Strategies for knowledge mobilization by advanced practice nurses in three hospitals in Spain: a qualitative study

Evidence-based practice, in conjunction with optimum care quality, improves patients' clinical outcomes. However, its implementation in daily clinical practice continues to present difficulties. The aim of this study was to identify the strategies applied by Advanced Practice Nurses (APNs) to f...

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Bibliographic Details
Published in:BMC nursing 2024-06, Vol.23 (1), p.440-9, Article 440
Main Authors: Zaforteza-Lallemand, Concha, Blanco-Mavillard, Ian, Pol-Castañeda, Sandra, Villafáfila-Gomila, Carlos Javier, Ferrer-Cruz, Francisco, Rodríguez-Calero, Miguel Ángel
Format: Article
Language:English
Subjects:
Advanced practice nurses
Advanced practice nursing
Behavior
Clinical outcomes
Clinical practice guidelines
Evaluation
Evidence-based medicine
Evidence-based nursing
Evidence-based practice
Focus groups
Health care reform
Health services
Hospital patients
Implementation science
Intervention
Knowledge mobilization
Knowledge transfer
Medical personnel
Methods
Nurses
Nursing
Practice
Practice guideline
Practice guidelines (Medicine)
Pressure ulcers
Professionals
Qualitative research
Registered nurses
Researchers
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Summary:Evidence-based practice, in conjunction with optimum care quality, improves patients' clinical outcomes. However, its implementation in daily clinical practice continues to present difficulties. The aim of this study was to identify the strategies applied by Advanced Practice Nurses (APNs) to foster adherence to clinical practice guideline recommendations. An exploratory qualitative study was conducted with six focus groups at three public hospitals belonging to the Balearic Islands Health Care Service (Spain). The study participants were 32 ward nurses and 5 advanced practice nurses working routinely with inpatients at these hospitals. The study was conducted from November 2020 to January 2021, using thematic analysis, based on the COREQ checklist. Four major themes related to the facilitation process were identified either by RNs and APNs: the context of the project, APN contribution to nursing team management, healthcare provision on the ward, and the acquisition and application of knowledge. The APNs adapted their actions to the characteristics and needs of the local context, employing strategies aimed at improving teamwork, healthcare, and knowledge management. Each of these contributions enhanced the sustainability of the changes made.
ISSN:1472-6955
1472-6955
DOI:10.1186/s12912-024-02095-5