Nursing Best Practice Guidelines: The RNAO Project

Grinspun, Doris; Virani, Tazim; Bajnok, Irmajean

doi:10.12927/hcq..16690

Cited by 20 publications

(49 citation statements)

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“…The quality of clinical practice guidelines often varies widely [33]. Despite a recommended external review of the draft guidelines before dissemination as a part of the development phase [6], the current format of the guidelines is also noted as a concern because of their great length, their complicated nature, and lack of opportunity to test them [26,34]. These hard-to-use and complex features of the guidelines may discourage nurses and decrease their expectations [17].…”

Section: Discussionmentioning

confidence: 99%

Preconditions for successful guideline implementation: perceptions of oncology nurses

Yagasaki

Komatsu

2011

BMC Nurs

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BackgroundAlthough evidence-based guidelines are important for improving the quality of patient care, implementation in practice is below expectations. With the recent focus on team care, guidelines are intended to promote the integration of care across multiple disciplines. We conducted an exploratory study to understand oncology nurses' perceptions of guideline implementation and to learn their views on how their experiences affected the implementation.MethodsA qualitative study was used with focus group interviews. We collected data from 11 nurses with more than 5 years of oncology nursing experience in Japan. The data were analyzed using grounded theory.ResultsResults of the analysis identified "preconditions for successful guideline implementation" as a core category. There were 4 categories (goal congruence, equal partnership, professional self-development and user-friendliness) and 11 subcategories related to organizational, multidisciplinary, individual, and guideline levels.ConclusionsAlthough the guidelines were viewed as important, they were not fully implemented in practice. There are preconditions at the organizational, multidisciplinary, individual, and guideline levels that must be met if an organization is to successfully implement the guideline in clinical settings. Prioritizing strategies by focusing on these preconditions will help to facilitate successful guideline implementation.

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Section: Discussionmentioning

confidence: 99%

Preconditions for successful guideline implementation: perceptions of oncology nurses

Yagasaki

Komatsu

2011

BMC Nurs

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“…Clinical practice guidelines translate research findings and other forms of evidence into recommendations for practice and are tools to aid healthcare professionals in making evidence‐based practice decisions (Nutley et al ). The Registered Nurses’ Association of Ontario (RNAO) has developed, disseminated, and evaluated nursing guidelines since 1999 (Grinspun et al ; Nursing Best Practice Research Unit [NBPRU] ). With funding from the Ministry of Health and Long Term Care of Ontario, 45 clinical and 7 healthy work environment guidelines have been developed to date.…”

Section: Background/significancementioning

confidence: 99%

Developing Leadership Capacity for Guideline Use: A Pilot Cluster Randomized Control Trial

Gifford

Davies

Graham

et al. 2012

Worldviews Ev Based Nurs

102

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“…This study indicates the perceptions of a large sample of nursing staff and other care providers, administrators, and project leaders who participated in implementing seven different nursing best‐practice guidelines across multiple and diverse organizations. In 1999, the Registered Nurses Association of Ontario (RNAO), with funding from the Ontario Ministry of Health and Long‐Term Care, launched a multiyear project to develop, pilot, evaluate, and disseminate best‐practice guidelines for nurses (Grinspun et al 2001/2002). Four cycles of guideline development and implementation have taken place since 1999.…”

Section: Introductionmentioning

confidence: 99%

Factors Influencing Best‐Practice Guideline Implementation: Lessons Learned from Administrators, Nursing Staff, and Project Leaders

Ploeg¹,

Davies²,

Edwards³

et al. 2007

Worldviews Ev Based Nurs

270

289

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Best practice guideline implementation strategies should address barriers related to the individual practitioner, social context, and organizational and environmental context, and should be tailored to different groups of stakeholders (i.e., nursing staff, project leaders and administrators). Health care administrators need to recognize the "real" costs and complexity associated with successful implementation of guidelines and the need to ensure corporate commitment at the onset.

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Nursing Best Practice Guidelines: The RNAO Project

Cited by 20 publications

References 0 publications

Preconditions for successful guideline implementation: perceptions of oncology nurses

Preconditions for successful guideline implementation: perceptions of oncology nurses

Developing Leadership Capacity for Guideline Use: A Pilot Cluster Randomized Control Trial

Factors Influencing Best‐Practice Guideline Implementation: Lessons Learned from Administrators, Nursing Staff, and Project Leaders

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