Leading on the frontlines with passion and persistence: a necessary condition for Breastfeeding Best Practice Guideline uptake

Abstract

Understanding how frontline leaders facilitate Best Practice Guideline uptake is essential to selecting, educating and supporting them to foster desired practice changes. Strategies are explicated that frontline leaders can adopt and tailor to their own practice contexts.

Spreading and sustaining best practices for home care of older adults: a grounded theory study

“…One of the key facilitators of spread in this study, leading with passion and commitment, is consistent with other studies that have found leadership to be critically important for implementing and sustaining innovations [37-39,51]. This finding is consistent with studies inside and outside of health care settings that have shown that the commitment and attitude of leaders has a significant association with the acceptance and use of new innovations [52,53].…”

“…Leadership was the only significant predictor of sustaining practice guideline use 2 and 3 years after implementation in 37 Canadian health care organizations, accounting for 47% of the variance ( p  < .001) [41]. Other studies have found that passionate and persistent leaders and champions used multidimensional, tailored strategies to support adoption of best practices [37,39]. The current study explains how different leaders, specifically managers, champions, and project leads, worked with passion and commitment to spread innovations in home care.…”

“…Some home care organizations are known as Best Practice Spotlight Organizations (BPSO®s), selected by the RNAO through a request for proposal process to implement and evaluate BPGs [34]. Researchers have studied this initiative focusing on evaluation of BPG implementation [6,35,36], leadership supports [37-39], client outcomes [40], and sustainability [41] but have not focused specifically on spread in home care settings.…”

A systematic review of the outcomes of educational interventions relevant to nurses with simultaneous strategies for guideline implementation

“…, Matthew‐Maich et al . ). For example, nurses working in Magnet‐accredited hospitals have reported more advantages than nurses in non‐Magnet institutions, namely fewer barriers to evidence‐based nursing (EBN), higher levels of consistent EBN implementation, availability of EBN experts, an organisational culture supporting EBN, education offered routinely and recognition of EBN efforts (Melnyk et al .…”

Infant Feeding Beliefs and Day-to-Day Feeding Practices of NICU Nurses

“…These findings clearly call out for educational programs that directly address these emotions. Matthew-Maich, Ploeg, Jack, and Dobbins (2012) found that front line leaders who focused on individual breastfeeding attitudes and beliefs facilitated the staff uptake of breastfeeding best practice guidelines. Renfrew et al (2009) recommended the use of a psychological/behavioral model to guide training programs for implementing evidence-based practice for breastfeeding promotion.…”