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Implementing research findings into nursing homes: A mixed-methods study.
Irene Muller-Schoof1, Wytske Meekes1, Nanette Raaijmakers1
1Tranzo, Scientific Center for Care and Wellbeing, Tilburg School of Social and Behavioral Sciences, Tilburg University, P.O. Box 90153, 5000 LE Tilburg, the Netherlands.
This study identifies nine implementation strategies for nursing homes to bridge the research-practice gap. It emphasizes tailoring strategies to specific contexts and early stakeholder involvement for effective evidence-based practice adoption.
Area of Science:
- Implementation Science
- Geriatric Care
- Nursing Home Management
Background:
- Aging global populations increase demand for high-quality, person-centered nursing home care.
- Persistent theory-practice gap hinders evidence-based practice adoption in nursing homes.
- Practical training of nursing staff contributes to slow uptake of research findings.
Purpose of the Study:
- Identify current implementation strategies in nursing homes.
- Explore healthcare professionals' experiences, needs, and wishes.
- Understand implementation experts' perspectives on research integration.
Main Methods:
- Exploratory qualitative mixed-methods study in Dutch nursing homes.
- Data from 33 implementation experts and 17 healthcare professionals.
- Included focus groups, interviews, document analysis, and a rapid review.
Main Results:
- Identified nine implementation strategies: dissemination, education, social influence, collaboration, incentives, evaluation, facilitation, laws/regulations, and multifaceted initiatives.
- Developed nursing home-specific taxonomy with detailed objectives, target groups, and approaches.
- Healthcare professionals desire practice-relevant research, early involvement, accessible language, and support.
Conclusions:
- Provides a comprehensive, evidence-based taxonomy of implementation strategies for nursing homes.
- Highlights the need for early integration of implementation considerations into research design.
- Advocates for multi-strategy, context-tailored approaches and reciprocal stakeholder engagement throughout the research-implementation continuum.
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