An evaluation study of the implementation of stroke best practice guidelines using a Knowledge Transfer Team approach

Area of Science:

• Nursing
• Healthcare Management
• Quality Improvement

Background:

• Stroke care presents a growing challenge to Canadian healthcare systems.
• The Registered Nurses Association of Ontario (RNAO) developed Stroke Best Practice Guidelines (BPGs) to optimize stroke patient care.
• Evaluating the implementation of these BPGs is crucial for improving healthcare delivery.

Purpose of the Study:

• To evaluate the implementation of RNAO stroke BPGs at Mackenzie Health's Integrated Stroke Unit.
• To assess the effectiveness of a Knowledge Transfer Team (KTT) in disseminating and implementing stroke BPGs.
• To identify facilitators and barriers to BPG implementation in a clinical setting.

Main Methods:

• A 12-month evaluation using structure, process, and outcome indicators.
• Data collection from healthcare staff, KTT members, and patients/providers.
• Assessment of strategies for system-wide dissemination of BPG implementation.

Main Results:

• Healthcare professionals found the Knowledge Transfer (KT) approach effective for implementing and disseminating stroke BPGs.
• Identified limitations included time constraints, recruitment difficulties, competing priorities, and lack of financial support.
• High patient satisfaction levels indicated positive impacts on care and outcomes.

Conclusions:

• The KTT approach facilitated the successful implementation of stroke BPGs.
• This strategy led to enhanced patient care and improved outcomes.
• Addressing implementation barriers is key for widespread adoption of best practices.