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Author (up) Aasekjaer, K.; Waehle, H.V.; Ciliska, D.; Nordtvedt, M.W.; Hjalmhult, E. url  doi
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  Title Management Involvement--A Decisive Condition When Implementing Evidence-Based Practice Type Journal Article
  Year 2016 Publication Worldviews on Evidence-Based Nursing Abbreviated Journal Worldviews Evid Based Nurs  
  Volume 13 Issue 1 Pages 32-41  
  Keywords Attitude of Health Personnel; Evidence-Based Practice/*methods; Focus Groups; *Health Knowledge, Attitudes, Practice; Health Personnel/*psychology; Humans; *Leadership; Patient Acceptance of Health Care/*psychology; Surveys and Questionnaires; evidence-based practice; grounded theory; implementation; tailoring principles  
  Abstract BACKGROUND: Even though health professionals have a positive attitude toward evidence-based practice (EBP), they have limited skills when it comes to implementation of EBP. A postprofessional program in EPB has been offered at Bergen University College since 2004. To date, there is limited knowledge of how the graduates of the program implement and make use of the EBP principles in their working environment in different healthcare settings. AIM: The aim of the study was to explore the facilitators and strategies to successful implementation of the steps of EBP as experienced by health professionals who had completed a postgraduate program in EBP. METHODS: Grounded theory was used in gathering and analyzing data from single and focus group interviews of 20 health professionals who had attended a postprofessional program in EBP. Inclusion criteria also required current clinical practice. RESULTS: This study identified a specific set of activities used by health professionals when implementing EBP within their service organization. Creating an interest and understanding of EBP amongst their colleagues appeared to be a challenge, which they addressed by using the generated grounded theory of “tailoring principles.” The dominant condition of this theory was management involvement. LINKING EVIDENCE TO ACTION: This study highlighted the importance of middle-range managers' coordinating and supporting role as a decisive component in the process of implementing EBP to clinical settings in Norway. Moreover, the dynamic complex process of “tailoring principles” also showed how the production of a clinical protocol became an outcome of implementation effectiveness as well as input for further intervention effectiveness. Tailoring the principle of EBP to the organizational and cultural context facilitated the implementation of EBP.  
  Address Associated Professor, Centre for Evidence-Based Practice, Bergen University College, Bergen, Norway  
  Corporate Author Thesis  
  Publisher Place of Publication Editor  
  Language English Summary Language Original Title  
  Series Editor Series Title Abbreviated Series Title  
  Series Volume Series Issue Edition  
  ISSN 1545-102X ISBN Medium  
  Area Expedition Conference  
  Notes PMID:26788799 Approved no  
  Call Number ref @ user @ Serial 95091  
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