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Implementing research findings into nursing homes: A mixed-methods study.

Irene Muller-Schoof1, Wytske Meekes1, Nanette Raaijmakers1

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Summary

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.

Keywords:
Evidence-based practiceGeriatric nursingImplementation scienceKnowledge translationNursing homesPerson-centered careStakeholder engagement

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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.