Using the Knowledge-to-Action Framework to understand experiences of breastfeeding guideline implementation: A
Antonio Jesús Ramos-Morcillo1, David Harillo-Acevedo2, Maria Ruzafa-Martinez1
1Nursing Department, Faculty of Nursing, University of Murcia, Murcia, Spain.
Journal of Nursing Management
|August 10, 2020
Summary
This study explored healthcare professionals
Area of Science:
- Nursing
- Healthcare Management
- Clinical Practice Guidelines
Background:
- Limited application of breastfeeding clinical practice guidelines (CPG).
- Healthcare professionals' perceived difficulties in implementing CPG recommendations.
- Need for qualitative insights into CPG implementation.
Purpose of the Study:
- Examine perceptions and experiences of healthcare professionals and mothers.
- Understand the implementation of a breastfeeding clinical practice guideline (CPG).
Main Methods:
- Qualitative study in a Spanish public hospital (2012-2015).
- 27 semi-structured interviews with managers, healthcare professionals, and mothers.
- Deductive content analysis using the Knowledge-To-Action (KTA) Framework.
Main Results:
- Five key categories emerged: problem as opportunity, context and recommendations, implementation extent, impact, and knowledge normalization.
- Successful implementation involved adapting recommendations and adequate context.
- Managerial and professional participation was crucial.
Conclusions:
- The Knowledge-To-Action (KTA) Framework aids understanding of actor participation in CPG implementation.
- Complex implementation factors, including multi-unit settings and diverse stakeholder involvement, are key for future CPG success.
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