Integrated knowledge translation in nursing homes: exploring the experiences of practice development nurses

Abstract Background Practice Development Nurses (PDNs) in Norwegian nursing homes (NHs) hold a specific responsibility for knowledge translation in this increasingly complex healthcare setting. They were involved as end users in an integrated knowledge translation (IKT) study, developing, testing an...

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Autores principales:	Trine-Lise Dræge Steinskog, Oscar Tranvåg, Donna Ciliska, Monica Wammen Nortvedt, Birgitte Graverholt
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Nursing homes Integrated knowledge translation Evidence-based practice Quality improvement Practice development Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/fbbb8b8dd5ca4d2f9814845844a55a5d
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spelling	oai:doaj.org-article:fbbb8b8dd5ca4d2f9814845844a55a5d2021-12-05T12:06:38ZIntegrated knowledge translation in nursing homes: exploring the experiences of practice development nurses10.1186/s12913-021-07282-71472-6963https://doaj.org/article/fbbb8b8dd5ca4d2f9814845844a55a5d2021-11-01T00:00:00Zhttps://doi.org/10.1186/s12913-021-07282-7https://doaj.org/toc/1472-6963Abstract Background Practice Development Nurses (PDNs) in Norwegian nursing homes (NHs) hold a specific responsibility for knowledge translation in this increasingly complex healthcare setting. They were involved as end users in an integrated knowledge translation (IKT) study, developing, testing and evaluating the IMPAKT (IMPlementation of Action to Knowledge Translation) intervention. PDNs participated in an educational programme tailored to their own defined needs. In a second intervention component, the PDNs applied their new skills with facilitation, in implementing the National Early Warning Score (NEWS2) in their respective NHs. The aim of this study was to explore 1) the PDNs’ experiences of participating in an IKT educational intervention, and 2) how they applied the learning in planning, tailoring and initial implementation of the NEWS2. Methods This is a qualitative exploratory study based on a phenomenological hermeneutical method. Study participants were PDNs working in the nine NHs in the intervention group of the IMPAKT trial. We conducted nine in-depth interviews and eight non-participatory observational sessions of the intervention delivery. Results The PDNs expressed that the educational programme met their needs and enhanced their understanding about leading knowledge translation (KT). They reported a move from operating in a “big black box of implementation” to a professional and structured mode of KT. The gamechanger was a shift from KT as the PDNs’ individual responsibility to KT as an organizational matter. The PDNs reported enhanced competencies in KT and in their ability to involve and collaborate with others in their facility. Organizational contextual factors challenged their KT efforts and implementation of the NEWS2. Conclusions This study demonstrates that an IKT approach has the potential to advance and improve staff competencies and NH readiness for KT. However, individual motivations and competencies were challenged within an organizational culture which was less receptive to this new leadership role and level of KT activity.Trine-Lise Dræge SteinskogOscar TranvågDonna CiliskaMonica Wammen NortvedtBirgitte GraverholtBMCarticleNursing homesIntegrated knowledge translationEvidence-based practiceQuality improvementPractice developmentPublic aspects of medicineRA1-1270ENBMC Health Services Research, Vol 21, Iss 1, Pp 1-12 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Nursing homes Integrated knowledge translation Evidence-based practice Quality improvement Practice development Public aspects of medicine RA1-1270
spellingShingle	Nursing homes Integrated knowledge translation Evidence-based practice Quality improvement Practice development Public aspects of medicine RA1-1270 Trine-Lise Dræge Steinskog Oscar Tranvåg Donna Ciliska Monica Wammen Nortvedt Birgitte Graverholt Integrated knowledge translation in nursing homes: exploring the experiences of practice development nurses
description	Abstract Background Practice Development Nurses (PDNs) in Norwegian nursing homes (NHs) hold a specific responsibility for knowledge translation in this increasingly complex healthcare setting. They were involved as end users in an integrated knowledge translation (IKT) study, developing, testing and evaluating the IMPAKT (IMPlementation of Action to Knowledge Translation) intervention. PDNs participated in an educational programme tailored to their own defined needs. In a second intervention component, the PDNs applied their new skills with facilitation, in implementing the National Early Warning Score (NEWS2) in their respective NHs. The aim of this study was to explore 1) the PDNs’ experiences of participating in an IKT educational intervention, and 2) how they applied the learning in planning, tailoring and initial implementation of the NEWS2. Methods This is a qualitative exploratory study based on a phenomenological hermeneutical method. Study participants were PDNs working in the nine NHs in the intervention group of the IMPAKT trial. We conducted nine in-depth interviews and eight non-participatory observational sessions of the intervention delivery. Results The PDNs expressed that the educational programme met their needs and enhanced their understanding about leading knowledge translation (KT). They reported a move from operating in a “big black box of implementation” to a professional and structured mode of KT. The gamechanger was a shift from KT as the PDNs’ individual responsibility to KT as an organizational matter. The PDNs reported enhanced competencies in KT and in their ability to involve and collaborate with others in their facility. Organizational contextual factors challenged their KT efforts and implementation of the NEWS2. Conclusions This study demonstrates that an IKT approach has the potential to advance and improve staff competencies and NH readiness for KT. However, individual motivations and competencies were challenged within an organizational culture which was less receptive to this new leadership role and level of KT activity.
format	article
author	Trine-Lise Dræge Steinskog Oscar Tranvåg Donna Ciliska Monica Wammen Nortvedt Birgitte Graverholt
author_facet	Trine-Lise Dræge Steinskog Oscar Tranvåg Donna Ciliska Monica Wammen Nortvedt Birgitte Graverholt
author_sort	Trine-Lise Dræge Steinskog
title	Integrated knowledge translation in nursing homes: exploring the experiences of practice development nurses
title_short	Integrated knowledge translation in nursing homes: exploring the experiences of practice development nurses
title_full	Integrated knowledge translation in nursing homes: exploring the experiences of practice development nurses
title_fullStr	Integrated knowledge translation in nursing homes: exploring the experiences of practice development nurses
title_full_unstemmed	Integrated knowledge translation in nursing homes: exploring the experiences of practice development nurses
title_sort	integrated knowledge translation in nursing homes: exploring the experiences of practice development nurses
publisher	BMC
publishDate	2021
url	https://doaj.org/article/fbbb8b8dd5ca4d2f9814845844a55a5d
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Integrated knowledge translation in nursing homes: exploring the experiences of practice development nurses

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