What Registered Nurses Do and Do Not in the Management of Pediatric Peripheral Venous Catheters and Guidelines: Unpacking the Outcomes of Computer Reminders

Eldh, RN Ann Catrine; BSc, RN AnnaMaria Tollne; Förberg, RN Ulrika; Wallin, RN Lars

doi:10.1111/wvn.12130

Cited by 7 publications

(6 citation statements)

References 28 publications

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“…No pós-teste, houve melhora na porcentagem de acertos sobre a não obrigatoriedade de esterilidade da punção venosa, principalmente no grupo dos técnicos de enfermagem, que evoluiu de 69% para 82,8%. A punção não é um procedimento estéril, mas a equipe de enfermagem deve atentar para a manutenção da técnica asséptica durante o procedimento (8) , já que a inserção de um cateter no lúmen intravascular oferta o acesso direto à corrente sanguínea que, apesar de ser obtida para a infusão de fluidos, medicamentos ou produtos derivados de sangue (19) , torna-se também uma potencial porta de entrada para microorganismos.…”

Section: Discussionunclassified

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Efeito de hipermídia educacional acerca da punção venosa periférica no conhecimento da enfermagem: estudo quase-experimental

et al. 2018

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Aim: to evaluate the knowledge of the nursing team of a university hospital before and after the use of an educational hypermedia about the peripheral venous puncture. Method: a quasi-experimental study with 57 nursing professionals from a university hospital in the city of Fortaleza, Ceará. The previous knowledge and acquired knowledge were verified after the use of hypermedia available in the Solar Platform of the Federal University of Ceará. For statistical analysis, the binomial test and p <0.05 were used. Results: the correct answers were statistically significant in all post-test questions of nursing technicians and in 46.6% of nurses' post-test questions. In the questions where there was no statistical difference, the increase in the number of correct answers was observed. Conclusion: the effectiveness of hypermedia for the teaching of the nursing team indicates that it is a resource that can contribute to professional qualification on peripheral venous puncture.

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Section: Discussionunclassified

“…Assim torna-se pertinente a adesão de medidas preventivas para infecção ou falha no procedimento. Tais medidas incluem a antissepsia das mãos e dos antebraços do profissional; o uso de luvas descartáveis; a antissepsia da zona de inserção do cateter; a boa fixação após o procedimento e a garantia de observação do local de inserção (19) .…”

Section: Discussionunclassified

Efeito de hipermídia educacional acerca da punção venosa periférica no conhecimento da enfermagem: estudo quase-experimental

et al. 2018

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“…Observations are impeded by being resource-intensive and thus costly, mainly in terms of time and manpower; they require researchers to have a self-awareness of their own prejudices and perspectives and acknowledge how those may impact on the description produced (Smit & Onwuegbuzie, 2018). Yet, observations provide an opportunity to obtain a deeper and richer insight into an implementation context (Eldh, Tollne, Förberg, & Wallin, 2016), including how the physical and social context interacts to mediate knowledge sharing and knowledge use in nursing homes and other healthcare settings (Eldh et al, 2017).…”

Section: Implications For Future Researchmentioning

confidence: 99%

Using Nonparticipant Observation as a Method to Understand Implementation Context in Evidence‐Based Practice

Eldh

Rycroft‐Malone

Zijpp

et al. 2020

Worldviews Ev Based Nurs

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Background: The uptake of evidence-based knowledge in practice is influenced by context. Observations are suggested as a valuable but under-used approach in implementation research for gaining a holistic understanding of contexts. Aim: The aim of this paper is to demonstrate how data from observations can provide insights about context and evidence use in implementation research. Methods: Data were collected over 24 months in a randomised trial with an embedded realist evaluation in 24 nursing homes across four European countries; notes from 183 observations (representing 335 hours) were triangulated with interview transcripts and context survey data (from 357 staff interviews and 725 questionnaire responses, respectively). Results: Although there were similarities in several elements of context within survey, interview and observation data, the observations provided additional features of the implementation context. In particular, observations demonstrated if and how the resources (staffing and supplies) and leadership (formal and informal, teamwork, and professional autonomy) affected knowledge use and implementation. Further, the observations illuminated the influence of standards and the physical nursing environment on evidence-based practice, and the dynamic interaction between different aspects of context. Linking Evidence to Action: Although qualitative observations are resource-intensive, they add value when used with other data collection methods, further enlightening the understanding of the implementation context and how evidence use and sharing are influenced by context elements. Observations can enhance an understanding of the context, evidence use and knowledge-sharing triad in implementation research.

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“…For example, a facilitator for the uptake of an innovation could be a contextual element such as staffs' recognition of the need for and readiness to change routines. The term "facilitator" is also used for interventions dedicated to bridge barriers such as electronic reminders that enable the end-user's uptake and adherence to evidence-based practice guidelines (5,6). Internal facilitators (IFs), a topic addressed here, are people assigned to facilitate knowledge implementation in their organisations (7)(8)(9)(10).…”

Section: Introductionmentioning

confidence: 99%

Facilitating facilitators to facilitate—Some general comments on a strategy for knowledge implementation in health services

Eldh

Nyman

Joelsson‐Alm

et al. 2023

Front. Health Serv.

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Numerous endeavours to ensure that day-to-day healthcare is both evidence-based and person-centred have generated extensive, although partial, comprehension of what guarantees quality improvement. To address quality issues, researchers and clinicians have developed several strategies as well as implementation theories, models, and frameworks. However, more progress is needed regarding how to facilitate guideline and policy implementation that guarantees effective changes take place in a timely and safe manner. This paper considers experiences of engaging and supporting local facilitators in knowledge implementation. Drawing on several interventions, considering both training and support, this general commentary discusses whom to engage and the length, content, quantity, and type of support along with expected outcomes of facilitators’ activities. In addition, this paper suggests that patient facilitators could help produce evidence-based and person-centred care. We conclude that research about the roles and functions of facilitators needs to include more structured follow-ups and also improvement projects. This can increase the speed of learning with respect to what works, for whom, in what context, why (or why not), and with what outcomes when it comes to facilitator support and tasks.

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What Registered Nurses Do and Do Not in the Management of Pediatric Peripheral Venous Catheters and Guidelines: Unpacking the Outcomes of Computer Reminders

Cited by 7 publications

References 28 publications

Efeito de hipermídia educacional acerca da punção venosa periférica no conhecimento da enfermagem: estudo quase-experimental

Efeito de hipermídia educacional acerca da punção venosa periférica no conhecimento da enfermagem: estudo quase-experimental

Using Nonparticipant Observation as a Method to Understand Implementation Context in Evidence‐Based Practice

Facilitating facilitators to facilitate—Some general comments on a strategy for knowledge implementation in health services

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