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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“Following this pipeline, a prerequisite for conducting an implementation study would be that the clinical/preventive intervention has already demonstrated effectiveness.”
From An Overview of Research and Evaluation Designs for Dissemination and Implementation (2017) · cites this paper as [109]
Citations
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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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