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Taking Root: a grounded theory on evidence-based nursing implementation in China.
L Cheng1, M E Broome2, S Feng3
1School of Nursing, Fudan University, Shanghai, China.
International Nursing Review
|August 3, 2017
Summary
This study developed the "Taking Root" theory for evidence-based nursing implementation in China. It outlines key components, approaches, and strategies to transform nursing practice and improve patient outcomes.
Area of Science:
- Nursing Science
- Health Services Research
- Qualitative Research Methodology
Background:
- Evidence-based nursing (EBN) is fundamental for high-quality healthcare delivery.
- Implementing EBN is crucial for advancing nursing practice and patient outcomes.
Purpose of the Study:
- To develop a middle-range theory on the process of evidence-based nursing implementation within the Chinese healthcare context.
- To provide a theoretical framework for understanding and optimizing EBN adoption in diverse healthcare settings.
Main Methods:
- Grounded theory methodology utilizing unstructured in-depth individual interviews.
- Conducted with 56 participants involved in 24 EBN implementation projects in Mainland China (September 2015 - September 2016).
Main Results:
- Developed the 'Taking Root' middle-range grounded theory.
- Theory encompasses four components (driving forces, process, outcome, sustainment/regression), three approaches (top-down, bottom-up, outside-in), four strategies (patient-centred, nurse-driven, consensus-building, collaboration), and two patterns (transformational, adaptive).
Conclusions:
- This study presents the first theory on EBN implementation processes, strategies, approaches, and patterns in Chinese nursing practice.
- The 'Taking Root' theory offers insights into transformational evidence implementation for nurses and healthcare settings.
- Recommendations include collaborative efforts among educators, managers, and researchers to enhance nurse readiness and optimize healthcare systems for EBN.
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