The DOI matches its Crossref record; 47 of the 47 references it cites were found in a registry or an index.
Nursing Implementation Science: How Evidence‐Based Nursing Requires Evidence‐Based Implementation
Abstract
Purpose: Evidence is not always used in practice, and many examples of problematic implementation of research into practice exist. The aim of this paper is to provide an introduction and overview of current developments in implementation science and to apply these to nursing. Methods: We discuss a framework for implementation, describe common implementation determinants, and provide a rationale for choosing implementation strategies using the available evidence from nursing research and general health services research. Findings: Common determinants for implementation relate to knowledge, cognitions, attitudes, routines, social influence, organization, and resources. Determinants are often specific for innovation, context, and target groups. Strategies focused on individual professionals and voluntary approaches currently dominate implementation research. Strategies such as reminders, decision support, use of information and communication technology (ICT), rewards, and combined strategies are often effective in encouraging implementation of evidence and innovations. Linking determinants to theory‐based strategies, however, can facilitate optimal implementation plans. Conclusions: An analytical, deliberate process of clarifying implementation determinants and choosing strategies is needed to improve situations where suboptimal care exists. Use of theory and evidence from implementation science can facilitate evidence‐based implementation. More research, especially in the area of nursing, is needed. This research should be focused on the effectiveness of innovative strategies directed to patients, individual professionals, teams, healthcare organizations, and finances. Clinical Relevance: Implementation of evidence‐based interventions is crucial to professional nursing and the quality and safety of patient care.
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“Further, van Achterberg, Schoonhove, and Grol (2008) apply a stepwise approach and model for “effective implementation”, which include a series of rational and deliberate steps in order to accomplish practice improvement.”
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“…the very best care to achieve optimum patient care outcomes; however, owing to varying educational levels regarding the understanding and implementation of evidence-based care, which is crucial to quality and safe patient care, has been problematic (Koehn & Lehman 2008, Van Achterberg et al. 2008).”
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“These results are in line with Achterberg et al.’s study, which shows that knowledge, cognitions, attitudes, routines, and external factors are determinants of implementation (van Achterberg et al. 2008).”
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“Successful implementation of interventions such as the discharge protocol starts with the identification of barriers and facilitators [58, 59].”
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“Clinical decision- making is more influenced by nursing staff's professional experience or established knowledge (van Achterberg et al., 2008).”
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“As explained by van Achterberg, Schoonhoven, and Grol (2008), numerous determinants for a successful implementation are identified.”
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Evidence-based nursing practice and its correlates among Korean nurses
Kang, Y., & Yang, I. (2015) · Applied Nursing Research · doi:10.1016/j.apnr.2015.11.016 · Cited by 18
“…and applying various research sources; attitudes towards research; regular reading of research articles; knowledge based on literature; collaboration with colleagues; and technological deficiencies (Clarke et al., 2005; Eizenberg, 2011; Milner et al., 2006; van Achterberg et al., 2008).”
BackgroundPsychometric testing of the Chinese evidence‐based practice scales
Wang, S., Lee, L. L., Wang, W., Sung, H., Chang, H., Hsu, M., Chang, S., & Tai, C. (2012) · Journal of Advanced Nursing · doi:10.1111/j.1365-2648.2012.06011.x · Cited by 18
Nursing implementation science: 10 ways forward
van Achterberg, T. (2013) · International Journal of Nursing Studies · doi:10.1016/j.ijnurstu.2013.02.004 · Cited by 18
Using Implementation Science to Implement Evidence‐Based Practice: A Discursive Paper
Chays‐Amania, A., Schwingrouber, J., & Colson, S. (2024) · Journal of Advanced Nursing · doi:10.1111/jan.16571 · Cited by 19
Monitoring Sedation in Patients Receiving Opioids for Pain Management
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Scaling up improvements more quickly and effectively
Øvretveit, J., Garofalo, L., & Mittman, B. S. (2017) · International Journal for Quality in Health Care · doi:10.1093/intqhc/mzx147 · Cited by 17
“The ‘choosing wisely’ initiative in the USA and similar ones word-wide could have a greater- and faster-impact if we used knowledge about effective approaches for de-implementation at scale or ‘de-scaling’ [3, 10, 11].”
BackgroundEducating for the implementation of evidence-based healthcare in Brazil: the JBI methodology
Püschel, V. A. D. A., de Oliveira, L. B., Gomes, E. T., dos Santos, K. B., & Carbogim, F. D. C. (2021) · Revista da Escola de Enfermagem da USP · doi:10.1590/s1980-220x2020016303718 · Cited by 16
“Alguns fatores podem ser considerados como influenciadores no processo de implementação de evidências em enfermagem, incluindo: cultura e clima organizacional, liderança de enfermagem, tamanho do hospital, suporte de pessoal, inovação organizacional, capacidade de resposta da administração, acesso a recursos, oferta d…”
BackgroundImplementatie van EBP: Professionals in een context
Tiemens, B. G., Munten, G., & Vermeulen, H. (2012) · Nederlands Tijdschrift voor Evidence Based Practice · doi:10.1007/s12468-012-0002-y · Cited by 16
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Implementation strategies for guidelines at ICUs: a systematic review
Jordan, P. J., Mpasa, F., ten Ham‐Baloyi, W., & Bowers, C. A. (2017) · International Journal of Health Care Quality Assurance · doi:10.1108/ijhcqa-08-2016-0119 · Cited by 16
Team learning and team composition in nursing
Timmermans, O., van Linge, R., Petegem, P. V., Elseviers, M. M., & Denekens, J. (2011) · Journal of Workplace Learning · doi:10.1108/13665621111128673 · Cited by 17
van de Glind, I., Heinen, M. M., Evers, A. W. M., Wensing, M., & van Achterberg, T. (2012) · Implementation Science · doi:10.1186/1748-5908-7-104 · Cited by 15
“This leads to an in-depth picture of how and why implementation is feasible in different settings, which contributes to better implementation [30,31].”
Friel, K. M., McCauley, C. O., O’Kane, M., McCann, M., Delaney, G., & COATES, V. E. (2022) · Frontiers in Clinical Diabetes and Healthcare · doi:10.3389/fcdhc.2022.883283 · Cited by 14
“Research active hospitals have been shown to have better patient care outcomes, contribute to a better inpatient experience and have a positive effect on staff and service performance (57, 58).”
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Khazaei, A., Afshari, A., Khatiban, M., Borzou, S. R., Oshvandi, K., Nabavian, M., & Maddineshat, M. (2024) · BMC Emergency Medicine · doi:10.1186/s12873-024-00955-6 · Cited by 18
“Despite the instructions and protocols, there is still a gap between the established guidelines and clinical practice [17, 18].”
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Matthew‐Maich, N., Ploeg, J., Jack, S. M., & Dobbins, M. (2012) · Journal of Clinical Nursing · doi:10.1111/jocn.12027 · Cited by 14
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Synthesizing Quantitative Evidence for Evidence-based Nursing: Systematic Review
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Nutritional care of older people: Investigating nurses’ attitudes in medical and surgical units
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“As stated by van Achterberg et al. (2008), in cases where patients are found to receive inferior care, it is important to identify the precise reasons behind the problem, and use that information to improve care.”
Background
Metadata
- Authors
- Van Achterberg, T., Schoonhoven, L., & Grol, R.
- Affiliations
- Radboud University Medical Center (NL)
- Corresponding author
- Schoonhoven, Lisette
- Grol, Richard
- ORCID
- Schoonhoven, Lisette
- Venue
- Journal of Nursing Scholarship
- Publisher
- Wiley
- Published
- 2008-11-25
- Volume
- 40
- Issue
- 4
- Pages
- 302-310
- ISSN
- 0363-2792 (ISSN-L)
- 1527-6546
- 1547-5069
- OpenAlex
- W2017533262
- Cited by
- 217
- References
- 47
- Citations by year
- 2026: 3 · 2024: 7 · 2023: 7 · 2022: 13 · 2021: 18 · 2020: 10 · 2019: 8 · 2018: 11 · 2017: 16 · 2016: 14 · 2015: 12 · 2014: 15 · 2013: 21 · 2012: 27
- FWCI
- 22.52
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Nursing Scholarship (publishedVersion)
- PubMed (publishedVersion)
- ePrints Soton (University of Southampton) (acceptedVersion)
- Radboud Repository (Radboud University) (submittedVersion)
- Topics
- Health Sciences › Health Professions › General Health Professions › Health Policy Implementation Science
- Health Sciences › Health Professions › General Health Professions › Health Sciences Research and Education
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Clinical practice guidelines implementation
- Keywords
- implementation science, evidence-based nursing, implementation factors, implementation strategies, research utilization, implementation barriers, decision support, information and communication technologies, organizational factors
- MeSH terms
- Diffusion of Innovation, Quality of Health Care, Evidence-Based Nursing
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