Implementation strategies of a national standard for comprehensive care in acute care hospitals: An interview study

IF 3.1 3区医学 Q1 NURSING

International Journal of Nursing Sciences Pub Date : 2025-07-01 DOI:10.1016/j.ijnss.2025.06.002

Beibei Xiong , Christine Stirling , Daniel X. Bailey , Paul Prudon , Melinda Martin-Khan

{"title":"Implementation strategies of a national standard for comprehensive care in acute care hospitals: An interview study","authors":"Beibei Xiong , Christine Stirling , Daniel X. Bailey , Paul Prudon , Melinda Martin-Khan","doi":"10.1016/j.ijnss.2025.06.002","DOIUrl":null,"url":null,"abstract":"<div><h3>Objective</h3><div>This study aimed to explore the strategies used by acute care hospitals in implementing a national standard for comprehensive care.</div></div><div><h3>Methods</h3><div>A qualitative descriptive study was conducted with 28 care professionals (20 nurses, two doctors, and six allied health professionals) recruited from a broad range of Australian acute care hospitals. Data were collected using semi-structured interviews from March to August 2023. The interviews were audio-recorded, transcribed, and thematically analyzed.</div></div><div><h3>Results</h3><div>Strategies for implementing the Comprehensive Care Standard (CCS) vary, even within a health service organization. We identified strategies hospitals used regarding the implementation team and plan, communication, education and training, documentation system, patient care plan, networking, incentives and pressure, feedback, and reflecting and evaluating.</div></div><div><h3>Conclusions</h3><div>This interview study sheds light on the various strategies adopted by hospitals in implementing the CCS, providing a practical foundation to inform implementation efforts both within Australia and internationally.</div></div>","PeriodicalId":37848,"journal":{"name":"International Journal of Nursing Sciences","volume":"12 4","pages":"Pages 369-378"},"PeriodicalIF":3.1000,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"International Journal of Nursing Sciences","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2352013225000730","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"NURSING","Score":null,"Total":0}

引用次数: 0

Abstract

Objective

This study aimed to explore the strategies used by acute care hospitals in implementing a national standard for comprehensive care.

Methods

A qualitative descriptive study was conducted with 28 care professionals (20 nurses, two doctors, and six allied health professionals) recruited from a broad range of Australian acute care hospitals. Data were collected using semi-structured interviews from March to August 2023. The interviews were audio-recorded, transcribed, and thematically analyzed.

Results

Strategies for implementing the Comprehensive Care Standard (CCS) vary, even within a health service organization. We identified strategies hospitals used regarding the implementation team and plan, communication, education and training, documentation system, patient care plan, networking, incentives and pressure, feedback, and reflecting and evaluating.

Conclusions

This interview study sheds light on the various strategies adopted by hospitals in implementing the CCS, providing a practical foundation to inform implementation efforts both within Australia and internationally.

查看原文本刊更多论文

急症医院综合护理国家标准实施策略：访谈研究

目的探讨急诊科医院实施国家综合护理标准的策略。方法对来自澳大利亚多家急症护理医院的28名护理专业人员（20名护士、2名医生和6名专职保健专业人员）进行定性描述性研究。数据收集采用半结构化访谈从2023年3月至8月。这些采访被录音、转录，并进行主题分析。结果实施综合护理标准（CCS）的策略各不相同，即使在卫生服务组织内部也是如此。我们确定了医院在实施团队和计划、沟通、教育和培训、文件系统、患者护理计划、网络、激励和压力、反馈以及反思和评估方面使用的策略。本访谈研究揭示了医院在实施CCS时采用的各种策略，为澳大利亚和国际上的实施工作提供了实践基础。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

International Journal of Nursing Sciences Nursing-Nursing (all)

CiteScore

6.10

自引率

2.60%

发文量

408

审稿时长

25 days

期刊介绍： This journal aims to promote excellence in nursing and health care through the dissemination of the latest, evidence-based, peer-reviewed clinical information and original research, providing an international platform for exchanging knowledge, research findings and nursing practice experience. This journal covers a wide range of nursing topics such as advanced nursing practice, bio-psychosocial issues related to health, cultural perspectives, lifestyle change as a component of health promotion, chronic disease, including end-of-life care, family care giving. IJNSS publishes four issues per year in Jan/Apr/Jul/Oct. IJNSS intended readership includes practicing nurses in all spheres and at all levels who are committed to advancing practice and professional development on the basis of new knowledge and evidence; managers and senior members of the nursing; nurse educators and nursing students etc. IJNSS seeks to enrich insight into clinical need and the implications for nursing intervention and models of service delivery. Contributions are welcomed from other health professions on issues that have a direct impact on nursing practice.