Research Unit of Health Sciences and Technology, Faculty of Medicine, University of Oulu, Oulu, Finland.
Wellbeing Services County of Ostrobotnia, Vaasa, Finland.
J Adv Nurs. 2024 Jun;80(6):2439-2451. doi: 10.1111/jan.15974. Epub 2023 Nov 23.
The aim was to explore implementation leadership of the Resident Assessment Instrument in healthcare services for older people from the perspective of specialists.
A qualitative descriptive design was used.
Thematic interviews with 21 specialists were conducted between April 2022 and June 2022 in eight health and social, one educational and one research organization in Finland. The data were analysed with deductive-inductive content analysis using the Resident Assessment Instrument implementation leadership framework developed for this study.
In implementation leadership of Resident Assessment Instrument, the need for leaders' support and capabilities to ensure that the conditions and supporting structures for implementation are present was emphasized. Regular and continuous basic and advanced training for professionals and leaders' competencies were identified as crucial factors for a successful implementation process of Resident Assessment Instrument. Leading the active implementation of this instrument requires leaders' strong support and regular communication. The importance of frontline leaders and mentors was also stressed in practical implementation, while the responsibility of upper-level leaders, especially in the use of benchmarking, was underlined for the evaluation and further improvement of organizational operations. In sustaining the implementation, it was emphasized that using the Resident Assessment Instrument is a continuous process that does not end with the implementation itself.
Implementation leadership of Resident Assessment Instrument has the potential to increase the success of the implementation process. The Resident Assessment Instrument Implementation Leadership Framework can be a useful tool for describing processes, content and leaders' roles in implementation leadership of the instrument in healthcare services for older people.
This study provides a comprehensive view of implementation leadership of the Resident Assessment Instrument implementation process in healthcare services for older people. Overall, the results indicate the significance of leadership in successful implementation.
No patient or public contribution. WHAT DOES THIS ARTICLE CONTRIBUTE TO THE WIDER GLOBAL CLINICAL COMMUNITY?: Successful implementation leadership of Resident Assessment Instrument requires continuous monitoring, supporting and evaluating the implementation process. Organizations that use the Resident Assessment Instrument should strengthen their leaders' knowledge and competencies in implementation leadership to enable the full realization of the instrument's benefits. Leaders and professionals in healthcare services for older people need regular, continuous and correctly targeted basic and advanced training on the Resident Assessment Instrument.
本研究旨在从专家的角度探讨老年人医疗保健服务中居民评估工具的实施领导力。
采用定性描述设计。
2022 年 4 月至 6 月，在芬兰的 8 个卫生和社会、1 个教育和 1 个研究组织中，对 21 名专家进行了主题访谈。使用本研究开发的居民评估工具实施领导力框架，对数据进行了演绎-归纳内容分析。
在居民评估工具的实施领导力中，强调了领导者支持和确保实施条件和支持结构存在的能力的必要性。定期为专业人员和领导者提供基本和高级培训，并培养领导者的能力，被确定为居民评估工具成功实施过程的关键因素。领导者的大力支持和定期沟通是积极实施该工具的关键。在实际实施中，还强调了一线领导者和导师的重要性，而高层领导者，尤其是在使用基准测试方面的责任，对于评估和进一步改进组织运营也很重要。在维持实施方面，强调使用居民评估工具是一个持续的过程，不会随着实施本身的结束而结束。
居民评估工具的实施领导力有可能提高实施过程的成功率。居民评估工具实施领导力框架可以作为描述老年人医疗保健服务中居民评估工具实施过程、内容和领导者角色的有用工具。
本研究提供了老年人医疗保健服务中居民评估工具实施过程实施领导力的全面视图。总的来说，结果表明领导力在成功实施中的重要性。
无患者或公众贡献。
这篇文章对更广泛的全球临床社区有何贡献？：成功的居民评估工具实施领导力需要对实施过程进行持续监测、支持和评估。使用居民评估工具的组织应加强领导者在实施领导力方面的知识和能力，以充分实现工具的效益。老年人医疗保健服务中的领导者和专业人员需要定期、持续和有针对性地接受居民评估工具的基础和高级培训。
