THE ROLE OF WARD MANAGERS WHEN DEVELOPING CONSISTENT EVIDENCE-BASED PRACTICES IN LONG-TERM CARE FACILITY: A QUALITATIVE STUDY

  • Teija Korhonen Senior Lecturer, Savonia University of Applied Sciences, Kuopio, Finland
  • Arja Holopainen Research Director, Finnish Nursing Research Foundation, Finland
  • Anne-Maria Kanerva Principal lecturer, Satakunta University of Applied Sciences, Pori, Finland
  • Seija Petman Master of Health Care, Outreach youth worker, City of Rauma, Finland
  • Elina Haavisto Professor, Department of Nursing Science, University of Turku, Turku, Finland

Abstract

Background: A ward manager performs important tasks in the implementation of consistent evidence-based practice (EBP). However, little is known about these tasks, especially in long-term care facilities.  

Aim: This study aimed to describe the tasks of ward managers in improving consistent EBP according to the four-phase Operational Model for Evidence-Based Practice (OMEBP).

Method: Data were collected through focus group interviews (9) in each of the four phases of OMEBP. The interviews were separately conducted in two groups: (1) ward managers (n=4) and (2) wound contact persons (registered and practical nurses, n=8); participants from the four units were present in the same interview. In addition, a third focus group [practical nurses (n=8) was involved in the first phase of the interview regarding the evaluation of the development needs of the current practice and their realization. The groups were interviewed after the completion of each phase of OMEBP. Data were analyzed by deductive content analysis based on the four phases of OMEBP.

Results: Results described the tasks of ward managers in the four-phase OMEBP. These tasks included informing, mentoring, taking responsibility, supporting the nursing staff, reminding, and consulting.

Conclusions: Ward managers perform several tasks during the implementation of consistent EBP. Management of EBP requires several knowledge and skills.

Keywords: Ward Manager, Evidence-Based Practice, Consistent Practice, Operational Model for Evidence-Based Practice (OMEBP)

Downloads

Download data is not yet available.

References

Aarons, G.A., Farahnak, L.R., Ehrhart, M.G. & Sklar, M. (2014). Aligning leadership across systems and organizations to develop strategic climate for evidence-based practice implementation. Annual Review of Public Health, 35, pp 255–274.

Andermann, A., Pang, T., Newton, J.N., Davis, A. & Panisset, U. (2016). Evidence for health II: Overcoming barriers to using evidence in policy and practice. Health Research Policy and Systems, 14, 17.

Birken, S., Clary, A., Tabriz, A.A., Turner, K., Meza, R., Zizzi, A., Larson, N., Walker, J. & Charns, M. (2018). Middle manager’s' role in implementing evidence-based practice in healthcare: a systematic review. Implementation Science, 13(1), 149.

Caramanica, L. & Spiva, L. (2018). Exploring nurse manager support of evidence-based practice: Clinical nurse perceptions. Journal of Nursing Administration, 48(5), pp 272–278.

Duncombe, D.C. (2017). A multi-institutional study of the perceived barriers and facilitators to implementing evidence-based practice. Journal of Clinical Nursing, 27(5–6), pp 1216–1226.

Elo, S. & Kyngäs, H. (2008). The qualitative content analysis process. Journal of Advanced Nursing, 62(1), pp 107–115.

Elo, S., Kääriänen, M., Kanste, O., Pölkki, T., Utrianien, K. & Kyngäs, H. (2014). Qualitative content analysis: A focus on trustworthiness. SAGE Open, 4(1), pp 1–10.

Engle, R.L., Lopez, E.R., Gormley, K.E., Chan, J.A., Charns, M.P. & Lukas, C.V. (2017). What roles do middle manager’s play in implementation of innovative practice? Health Care Management Review, 42(1), pp 14–27.

Gifford, W., Davies, B., Edwards, N., Griffin, P. & Lybanon, V. (2007). Managerial leadership for nurses’ use of research evidence: An integrative review of the literature. Worldviews on Evidence-Based Nursing, 4(3), pp 126–145.

Graneheim, U. H. & Lundman, B. (2004). Qualitative content analysis in nursing research: Concepts, procedures and measures to achieve trustworthiness. Nurse Education Today, 24(2), pp 105–112.

Holopainen, A., Korhonen, T., Miettinen, M., Pelkonen, M. & Perälä, M-L. (2010). Hoitotyön käytännöt yhtenäisiksi - toimintamalli näyttöön perustuvien käytäntöjen kehittämiseksi. Premissi 1, pp 38–45.

Heiwe, S., Kajermo, K.N., Tyni-Lenné, R., Guidetti, S., Samuelsson, M., Andersson, I-L. & Wengström, Y. (2011). Evidence-based practice: Attitudes, knowledge and behaviour among allied health care professionals. International Journal for Quality of Health Care, 23(2), pp 198– 209.

Innis, J., Dryden-Palmer, K., Perreira, T. & Berta, W. (2015). How do health care organizations take on best practice? A scoping literature review. International Journal of Evidence-Based Healthcare, 13(4), pp 254–272.

Institute of Medicine (US) Roundtable on Evidence-Based Medicine (2009). Leadership Commitments to Improve Value in Healthcare: Finding Common Ground: Workshop Summary. Washington, DC: National Academies Press (US). Retrieved from: https://www.ncbi.nlm.nih.gov/books/NBK52847/

Jun, J., Kovner, C.T. & Stimpfel, A.W. (2016). Barriers and facilitators of nurses’ use of clinical practice guidelines: An integrative review. International Journal of Nursing Studies, 60, pp 54– 68.

Jylhä, V., Oikarainen, A., Perälä, M-L. & Holopainen, A. (2017). Facilitating evidence-based practice in nursing and midwifery in the WHO European Region. Denmark: WHO Regional Office for Europe. Retrieved from: http://www.euro.who.int/ data/assets/pdf_file/0017/348020/WH06_EBP_report_complete.pdf? ua=1

Kalisch, B.J., Tschannen, D., Lee, H. & Friese, C.R. (2011). Hospital variation in missed nursing care. American Journal of Medical Quality, 26(4), pp 291–299.

Kueny, A., Shever, L.L., Mackin, M. & Titler, M. (2015). Facilitating the implementation of evidence-based practice through contextual support and nursing leadership. Journal of Healthcare Leadership, 24(7), pp 29–39.

Langlois, E.V., Daniels, K. & Akl, E.A. (2018). Evidence synthesis for health policy and systems: A methods guide. Geneva: World Health Organization. Retrieved from: https://www.who.int/alliance-hpsr/resources/publications/Alliance-evidence-synthesis- MethodsGuide.pdf

Mallion, J. & Brooke, J. (2016). Community- and hospital-based nurses` implementation of evidence-based practice: are there any differences? British Journal of Community Nursing, 21(3), pp 148–154.

Morgan, L.A. (2012). A mentoring model for evidence-based practice in a community hospital. Journal for Nurses in Staff Development, 28(5), pp 233–237.

National Pressure Ulcer Advisory Panel, European Pressure Ulcer Advisory Panel, Pan Pacific Pressure Injury Alliance. (2014). Prevention and treatment of pressure ulcers: Quick reference guide, 2nd edition. Haesler, E. (Ed.). Perth, Australia: Cambridge Media.

Sandstrom, B., Borglin, G., Nilsson, R. & Willman, A. (2011). Promoting the implementation of evidence-based practice: A literature review focusing on the role of nursing leadership. Worldviews on Evidence-Based Nursing, 8(4), pp 212–223.

Stetler, C.B., Ritchie, J.A., Rycroft-Malonen, J. & Charns, M.P. (2014). Leadership for evidence- based practice: Strategic and functional behaviors for institutionalizing EBP. Worldviews on Evidence-Based Nursing, 11(4), pp 219–226.

Stevens, K.R. (2013). The impact of evidence-based practice in nursing and the next big ideas. Online Journal of Issues in Nursing, 18(2), pp 4.

Suhonen, R., Ylönen, M., Jalonen, L. & Holopainen, A. (2019) Leading evidence-based practice in Finnish healthcare. In Hafsteinsdóttir H, Jónsdóttir H, Kirkevold M, Leino-Kilpi H, Lomborg K, Rahm Hallberg I (Eds.), Leadership in Nursing: Experiences from the European Nordic Countries, pp83–98.

Supplee, L.H. & Metz, A. (2015). Opportunities and challenges in evidence-based social policy. Social Policy Report, 28(4), pp 1–16.

van Achterberg, T., Schoonhoven, L. & Grol, R. (2008). Nursing implementation science: How evidence-based nursing requires evidence-based implementation. Journal of Nursing Scholarship, 40(4), pp 302–310.

Veermah, V. (2016). The use of evidence-based information by nurses and midwives to inform practice. Journal of Clinical Nursing, 25(3–4), pp 340–350.

Wang, M.Y., Kao, C.C. & Lin, C.F. (2015). The EPCOR model: A model for promoting the successful implementation of evidence-based nursing in hospital-based settings. Journal of Nursing Research, 23(1), pp 15–24.

Published
2020-04-01
How to Cite
Teija Korhonen, Arja Holopainen, Anne-Maria Kanerva, Seija Petman, & Elina Haavisto. (2020). THE ROLE OF WARD MANAGERS WHEN DEVELOPING CONSISTENT EVIDENCE-BASED PRACTICES IN LONG-TERM CARE FACILITY: A QUALITATIVE STUDY . The Malaysian Journal of Nursing, 11(4), 54-62. Retrieved from https://ejournal.lucp.net/index.php/mjn/article/view/994