The Connected Learning Model for disseminating evidence-based care practices in clinical settings.

Area of Science:

• Gerontology
• Nursing Science
• Health Services Research

Background:

• Clinical practice guidelines aim to enhance patient care but face implementation challenges in complex settings.
• Nursing staff often have limited advanced training, hindering the adoption of evidence-based practices.
• Heart failure management requires specialized knowledge and consistent application of guidelines.

Purpose of the Study:

• To introduce and evaluate the Connected Learning Model for implementing heart failure clinical practice guidelines in a nursing home setting.
• To enhance the skills of direct care nursing staff in recognizing and reporting heart failure symptoms.
• To foster collaboration among healthcare professionals to bridge the research-practice gap.

Main Methods:

• The Connected Learning Model, based on the diffusion of innovations framework, was developed and implemented.
• An advanced practice nurse in geriatrics facilitated collaboration among administrative, medical, and nursing staff.
• A learner-centered educational program, including classroom, unit-based, and bedside teaching, was delivered to direct care staff.

Main Results:

• The Connected Learning Model facilitated the translation of heart failure guidelines into nursing home practice.
• Staff skills in early recognition and reporting of heart failure signs and symptoms were enhanced.
• Improved interaction and collaboration among healthcare teams were observed.

Conclusions:

• The Connected Learning Model is an effective strategy for implementing clinical practice guidelines in nursing homes.
• Advanced nursing expertise can be leveraged to overcome barriers in guideline implementation.
• Systematic adaptation of guidelines to diverse healthcare contexts is crucial for successful translation.