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Implementation strategies used to implement nursing guidelines in daily practice: A systematic review
Denise Spoon1, Tessa Rietbergen2, Anita Huis3
1Department of Internal Medicine, Section Nursing Science, Erasmus MC University Medical Centre, Room Rg-532, P.O. Box 2040, Rotterdam, CA 3000, The Netherlands.
International Journal of Nursing Studies
|September 22, 2020
Summary
Implementing nursing guidelines involves various strategies, with educational approaches and opinion leaders being common. While no single strategy guarantees success, 68% of studies showed positive effects on patient outcomes and adherence.
Area of Science:
- Nursing Science
- Healthcare Implementation Research
- Evidence-Based Practice
Background:
- Limited research exists on effective implementation strategies for nursing guidelines.
- Successful integration of guidelines into practice is crucial for improving patient care and outcomes.
- A comprehensive overview of current strategies and their impact is needed.
Purpose of the Study:
- To review strategies used for implementing nursing guidelines across all fields.
- To assess the effects of these strategies on patient-related nursing outcomes and guideline adherence.
- To inform guideline developers, healthcare professionals, and organizations on effective implementation.
Main Methods:
- Systematic review of studies published until August 2019.
- Inclusion of studies with quantitative data on implementation strategies and outcomes.
- Categorization of strategies using the Cochrane Effective Practice and Organisation of Care taxonomy.
- Evaluation of evidence strength using Cochrane risk of bias and Newcastle-Ottawa Quality Assessment tools.
Main Results:
- 54 articles on 53 guideline implementation studies were analyzed.
- The majority of studies (68%) reported significant positive effects on patient outcomes or guideline adherence.
- Educational strategies (98.1%) and use of local opinion leaders (54.7%) were most common.
- A median of 6 implementation strategies were used per study.
Conclusions:
- A diverse range of implementation strategies are employed for nursing guidelines.
- No single strategy or combination is universally linked to successful implementation.
- The findings highlight the importance of varied strategies in improving patient outcomes and adherence to guidelines.
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