No tension, no change? - Use and Influencing Factors of a Nursing Guideline on Activities of Daily Living (ADL)

IF 2.5 3区医学 Q3 GERIATRICS & GERONTOLOGY

Geriatric Nursing Pub Date : 2025-04-10 DOI:10.1016/j.gerinurse.2025.03.011

S. Cremer , S.M.G. Zwakhalen , J.M. De Man-Van Ginkel , S.F. Metzelthin , M.H.C. Bleijlevens

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引用次数: 0

Abstract

This study aimed to assess the utilization of key recommendations (KRs) of a nursing guideline on ADL-care and to explore influencing factors. In this pilot implementation study, nursing professionals (1) registered the KRs use over three weeks, (2) completed a survey identifying influencing factors, and (3) participated in focus groups. We descriptively analyzed the registration and survey data and deductively analyzed the focus groups. KR use varied between KRs and across care settings. KRs on involving care receivers were most frequently applied. Most factors were perceived as facilitating, including the inner setting, the guideline itself, and individual factors. Impeding factors included low tension for change. Focus groups highlighted additional constructs including procedural clarity and care receiver cooperation. The KRs appear generally implementable. Despite the perception that KRs are compatible with current norms and workflows, low tension for change raises questions about the awareness of opportunities for improvement in ADL-nursing.

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没有紧张，就没有变化？-日常生活活动护理指引的使用及影响因素

本研究旨在评估adl护理指南中关键建议（KRs）的使用情况，并探讨影响因素。在这项试点实施研究中，护理专业人员(1)在三周内登记了KRs的使用情况，(2)完成了一项调查，确定了影响因素，(3)参加了焦点小组。对注册和调查数据进行描述性分析，对焦点群体进行演绎性分析。KR的使用在不同的KR和不同的护理环境中有所不同。最常用的是涉及照护者的KRs。大多数因素被认为是促进因素，包括内部环境、指南本身和个人因素。阻碍因素包括变革的低张力。焦点小组强调了额外的结构，包括程序清晰度和接受护理者的合作。KRs似乎总体上是可实现的。尽管人们认为KRs与当前的规范和工作流程是兼容的，但对改变的低张力提出了对改善日常生活自理护理机会的认识的问题。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Geriatric Nursing 医学-护理

CiteScore

3.80

自引率

7.40%

发文量

257

审稿时长

>12 weeks

期刊介绍： Geriatric Nursing is a comprehensive source for clinical information and management advice relating to the care of older adults. The journal''s peer-reviewed articles report the latest developments in the management of acute and chronic disorders and provide practical advice on care of older adults across the long term continuum. Geriatric Nursing addresses current issues related to drugs, advance directives, staff development and management, legal issues, client and caregiver education, infection control, and other topics. The journal is written specifically for nurses and nurse practitioners who work with older adults in any care setting.