revisar algunos tópicos investigados en los últimos años acerca del liderazgo en los servicios de salud.La importancia de estudiar el efecto transformador del liderazgo a nivel de las instituciones puede contribuir a la gestión exitosa y a la satisfacción misma de los trabajadores, conllevando a plantear la necesidad de consolidar programas de formación en habilidades y competencias de liderazgo para favorecer mejores resultados en las instituciones de servicios de salud. Las ventajas relativas del liderazgo como un proceso en las organizaciones conlleva al empoderamiento de equipos, lo cual se podrá ver reflejado en el rendimiento mismo de los equipos.Es fundamental el papel que desempeñan los departamentos de educación de los hospitales los cuales al articularse con la dirección estratégica de las organizaciones, en pro de la gestión y la eficacia de los procesos, pueden generar programas de formación en habilidades de liderazgo para favorecer mejores resultados institucionales.

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“…1 The results presented refer to a detail of phase 1 of the Rogers' theory: the phase of knowledge. 9 An intentional sample, consisting of all the nurses managers of the Unidades de Internação do Hospital Público de Ensino (UI-HPE -Inpatient Units of the Public Teaching Hospital) (n = 18), was composed, excluding those on vacation or leave. A questionnaire was applied for socio-demographic characterization of the participants (elaborated by the authors), and the details of this intervention are presented in recent publications.…”

Section: Methodsmentioning

confidence: 99%

“…6,7 The engagement of Nursing coordination, as indicated by contemporary scientific productions, presents as a crucial strategy to make the hospital context favorable to EBP. This is due to the fact that the Nursing leaders present themselves capable of encouraging and supporting the assistance teams in the change of practices -an organizational change, therefore, 8,9 provides the undertaking of strategies that increase the cooperation and engagement of the workers as important elements for the implementation of EBP -in particular to avoid discontinuance of this practice in the organization. 1,8,9 In this perspective, the Rogers Innovations Diffusion theory 10 has been undertaken to achieve leadership engagement and induction of hospital organizational culture in favor of EBP implementation among nurses.…”

Section: -3mentioning

confidence: 99%

Apprehensions of nurse managers on evidence-based practice

et al. 2017

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Objective: To analyze the apprehensions of nurse managers in the implementation of the Evidence Based Practice in a Teaching Hospital of Triângulo Mineiro. Method: Qualitative research guided by the Theory of the Diffusion of Innovations. Five workshops were conducted per focal group (n = 18 participants), conducted by hermeneutic-dialectic interactions between August and September/2016. Textual records resulting from each workshop were analyzed by semantic categories. Results: Aspects conditioning to the implementation of the Evidence Based Practice permeate from elements related to the fragmentation of the care network to the necessary expansion of the governability of the nurse managers to put changes into practice in their sectors.Most importantly, timely access to the results of research conducted at the teaching hospital was mentioned as crucial to guide better practices. Final considerations: The approach allowed the recognition of contextual conditions for the implementation of the Evidence-Based Practice, which may coincide with similar scenarios, as well as increase the national scientific production on the subject, which is still scarce. Aspectos condicionantes à implementação da Prática Baseada em Evidências permearem desde elementos relacionados à fragmentação da rede assistencial até a necessária ampliação da governabilidade dos enfermeiros gerentes para efetuarem mudanças nos seus setores. Majoritariamente, o acesso oportuno aos resultados das pesquisas realizadas no hospital de ensino foi mencionado como crucial para orientação de práticas mais qualificadas. Considerações finais: A abordagem permitiu reconhecer condições contextualizadas para a implementação da Prática Baseada em Evidências, que podem ser coincidentes a cenários similares. Como, também, incrementar a produção científica nacional sobre o tema, ainda escassa. Keywords Palavras-chave:Enfermagem baseada em evidências; Liderança; Difusão de Inovações; Hospitais de ensino. resumenObjetivo: Analizar las inquietudes de enfermeros gerentes sobre la implementación de la Práctica Basada en Evidencias en Hospitales de Enseñanza del Triángulo Minero. Método: Investigación cualitativa orientada por la Teoría de la Difusión de Innovaciones. Se realizaron cinco talleres por grupo focal (n = 18 participantes), conducidos por interacciones hermenéutico-dialécticas, entre agosto y septiembre/2016. Los registros textuales resultantes de cada taller fueron analizados por categorías semánticas. Resultados: Los aspectos condicionantes para implementar la Práctica Basada en Evidencias permearon desde los elementos relacionados a la fragmentación de la red asistencial hasta la necesidad de ampliar la gobernabilidad de los enfermeros gerentes para que realicen cambios en sus sectores. Mayoritariamente, el acceso oportuno a los resultados de las investigaciones realizadas en el hospital de enseñanza fue mencionado como crucial en la orientación de prácticas más calificadas. Consideraciones finales:El abordaje permitió reconocer condiciones contextu...

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Leadership facilitation strategies to establish evidence‐based practice in an acute care hospital

Cited by 66 publications

References 25 publications

An exploratory mixed methods study of urban and rural registered nurses’ experience of clinical reasoning

An exploratory mixed methods study of urban and rural registered nurses’ experience of clinical reasoning

Liderazgo en los servicios de salud

Apprehensions of nurse managers on evidence-based practice

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