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The Participant-Reported Implementation Update and Score PRIUS: A Novel Method for Capturing Implementation-Related Data Over Time
Published on: February 19, 2021
Is this to be another project that fizzles out? Using the i-PARIHS framework to evaluate implementation of a
Lena Nyholm1, Lena Gunningberg2, Eva Jangland1
1Department of Surgical Sciences, Nursing Research, Uppsala University, Uppsala University Hospital, Uppsala, Sweden.
Implementing a nurse mentoring program faced challenges due to a lack of experienced facilitators and resources. The integrated Promoting Action on Research Implementation in Health Services (i-PARIHS) framework helped identify these implementation barriers.
Area of Science:
- Healthcare Management
- Nursing Education
- Implementation Science
Background:
- Evidence-based practice implementation in healthcare is complex.
- The integrated Promoting Action on Research Implementation in Health Services (i-PARIHS) framework provides a model for successful implementation.
- Mentoring programs for nurses are valuable but can be challenging to implement effectively.
Purpose of the Study:
- To evaluate the implementation of a multifaceted mentoring program for bedside nurses.
- To identify factors influencing the implementation of the nurse mentoring program.
- To utilize the i-PARIHS framework for a retrospective analysis of the implementation process.
Main Methods:
- Secondary analysis of qualitative data.
- Application of the i-PARIHS framework as a theoretical lens.
- Directed content analysis focusing on innovation characteristics and implementation factors.
Main Results:
- Supportive leadership and active supervisor involvement were key success factors.
- Lack of resources (personnel, time, money) significantly hindered implementation.
- A critical barrier was the absence of experienced facilitators throughout the organization.
Conclusions:
- The mentoring program implementation presented organizational challenges.
- Continued investment and a more structured facilitation process are recommended.
- Establishing a prioritized management system with supportive unit-level leadership is crucial for sustainability.
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