Understanding How Organizational Culture Shapes Research Use

Scott-Findlay, Shannon; Golden‐Biddle, Karen

doi:10.1097/00005110-200507000-00008

Cited by 90 publications

(110 citation statements)

References 16 publications

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“…Second, consistent with findings from other studies on IDE (15,17), staff frequently mentioned that there was no time to assist with IDE. Given the high value placed on busyness in acute care nursing (34), the assumption that staff could accommodate IDE in their workflow may have negatively influenced its acceptability. The view that dealing with acute issues superseded staff capacity to take a consistent role in IDE also reflects the values of an acute care culture, where the urgent takes precedence over other important roles.…”

Section: Discussionmentioning

confidence: 99%

A Qualitative Study to Explore Patient and Staff Perceptions of Intradialytic Exercise

Thompson

Klarenbach

Molzahn

2016

CJASN

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Background and objectives Randomized, controlled trials show that regular exercise is beneficial for patients on hemodialysis. Intradialytic exercise may have additional benefits, such as amelioration of treatment-related symptoms. However, the factors that influence the implementation of intradialytic exercise are largely unknown.Design, setting, participants, & measurements Individual semistructured interviews were conducted with a purposive sample of patients on hemodialysis who had participated in a pilot randomized, controlled trial on intradialytic exercise and dialysis staff that worked in the unit during the trial. The trial took place from July to December of 2014 and enrolled 31 patients. Interviews were conducted from April to December of 2014. Interview coding followed an inductive and broad-based approach. Thematic analysis was used to group codes into common themes, first individually and then, across staff and patient interviews.Results Twenty-five patients and 11 staff were interviewed. Three themes common to both groups emerged: support, norms (expected practices) within the dialysis unit, and the role of the dialysis nurse. The support of the kinesiologist enhanced patients' confidence and sense of capability and was a key component of implementation. However, the practice of initiating exercise at the start of the shift was a barrier to staff participation. Staff focused on the technical aspects of their role in intradialytic exercise, whereas patients viewed encouragement and assistance with intradialytic exercise as the staff's role. An additional theme of no time (for staff to participate in intradialytic exercise) was influenced by its low priority in their workflow and the demands of the unit. The staff's emphasis on patients setting up their own equipment and enhanced social interaction among participants were additional themes that conveyed the unintended consequences of the intervention. ConclusionsThe kinesiologist-patient interactions and staff readiness for intradialytic exercise were important factors in the implementation of intradialytic exercise. Understanding how unit workflow and the personal values of staff can influence implementation may improve the design of intradialytic exercise interventions.

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Section: Discussionmentioning

confidence: 99%

A Qualitative Study to Explore Patient and Staff Perceptions of Intradialytic Exercise

Thompson

Klarenbach

Molzahn

2016

CJASN

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“…Often heavy workloads do not allow for organized reflection and discussions. It is important for leaders to understand their value and prioritize this kind of activities in a long-term perspective [40] thereby improving quality in patient care [41][42].…”

Section: Discussionmentioning

confidence: 99%

Patients’ and relatives’ complaints about encounters and communication in health care: Evidence for quality improvement

Jangland

Gunningberg

Carlsson

2009

Patient Education and Counseling

134

141

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Results Three categories were identified: "Not receiving information or being given the option to participate", "Not being encountered in a professional manner" and "Not receiving nursing or practical support". Insufficient information, insufficient respect and insufficient empathy were described as the most common reasons for a negative professional encounter. ConclusionPatients and relatives experienced unnecessary anxiety and reduced confidence in health care after negative professional encounters. Practice implicationsThe complaints reported to the Patients' Advisory Committee could be used more effectively in health care and be regarded as important evidence when working with quality improvement. To systematically use patient stories, such as those obtained in this report, as a reflective tool in education and supervision could be one way to improve communication and bring new understanding about the patient's perspective in health care. KeywordsComplaints, communication, professional encounter and content analysis. Much research has been done on communication between patients and health professionals. For example, the power of the information communicated by the voice was studied among surgeons, and it was suggested that "how" a message is conveyed may be as important as "what" is said [8]. The physician-patient communication was studied among primary care physicians and surgeons. Physicians with no-claim seemed to conduct longer visits, educate patients more, check understanding more and use more humour during the visit than physicians with claims [9]. A study by Kuzel [10] showed that negative outcomes in the clinician-patient relationship, dominated by stories of disrespect or insensitivity, were reported as more common than technical errors in diagnosis and treatment.The Institute for Healthcare Improvement (IHI) emphasizes that the health care system needs to be more patient-centred and to involve the patients and families in the design of care. Patient-centred care requires respect for patients' values and expressed needs, information and communication, coordination of care, involvement of family, 4 and concordance between the patient and health professionals [11]. Eldh [12] concludes that health care professionals should support patient participation by recognizing the patient as an individual and as a resourceful partner. The benefits of patient-centred care could be that patients are more motivated to follow treatment advice [13] and are more satisfied with health care [14].Patient satisfaction is used as a common quality indicator in health care [15][16]. A problem using patient satisfaction as a quality indicator depends on the complexities where different factors could affect the outcome, and the reliability and validity questioned [17]. Factors such as gratitude, faith and loyalty to health care providers, could influence patient satisfaction [18] as well as background factors such as age, health status and expectations of care [19][20]. A patient's evaluation could be positive, even when care...

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“…Praksis har ofte en sterk «gjørekultur» som kan innvirke på holdningen til og synet på kunnskap som kommer fra forskning. Sistnevnte er en mer akademisk ferdighet (14). Det gjøres viktige framstøt i utdanningen som har til hensikt å laere kommende sykepleiere å lese og bruke forskning (15).…”

Section: Forfattereunclassified

Lærer å bruke forsknings=artikler

Larssen¹

2017

Sykepleien

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Evnen til å vurdere og kritisk lese forskningsartikler er en sentral del av kunnskapsbasert praksis. Når vi prøver ut en modell for kunnskapsbasert praksis, ser vi at sykepleiestudenter har vansker med å nne, lese og forstå forskningsartikler. Denne artikkelen drøfter hvordan sykepleierutdanningen kan integrere ulike pedagogiske tilnaerminger for å fremme studenters laering av kunnskapsbasert praksis.

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Understanding How Organizational Culture Shapes Research Use

Cited by 90 publications

References 16 publications

A Qualitative Study to Explore Patient and Staff Perceptions of Intradialytic Exercise

A Qualitative Study to Explore Patient and Staff Perceptions of Intradialytic Exercise

Patients’ and relatives’ complaints about encounters and communication in health care: Evidence for quality improvement

Lærer å bruke forsknings=artikler

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