The process for initiating nursing practice changes in the intrapartum: findings from a multisite research...

Area of Science:

• Nursing Practice
• Healthcare Management
• Evidence-Based Practice

Background:

• Implementing research-based protocols in clinical settings is crucial for advancing patient care.
• The Second Stage Labor Nursing Management protocol was implemented across 40 North American sites.
• Understanding the facilitators and barriers to protocol implementation is essential for successful practice change.

Purpose of the Study:

• To describe the process of implementing the Second Stage Labor Nursing Management protocol.
• To identify positive and negative factors influencing protocol implementation and adherence.
• To provide insights for future research utilization initiatives in nursing.

Main Methods:

• A multi-site implementation study was conducted.
• Data were collected from site coordinators' reports on the implementation process.
• Qualitative analysis of reported factors influencing protocol adoption was performed.

Main Results:

• The term "research utilization" may cause confusion among healthcare professionals.
• Collaboration across disciplines and administrative endorsement are critical for practice change.
• Nurses' understanding of their practice environment facilitates protocol acceptance.
• Phased implementation of practice changes can be effective.

Conclusions:

• Successful implementation of research-based protocols hinges on interdisciplinary teamwork and leadership support.
• Effective communication and a nuanced understanding of "research utilization" are necessary.
• Tailoring implementation strategies to specific practice settings enhances protocol adherence.