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Testing a community level research utilization intervention

M Shively1, B Riegel, D Waterhouse

  • 1VA Medical Center, Nursing Service/Research, San Diego, CA 92161-4189, USA.

Applied Nursing Research : ANR
|August 1, 1997
PubMed
Summary
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This study successfully implemented a change from heparin to saline flushes for intermittent intravenous devices in adult patients. The community-level intervention promoted research utilization and improved clinical practice.

Area of Science:

  • Nursing Practice
  • Healthcare Innovation
  • Research Utilization

Background:

  • Heparin flushes are still used for intermittent intravenous devices (IID) despite research supporting saline flushes for adults.
  • A gap exists between research findings and current clinical practice regarding IID flushing protocols.

Purpose of the Study:

  • To evaluate a community-level innovation diffusion intervention designed to increase research utilization.
  • To promote the adoption of saline flushes over heparin flushes for intermittent intravenous devices (IID) in acute care settings.

Main Methods:

  • A five-phase, staff-empowerment focused intervention was implemented across three acute care facilities.
  • The intervention targeted the change from heparin to saline flushes for pilot intermittent intravenous device (IID) units.

Related Experiment Videos

  • Innovation diffusion principles were applied at a community level to stimulate practice change.

    • Main Results:

    • The transition from heparin to saline flushes for intermittent intravenous devices (IID) was successfully achieved.
    • The change in clinical practice was sustained over the study period.
    • The community-level intervention effectively stimulated research utilization.

    Conclusions:

    • A structured, community-level intervention can effectively drive research utilization and change clinical practice.
    • Staff empowerment is a key component in the successful implementation of evidence-based practices like saline IID flushes.
    • The shift to saline flushes for IID is a sustainable and effective practice change.