École des Hautes Etudes en Santé Publique, Inserm U 1309-RSMS, CNRS UMR 6051 - ARENES, Rennes, France.
Global Health Institute, Geneva University, Geneve, Switzerland.
Nurs Open. 2023 Feb;10(2):450-468. doi: 10.1002/nop2.1369. Epub 2022 Sep 16.
The aim of this study was to map the diverse factors impacting change implementation in nursing practices and investigate different implementation strategies.
Scoping literature review following PRISMA-ScR extension.
Data were collected from PubMed, Ebsco, Scopus and ScienceDirect databases from 1990 onwards. Only English peer-reviewed studies reporting an implementation of change in nursing practice were included. Of 9,954 studies, 425 abstracts were scanned and 98 full-text articles were screened. Finally, 28 studies were selected.
A multifaceted approach, with a tailored intervention, was the most effective implementation strategy. Most identified factors were considered systematic, for example resource availability, leadership and knowledge. However, others related to local social and material context were identified in fewer number of studies. These seem to be operational elements for implementation processes. Both types of factors are essential and must be considered for successful implementation.
We advocate the development of framework including systematic factors and which capture the local context flexibility.
本研究旨在绘制影响护理实践变革实施的各种因素图谱，并研究不同的实施策略。
遵循 PRISMA-ScR 扩展的范围文献综述。
数据从 1990 年起从 PubMed、Ebsco、Scopus 和 ScienceDirect 数据库中收集。仅纳入报告护理实践变革实施的英语同行评审研究。在 9954 项研究中，扫描了 425 份摘要，筛选了 98 篇全文文章。最终选择了 28 项研究。
采用量身定制的干预措施的多方面方法是最有效的实施策略。大多数确定的因素被认为是系统性的，例如资源可用性、领导力和知识。然而，其他与当地社会和物质环境相关的因素在较少数量的研究中被识别。这些似乎是实施过程的操作要素。这两种类型的因素都是必不可少的，必须考虑到成功的实施。
我们主张制定一个包括系统性因素和捕捉当地环境灵活性的框架。
