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Staff experiences in implementing guidelines for Kangaroo Mother Care--a qualitative study
Lars Wallin1, Agneta Rudberg, Lena Gunningberg
1Faculty of Nursing, KUSP, 5th Floor, Clinical Sciences Building, University of Alberta, Edmonton, Alta., Canada T6G 2G3. lars.wallin@nurs.ualberta.ca
International Journal of Nursing Studies
|December 8, 2004
Summary
Implementing Kangaroo Mother Care guidelines in neonatal units involves staff experiences and contextual factors. Facilitation positively impacted behavior and patient well-being, highlighting the social nature of learning and change.
Area of Science:
- Neonatal care
- Healthcare management
- Implementation science
Background:
- Kangaroo Mother Care (KMC) is a vital intervention for neonatal well-being.
- Successful implementation of clinical guidelines is crucial for improving patient outcomes.
- Understanding staff experiences is key to optimizing guideline adoption in healthcare settings.
Purpose of the Study:
- To investigate staff experiences with implementing Kangaroo Mother Care (KMC) guidelines.
- To assess the impact of external facilitation on guideline implementation in neonatal care.
- To explore factors influencing the adoption of KMC practices among healthcare staff.
Main Methods:
- Qualitative study involving eight focus group interviews.
- Conducted in two intervention and two control units within a randomized controlled trial.
- Data collection focused on staff perceptions of guideline implementation and facilitation.
Main Results:
- Establishing a change team and implementing the KMC guideline positively impacted staff behavior and perceived patient well-being.
- Leadership, colleague attitudes, and the guideline itself were significant contextual factors.
- External facilitation was appreciated but not always more effective than an engaged nurse manager in an improvement-focused culture.
- Learning and behavior change were identified as social phenomena enhanced by interaction.
Conclusions:
- External facilitation can promote guideline implementation activities and positively influence staff behavior and patient outcomes in neonatal care.
- Contextual factors, including leadership and team dynamics, play a critical role in successful implementation.
- Organizational culture and active management involvement can be as effective as external facilitation in driving change.
- Interpersonal interaction and collaboration are essential for fostering learning and behavior change in healthcare settings.