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The realities of practice change: Nurses' perceptions.

Élise N Arsenault Knudsen1, Barbara J King1, Linsey M Steege1

  • 1School of Nursing, University of Wisconsin - Madison, Madison, WI, USA.

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Summary
This summary is machine-generated.

Registered nurses perceive practice change as frequent and demanding, often viewing it as a core job function. Strategies like involving nurses and clear communication can improve adoption of new practices.

Keywords:
content analysisevidence-based practicehospitalimplementationnursingnursing practicepractice change

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Area of Science:

  • Nursing Practice
  • Healthcare Management
  • Qualitative Research

Background:

  • Nurses are crucial for achieving the Quadruple Aim by optimizing patient outcomes.
  • Healthcare organizations require nurses to adapt practices based on evidence and initiatives.
  • Nurses' experiences with practice change are under-studied.

Purpose of the Study:

  • To explore registered nurses' perceptions of practice change.
  • To identify factors influencing the adoption of practice changes by nurses.

Main Methods:

  • Qualitative design utilizing inductive content analysis.
  • Semi-structured, one-on-one interviews with 11 registered nurses.
  • Study adhered to Consolidated Criteria for Reporting Qualitative Studies (COREQ) guidelines.

Main Results:

  • 11 participants reported 63 distinct experiences with practice changes.
  • Nurses' perceptions categorized as: 'A History', 'A Lot of Work', 'Happens to Nurses', and 'Doing Right for the Patient'.
  • Practice change is frequent, sometimes concurrent, and integral to nursing work.

Conclusions:

  • Nurses identify strategies to facilitate practice change, including planning, engagement, and communication of rationale/outcomes.
  • Involving nurses in practice changes can mitigate adoption barriers.
  • Policies should support nurses by balancing direct care with time for practice change initiatives.