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Learning Objective 1: The learner will be able to understand how comprehensive and complex the process of guideline implementation is.
Learning Objective 2: The learner will be able to understand how the implementation of a clinical practice guideline can be enhanced.
Aim: The study aimed at assessing the effectiveness of a multifaceted approach to implement a fall prevention CPG into nursing practice in an hospital setting.
Methods: A participatory action research approach including working-group meetings to determine appropriate implementation strategies was used to implement a fall prevention CPG in an ophthalmic department of an Austrian university teaching hospital. A before (n=69) and an in-between assessment (n=80), including all nurses and nursing aids, were carried out in autumn 2010 and 2011, respectively, to assess the effectiveness of the used multifaceted strategies. During 4 respectively 3 meetings, data were collected via questionnaire (e.g. about fall prevention knowledge, attitudes towards guidelines), and via group discussions (e.g. about the implementation process). Additionally, semi-structured interviews (12 respectively 11) were conducted. Descriptive analysis was performed with SPSS. Group discussions and interviews were content-analysed using the ‘Consolidated Framework for Implementation Research’ as a framework.
Results: The majority of respondents were female (95.6%; 91.3%), nurses (67.2%; 65.8%), and had work experience of ≥ 10 years (67.2%; 48.1%). Main findings show an improvement of knowledge regarding access to the CPG (47.1%; 74.0%, p<.05). The attitudes towards GCPs remained positive (3.015; 3.070). Qualitative data revealed participants’ raised awareness regarding fall prevention. Necessary devices could be purchased and supporting information material was compiled during working-group meetings.
Conclusion: Results determined within a participatory action research approach on guideline implementation in nursing practice indicate a positive effect of multifaceted strategies.