Contextual influences on knowledge translation capacity in a nursing home organisation: A phenomenological hermeneutical study.

IF 1.9 4区 医学 Q2 NURSING
Trine-Lise Dræge Steinskog, Oscar Tranvåg, D. Ciliska, Birgitte Graverholt
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Abstract

INTRODUCTION The demand for advanced clinical care in nursing homes (NHs) is increasing. Evidence-based practices and knowledge translation (KT) initiatives are growing to bridge the gap between what is known and what is done. However, research on contextual influence on KT has primarily focused on hospital settings. AIM To expand our understanding of contextual influences on KT capacity in a NH organisation. DESIGN AND METHODS Lindseth and Norberg's phenomenological hermeneutical method was used to explore and describe practice development nurses' experiences, perspectives and practices regarding how contextual factors influence KT capacity in NHs. Focus group interviews, participant observations, in-depth interviews and non-participant observations provided the data. RESULTS Two main themes and four subthemes were identified. (1) Continuous limited resources are a cultural condition that inhibits KT readiness; prioritising keeping the NH machinery running at all costs and having contrasting care philosophies undermines KT. (2) Organisational prioritisations leave KT as a missing cogwheel in the machinery; retaining a system of fragmented KT strategies and lacking a structure for collective KT effort. CONCLUSION The study showed that KT held a minor role in the fast-paced NH machinery. Contradicting values characterise the NH organisation, resulting in a lack of a common vision and priorities. Building a sustainable KT capacity and providing evidence-based practice necessitates explicit responsibilities, dedicated resources and robust organisational support. Management has a critical role in strengthening the position of KT. Incorporating KT in daily NH practice can help staff become adaptable and confident, capable of meeting the increasing challenges of advanced care that alleviates suffering and promote the health and well-being of NH patients.
养老院组织中知识转化能力的环境影响因素:现象学诠释学研究。
引言 疗养院(NHs)对高级临床护理的需求与日俱增。以证据为基础的实践和知识转化(KT)计划不断发展,以弥补已知与实际之间的差距。设计与方法采用Sindseth和Norberg的现象学诠释法来探索和描述实践发展护士关于环境因素如何影响疗养院KT能力的经验、观点和实践。结果确定了两个主题和四个次主题。(1) 持续有限的资源是阻碍知识共享准备就绪的文化条件;不惜一切代价保持国家医疗机构机器运行的优先次序和截然不同的护理理念削弱了知识共享。(2) 组织上的优先考虑使 KT 成为机器中缺失的齿轮;保留了零散的 KT 战略系统,缺乏集体 KT 努力的结构。国家卫生机构的价值观相互矛盾,导致缺乏共同的愿景和优先事项。建立可持续的知识、技术和能力以及提供循证实践需要明确的责任、专门的资源和强有力的组织支持。管理层在加强 KT 的地位方面发挥着关键作用。将知识、态度和价值观融入到国家卫生机构的日常实践中,可以帮助员工提高适应能力和自信心,有能力应对高级护理方面日益严峻的挑战,从而减轻痛苦,促进国家卫生机构病人的健康和福祉。
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来源期刊
CiteScore
4.60
自引率
5.30%
发文量
71
期刊介绍: Scandinavian Journal of Caring Sciences is an established quarterly, peer reviewed Journal with an outstanding international reputation. As the official publication of the Nordic College of Caring Science, the Journal shares their mission to contribute to the development and advancement of scientific knowledge on caring related to health, well-being, illness and the alleviation of human suffering. The emphasis is on research that has a patient, family and community focus and which promotes an interdisciplinary team approach. Of special interest are scholarly articles addressing and initiating dialogue on theoretical, empirical and methodological concerns related to critical issues. All articles are expected to demonstrate respect for human dignity and accountability to society. In addition to original research the Journal also publishes reviews, meta-syntheses and meta-analyses.
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