Examining the use of facilitation within guideline dissemination and implementation studies in nursing

Abstract

Using an existing systematic review for the purpose of gaining insight into additional research questions was valuable. Although facilitation process and activities are used in interventions to enhance guideline uptake in nursing, these were not conceptualized or referred to by researchers as 'facilitation.' As such, facilitation may be a broader intervention that includes organizing and delivering other interventions. Further research is required to evaluate the relationship between facilitation and other guideline implementation interventions in nursing. The facilitation uncovered within included studies was located primarily in the context of research as it was the researchers who performed most of the facilitation activities. Future inquiries must explore non-researcher-initiated and delivered facilitation intervention activities by following local groups naturally within clinical contexts.

Evidence implementation: Development of an online methodology from the knowledge‐to‐action model of knowledge translation

“…Nevertheless, it is a step that should not be overlooked because it is a critical element of successful implementation that is worth every effort. Facilitation should occur throughout the phases of evidence implementation, including planning for change, leading and managing change, monitoring progress and ongoing implementation and evaluation of change . The can‐implement.pro © aims to provide this facilitation in an ‘online’ environment so that nurses and health practitioners who plan to implement and adapt best practice recommendations are guided throughout the process.…”

“…The Canadian studies found a longer lead‐in time focused on setting up and establishing the necessary groups, support and infrastructure in order to build a focused and constructive collaboration which would ‘set the ground’ for implementation. What this highlights is the critical role that implementation planning and capacity building can play in strengthening the readiness to practice change …”

“…What this highlights is the critical role that implementation planning and capacity building can play in strengthening the readiness to practice change. 4 What emerged was an implementation-centric framework for guideline adaptation. Implementation-centric describes a modality in which early planning for implementation is central to how a guideline adaptation project team conceptualizes best practice adaptation and how they manage forward planning from the commencement of the project through to completion.…”

“…nursing staff, project leaders and administrators)'. 4 The processes summed up in this quote indicate the depth of resourcing required, as well as the level of consultation and engagement in order to select and tailor implementation strategies that are needed in the lead up to Phase 3.…”

Prospective application of an implementation framework to improve postoperative nutrition care processes: Evaluation of a mixed methods implementation study

“…The implementation strategy used a facilitative approach, acknowledging that facilitation itself is both a process and an implementation intervention . The facilitator used an iterative process of reviewing barriers to change identified during clinician interviews and tailoring local solutions with extensive stakeholder consultation.…”