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Transforming Nursing Through Knowledge: Best Practices for Guideline Development, Implementation Science, and Evaluation [Pehme köide]

  • Formaat: Paperback / softback, 562 pages, kõrgus x laius x paksus: 279x216x29 mm, kaal: 1287 g, Illustrations
  • Ilmumisaeg: 30-Jun-2019
  • Kirjastus: SIGMA Theta Tau International
  • ISBN-10: 1945157631
  • ISBN-13: 9781945157639
Teised raamatud teemal:
  • Formaat: Paperback / softback, 562 pages, kõrgus x laius x paksus: 279x216x29 mm, kaal: 1287 g, Illustrations
  • Ilmumisaeg: 30-Jun-2019
  • Kirjastus: SIGMA Theta Tau International
  • ISBN-10: 1945157631
  • ISBN-13: 9781945157639
Teised raamatud teemal:

From conceptual and programmatic underpinnings to lived experiences of faculty, students, nurse executives, and bedside nurses, Transforming Nursing Through Knowledge leaves no stone unturned, allowing readers to gain a full understanding of a nurse’s role in developing, using, and evaluating the impact of knowledge tools in healthcare. Authors Doris Grinspun and Irmajean Bajnok designed this text to be a practical, go-to book for healthcare organizations, nurse executives, and professionals learning to create world-class evidence-based cultures—how to get started, move forward, and achieve results. This book will help readers: • Understand the Registered Nurses’ Association of Ontario (RNAO) Best Practice Guidelines (BPG) Program and its galvanizing power as a global movement that builds collective identity • Discover the latest in guideline development, implementation science, and evaluation at scale • Tackle healthy work environment challenges using BPGs to influence outcomes for health professionals, patients, organizations, and health systems • Use implementation science and social movement strategies to successfully implement BPGs in academic and service settings • Recognize that transferring and sustaining evidence uptake require active and multilevel interventions • Learn to integrate technology, including nursing order sets, to support evidence-based clinical decision making • Propel large-scale organizational and health system change using diffusion theory and social movement thinking • Be inspired by nursing associations taking political leadership to secure the highest-quality health system for the public.

About The Authors ix
Contributing Authors xii
Foreword xxxix
Introduction xii
Unit 0: Setting The Stage 1(28)
1 Transforming Nursing Through Knowledge: The Conceptual And Programmatic Underpinnings Of RNAO's BPG Program
3(26)
Introduction
4(1)
The Vision: A Paradigmatic Change in Nursing
5(4)
What Is Caring?
5(1)
The Caring-Competence Dichotomy
6(1)
The Caring-Curing Dichotomy
7(1)
Redefining Caring as Cognitive, Physical, and Relational Work
7(1)
Caring: An Individual and Collective Responsibility
8(1)
Origins and Evolution of RNAO's Best Practice Guidelines Program
9(10)
BPG Program: Design and Purposeful Evolution
11(1)
Key Features of RNAO's BPG Program
12(3)
BPSO Models
15(3)
Monitoring, Evaluation, and Research
18(1)
The BPG Program: From Local Impact to Seismic Transformation of Nursing Practice Globally
19(3)
The BPG Program as a Collective Identity
21(1)
Looking Forward
22(2)
Key Messages
24(1)
References
25(4)
Unit 1: Guideline Development: First Pillar For Success 29(64)
2 The Anatomy Of A Rigorous Best Practice Guideline Development Process
31(38)
Introduction
32(5)
Best Practice Guidelines: Why?
32(1)
Science of Guideline Development: Setting the Standards
33(4)
RNAO and Best Practice Guidelines
37(15)
RNAO Funding
39(1)
RNAO's Seven-Step Guideline Development Process
39(10)
Guideline Development Enhancements
49(3)
RNAO's Evolution in Guideline Development
52(2)
Key Messages
54(1)
References
54(2)
Appendix A: Detailed Timelines for Guideline Development Processes
56(3)
Appendix B: Example of Priority-Identification Matrix
59(2)
Appendix C: Terms of Reference Template
61(1)
RNAO Best Practice Guideline Panel
61(4)
Appendix D: RNAO Health Education Fact Sheet
65(2)
Appendix E: Tools for Quality Appraisal of the Literature
67(1)
Appendix F: RNAO Statement on Levels of Evidence Used in Systematic Reviews/Guidelines
68(1)
3 Creating Healthy Workplaces: Enabling Clinical Excellence
69(24)
Introduction
70(1)
Initiation of Healthy Work Environments (HWE) BPGs
70(8)
Definition of a Healthy Work Environment
71(1)
The HWE Conceptual Model
71(5)
HWE BPG Development Methodology
76(1)
Developing HWE BPGs: Where to Start
77(1)
The Foundational HWE BPGs
78(4)
Effective Nursing Leadership
79(1)
Collaborative Practice
79(1)
Staffing, Workload, and Structure
79(1)
Professionalism
79(1)
Workplace Culture and Diversity
79(1)
Workplace Health, Safety, and Well-Being of the Nurse
80(1)
Pilot Implementation and Evaluation
80(2)
Creating Healthy Workplaces
82(4)
Healthy Work Environments and the Impact on Healthcare Settings
82(4)
Implementing HWE BPGs
86(1)
HWE BPGs: Evaluating Implementation Processes and Outcomes
86(2)
Case Study: HWE BPGs and Clinical Excellence: Scarborough and Rouge Hospital's Experience
87(1)
Into the Future
88(1)
Conclusion
88(1)
Key Messages
89(1)
References
89(4)
Unit 2: Implementation Science: Second Pillar For Success 93(146)
4 Forging The Way With Implementation Science
95(22)
Introduction
96(15)
Multilevel and Multifaceted Implementation
96(2)
Micro-Level/Individual Nurse Implementation
98(4)
Meso-Level/Organizational Level Implementation
102(8)
Macro-Level/Health System Implementation
110(1)
Latest Perspectives on Implementation Science
111(2)
Integrated Knowledge Translation and Patient Engagement
111(1)
Technology-Enabled Knowledge Translation
112(1)
Arts-Based Knowledge Translation
112(1)
Developmental Evaluation
113(1)
Deimplementation
113(1)
Conclusion
113(1)
Key Messages
114(1)
References
115(2)
5 Technology As An Enabler Of Evidence-Based Practice
117(24)
Introduction
118(1)
eHealth
118(1)
RNAO Nursing Best Practice Guidelines App
119(2)
Nursing Order Sets
121(12)
Development Process
123(2)
Key Features and Potential Benefits
125(3)
Nursing Order Sets in Action
128(3)
Nursing Order Set Case Studies
131(1)
Case Study: Nursing Order Sets in Home Care
131(1)
Case Study: Nursing Order Sets in Acute Care
132(1)
Case Study: Nursing Order Sets in Long-Term Care
132(1)
eHealth BPG: Adopting eHealth Solutions
133(4)
Key Individual/Organization Recommendations
135(1)
Key Education Recommendations
135(1)
Key System/Policy Recommendations
136(1)
Conclusion
137(1)
Key Messages
138(1)
References
138(3)
6 Best Practice Spotlight Organization: Implementation Science At Its Best
141(26)
Introduction
142(1)
Why BPSOs
142(2)
BPSO Objectives
143(1)
Selecting the BPSOs
143(1)
The BPSO Designation
144(3)
The BPSO Host Model
145(2)
BPSO Implementation Strategies
147(2)
RNAO Coaching and Consultation
147(1)
A Systematic Implementation Process
148(1)
Ensuring BPSO Success
149(8)
Infrastructure
149(1)
Capacity Building
150(4)
Sustained Implementation
154(1)
Dissemination
155(1)
Monitoring and Reporting Progress
155(1)
Evaluation
156(1)
BPSO Hosts
156(1)
Audit and Feedback
156(1)
Summary of BPSO Requirements
157(1)
RNAO's Commitments
158(1)
BPSO Success Factors
159(1)
Conclusion and Future Considerations
159(1)
Key Messages
160(1)
References
160(3)
Appendix A: Steps to Becoming a Best Practice Spotlight Organization (BPSO)
163(4)
7 The Bpso Pioneers: Creating, Sustaining, And Expanding Evidence-Based Cultures Through The Bpso Designation
167(20)
Introduction
168(15)
Case Study: Saint Elizabeth
169(5)
Case Study: West Park Healthcare Centre
174(5)
Case Study: Sunnybrook Health Sciences Centre
179(4)
Reflective Questions
183(1)
Conclusion
183(1)
Key Messages
183(2)
Build Relationships and Trust
183(1)
Create an Empowering Work Environment
184(1)
Create a Culture That Supports Knowledge Development and Integration
184(1)
Lead and Sustain Change
184(1)
Balance Complex Environments and Manage Competing Values and Priorities
185(1)
References
185(2)
8 Creating Evidence-Based Cultures Across The Health Continuum
187(30)
Acknowledgments
188(1)
Introduction
188(22)
Case Study: Toronto Public Health BPSO Experience
189(3)
Case Study: Bluewater Health BPSO Experience
192(4)
Case Study: North Bay Nurse Practitioner-Led Clinic BPSO Experience
196(5)
Case Study: Bayshore HealthCare Ltd.: BPSO Experience
201(3)
Case Study: St. Michael's Hospital BPSO Experience
204(6)
Concluding Perspectives From the BPSO Organizational Leaders
210(1)
Conclusion
211(1)
Key Messages
211(1)
References
212(5)
9 Enhancing The Evidence-Based Nursing Curriculum And Competence In Evidence-Based Practice
217(22)
Introduction
218(1)
From Candidacy to Designation
219(1)
Purpose of Academic BPSOs
220(1)
Becoming an Academic Best Practice Spotlight Organization
221(6)
Building a Culture of Evidence
222(2)
Establishing Structural Supports
224(1)
Identifying Stakeholders
224(1)
Developing an Academic BPSO Action Plan
224(2)
Establishing an Infrastructure
226(1)
Integrating BPGs Into the Curriculum
227(3)
Designing Multilevel BPG-Related Learning Objectives
227(3)
Reinforcing Supports and Overcoming Challenges for Sustained Change
230(2)
BPG Integration in Academia: Measuring Success
232(2)
Supporting Evidence-Based Education Through Research
234(1)
Conclusion
235(1)
Key Messages
235(1)
References
236(3)
Unit 3: Scaling Up, Scaling Out, And Scaling Deep: System-Wide Implementation 239(46)
10 Scaling Up And Out: System-Wide Implementation Initiatives
241(24)
Introduction
242(1)
Scaling: The Goal of Diffusion and Innovation
242(19)
Scaling Up: Key Considerations
242(1)
Scaling Up Successfully
243(1)
Case Study: Mental Health and Addiction Initiative
244(5)
Case Study: Tobacco Intervention Initiative
249(5)
Case Study: Prevention of Falls and Injury From Falls in the Older Adult
254(7)
Conclusion
261(1)
Key Messages
262(1)
References
262(3)
11 Evidence-Based Practice In Long-Term Care
265(20)
Introduction
266(1)
Background and History
266(1)
Program Infrastructure
267(7)
Vision, Mission, and Values
267(1)
The Guiding Framework
268(1)
The LTC Best Practice Coordinators
269(5)
LTC Best Practice Guidelines Program Evaluation
274(1)
Impact of the Program on the Long-Term Care Sector
274(3)
Case Study: Extendicare Haliburton
275(1)
Case Study: Tilbury Manor
276(1)
Further Scaling Up Through Adaptation of the RNAO Best Practice Spotlight Organization
277(5)
Purpose and Adaptations of the BPSO Program to Long-Term Care
277(3)
Case Study: The Impact of LTC-BPSO at St. Peter's Residence
280(2)
Conclusion
282(1)
Key Messages
282(1)
References
282(3)
Unit 4: Inspiring And Managing Implementation On A Global Scale 285(108)
12 RNAO's Global Spread Of BPGS: The BPSO Designation Sustainability And Fidelity
287(32)
Introduction
288(1)
Rogers' Diffusion of Innovation and RNAO's BPG Program Success
288(20)
The Elements of Diffusion: Factors and Characteristics
289(7)
BPSO Designation: Successful Diffusion at the Organizational Level
296(5)
BPSO Host Model: Successful Diffusion at the Macro Global Level
301(2)
The BPSO Orientation Program
303(2)
NQuIRE Data System as a Fidelity and Quality Assurance Strategy
305(1)
Use of Technology to Provide Education and Consultation
306(1)
Approaches to Translation
306(1)
Ongoing BPSO Designation Requirements and Opportunities
306(2)
The Future
308(5)
BPG Translation
309(1)
BPSO Spread, Sustainability, and Quality Monitoring Through Training Trainers
309(4)
Conclusion
313(1)
Key Messages
313(1)
References
314(5)
13 Bpso Host: A Model For Scaling Out Globally
319(14)
Introduction
320(1)
Nursing Care in the Spanish Health System
320(1)
The Spanish Experience of Implementing RNAO BPGs
321(9)
Building a Successful Initiative
321(1)
Our First Cohort
322(2)
Our Second Cohort
324(3)
Overall Strategies
327(1)
Evaluation Process
328(1)
Overall Impact
329(1)
Conclusion
330(1)
Key Messages
331(1)
References
331(2)
14 Overcoming Context And Language Differences: BPSO Trailblazers In China
333(26)
Introduction
334(1)
The Background of Introducing BPSOs in China
334(1)
Establishing Academic and Service BPSOs in China
334(2)
Building Up the BPSO Team
335(1)
Selecting and Translating BPGs
335(1)
Integrating BPGs Into Nursing Education: The BUCM Experience
336(4)
In the Classroom
337(3)
Implementing BPGs Into Clinical Nursing Practice: The DongZhiMen Hospital Experience
340(10)
Assessing Facilitators and Barriers to BPG
343(2)
Developing Implementation Strategies
345(3)
Monitoring BPG Use and Evaluating Outcomes
348(1)
Sustaining BPG Use
349(1)
Achievements of the BPSO Designation in China
350(3)
Achievements by the Academic BPSO
350(2)
Achievements by the Service BPSO
352(1)
Challenges and Solutions to BPSO Implementation
353(2)
Heavy Workload
353(1)
Cultural Differences
354(1)
Attitudes, Knowledge, and Practices in Evidence-Based Nursing
354(1)
Future Prospects of China BPSOs
355(1)
Building an EBN Culture
355(1)
Introduction of EBN Into TCM Nursing
355(1)
BPSO Designation Expansion
355(1)
Conclusion
356(1)
Key Messages
356(1)
References
357(2)
15 The Latin-American BPSO Experience: A Consortium Model
359(34)
Introduction
360(28)
Case Study: The Experience of FCI-IC in Implementing RNAO Evidence-Based Guidelines
361(9)
Case Study: The Experience of FOSCAL in Implementing RNAO Evidence-Based Guidelines
370(10)
Case Study: The Experience of Clinica las Condes in Implementing RNAO Evidence-Based Guidelines
380(8)
The Latin America BPSO Consortium: From Strength to Greater Strength
388(1)
Conclusion
389(1)
Key Messages
390(1)
References
390(3)
Unit 5: Evaluating Outcomes, Proving Results: Third Pillar For Success 393(70)
16 Evaluating BPG Impact: Development And Refinement Of Nquire
395(38)
Introduction
396(2)
History and Purpose of NQuIRE
398(1)
The Donabedian Model of Structure, Process, and Outcomes and NQuIRE Indicators
398(3)
Taxonomy of Quality Measures
399(2)
Frequency of Data Collection
401(1)
NQuIRE Indicator Development Process
401(5)
Purposeful Evolution of NQuIRE
403(1)
NQuIRE Indicators: Refinement
404(2)
Academic Indicators
406(1)
NQuIRE International Advisory Council
406(1)
NQuIRE Security and Privacy
407(2)
NQuIRE Data Quality Framework
409(12)
Responding to the BPSOs to Enhance Data Quality
410(2)
The Data Quality Framework
412(1)
Four Components of the NQuIRE Data Quality Framework
412(9)
Summary of NQuIRE Data Quality Framework
421(1)
Future Directions: Evidence Boosters and BPSO-NQuIRE Evaluation Model
421(1)
Economics of Nursing
422(2)
BPSO-NQuIRE Evaluation Model: Strategic Focus
423(1)
Conclusion
424(1)
Key Messages
424(1)
References
425(3)
Appendix A: Evidence Boosters Demonstrating BPG Impact in BPSO
428(5)
17 Value For Money: Measuring The Economic Impact Of BPSOS In Australia
433(30)
Introduction
434(2)
Background of the ANMF
436(1)
ANMF (SA Branch): The Australian BPSO Host
436(1)
The Australian BPSO Model
437(4)
The Beginnings of the BPSO Host Model
437(4)
BPSO and BPG Implementation
441(16)
Phase 1 Pilot Site 1: Central Adelaide Rehabilitation Service (CARS)
441(1)
Phase 1 Pilot Site 2: Northern Adelaide Local Health Network (NALHN)
441(1)
BPSO Phase 1 Evaluation
442(3)
BPSO Phase 1: Evaluation Results and Findings
445(12)
Summary
457(1)
Measuring Economic Outcomes of the Australian BPSO Designation
457(3)
Economic Impact of BPG Implementation Shown Through Cost Benefit Analysis
457(1)
Other Savings That Are Related to Reduction in Restraint
458(2)
Conclusion
460(1)
Key Messages
460(1)
References
460(3)
Unit 6: Next Steps: From Practice To Policy 463(32)
18 Scaling Deep To Improve People's Health: From Evidence-Based Practice To Evidence-Based Policy
465(30)
Introduction
466(1)
Nursing as Body Politic
466(1)
The Necessity but Insufficiency of an Evidence-Based Approach
467(1)
Foundational Ideas and Conceptual Framework for Advocacy
468(22)
The Two Pillars for Advancing Healthy Public Policy
468(8)
Stages of Policy Advocacy
476(1)
Case Study: Linking Evidence and Advocacy for Supervised Injection Services in Ontario
477(8)
Case Study: Linking Evidence and Advocacy for Funding Offloading Devices in Ontario
485(5)
Conclusion
490(1)
Key Messages
491(1)
References
491(4)
Index 495