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Implementation of Evidence-Based Practice in Long-Term Care: A Scoping Review.

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Successful implementation of evidence-based practices in long-term care (LTC) requires tailored education and strong communication strategies. Face-to-face delivery and peer champions are key to adoption and sustainability for healthcare staff.

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Area of Science:

  • Healthcare Management
  • Implementation Science
  • Long-Term Care

Background:

  • Evidence-based practices (EBPs) are crucial for improving quality of care in long-term care (LTC) settings.
  • Successful adoption and sustainability of EBPs depend heavily on effective implementation strategies.
  • Frontline healthcare staff and facility administration play vital roles in the implementation process.

Purpose of the Study:

  • To systematically review implementation strategies used in long-term care (LTC) settings.
  • To identify factors influencing the adoption and sustainability of EBPs by facilities and healthcare staff.
  • To provide insights for optimizing EBP implementation in LTC.

Main Methods:

  • A comprehensive scoping review of the literature was conducted across three databases.
  • Study selection and data extraction were performed independently by two researchers.
  • The Action, Actor, Context, Target, Time (AACTT) framework guided data extraction, and study quality was assessed.

Main Results:

  • Eleven studies met inclusion criteria, focusing on interventions within the Effective Practice and Organization of Care (EPOC) taxonomy, specifically Coordination and Management of Care Processes.
  • Barriers included workflow/workload timing, staff skepticism, and scope/training concerns.
  • Positive implementation factors included face-to-face communication, asynchronous training, and the availability of a peer champion.

Conclusions:

  • Effective implementation strategies in LTC necessitate robust communication, including face-to-face delivery and peer support.
  • Tailored education addressing individual training and experience levels is critical for successful EBP adoption.
  • These findings emphasize the need for strategic planning to overcome barriers and enhance sustainability of EBPs in LTC settings.