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Gewählte Publikation:

Mandl, M.
A systematic review: Knowledge and research implementation into nursing practice through structural strategies
[ Masterarbeit ] Medical University of Graz; 2012. pp. 92 [OPEN ACCESS]


Autor/innen der Med Uni Graz:
Hödl Manuela
Breimaier Helga Elisabeth
Lohrmann Christa

Background: Implementation strategies aim to adopt innovations effectively into nursing practice and to support the delivery of evidence based nursing care. Aim: To identify and assess the effectiveness of structural strategies as implementation strategies in the current nursing literature. Searchstrategy: The author searched, beside a hand search, in different databases (1990 to 2010). Reference lists of articles were also searched. For the main topics structural strategies, research and knowledge transfer, effectiveness and nursing, keywords were developed. Selection Criteria: Randomized controlled trials and controlled before- and after-studies, when: 1. they included nurses, 2. the intervention was explicitly a structural intervention and 3. the outcome was measured explicitly. Datacollection and analysis: Two reviewers independently extracted data and assessed study quality. Results: Eight studies underwent the methodological quality, but the quality of these studies was generally low. One randomized controlled trial, which implemented a computerized care plan, met the inclusion criteria. There were no statistically significant results for the patient outcomes. The number of nursing interventions and the number of nursing activities were significant higher in the intervention group. In the organizational outcome category the intervention group needs longer to prepare the computerized care plan and the times for writing the computerized care plan decreased significant over the three points of time measured. Conclusion: There is some evidence that structural strategies are effective in changing the organizational process and organizational outcome of care provided by nurses. However, caution is needed in generalising findings to other settings. Further research is required, focusing on structural interventions as implementation strategies in nursing practice.

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