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Clinical Practice Project Implementing Evidence-Based Practice

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Leadership in Nursing: Experiences from the European Nordic Countries

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Abstract

This chapter presents an overview of clinical practice projects and the development of the use of research projects within Swedish healthcare. However, how relevant a clinical practice project may be, it will not implement itself. The research-to-practice gap is the result of many interrelated factors, but leadership is an essential component of successful clinical implementation. The Swedish National Quality Registries used in an integrated and active way for continuing learning, improvement and research are described. The chapter also covers guidelines for implementation in clinical practice, regarding pressure ulcer prevention, for example, in addition to various research projects that have resulted in clinical guidelines. Two initiatives for developing leadership initiatives and retaining registered nurses with leadership skills within the clinical setting are also presented: (1) the introduction by the Swedish Society of Nursing of the Magnet Hospital concept developed in the United States in which nursing leaders involve staff registered nurses in shaping research-based nursing practice and (2) work options for registered nurses holding a PhD that combine teaching, research and clinical work to support optimal patient outcomes.

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References

  1. Gerd Flodgren G, Parmelli E, Doumit G, Gattellari M, O’Brien MA, Grimshaw J, Martin P, Eccles MP. Local opinion leaders: effects on professional practice and health care outcomes. Cochrane Database Syst Rev. 2014;10(8):CD000125. https://doi.org/10.1002/14651858.CD000125.pub4.

    Article  Google Scholar 

  2. Strom KL. Quality improvement interventions: what works? J Healthc Q. 2001;23(5):4–14; quiz 14, 24.

    Article  CAS  Google Scholar 

  3. Nightingale F. Notes on nursing. Philadelphia: Lippincott; 1859.

    Google Scholar 

  4. Donabedian A. The end results of health care: Ernest Codman’s contribution to quality assessment and beyond. Milbank Q. 1989;67(2):233–56.

    Article  CAS  Google Scholar 

  5. Mallon WJ. Ernest Amory Codman: the end result of a life in medicine. Philadelphia: W.B. Saunders; 2000.

    Google Scholar 

  6. The Joint Commission. https://www.jointcommission.org/codman.aspx. Accessed 19 Sept 2018.

  7. The Swedish Society of Nursing. Omvårdnadsvariabler i kvalitetsregister. 2012. https://www.swenurse.se/globalassets/01-svensk-sjukskoterskeforening/publikationer-svensk-sjukskoterskeforening/kvalitet-publikationer/omvardnadsvariabler_kvalitetsregisterrev.pdf. In Swedish. Accessed 19 Sept 2018.

  8. Hommel A, Ulander K, Thorngren KG. Improvements in pain relief, handling time and pressure ulcers through internal audits of hip fracture patients. Scand J Caring Sci. 2003;17(1):78–83.

    Article  Google Scholar 

  9. The Swedish Society of Nursing. Svensk sjuksköterskeförening- Stimulera specialistutbildningarna för sjuksköterskor att an-vända data från nationella kvalitetsregister. 2016a. https://www.swenurse.se/globalassets/01-svensk-sjukskoterskefore-ning/kvalitet/slutrapport.stimulera.specialistutbildningarna.for.sjukskoterskor.att.anvanda.data.fran.de.nationella.kvalitetsregistren.pdf. In Swedish.

  10. Vanderwee K, Clark M, Dealey C, Gunningberg L, Defloor T. Pressure ulcer prevalence in Europe: a pilot study. J Eval Clin Pract. 2007;13(2):227–35.

    Article  Google Scholar 

  11. Gunningberg L. Risk, prevalence and prevention of pressure ulcers in three Swedish healthcare settings. J Wound Care. 2004;13(7):286–90.

    Article  CAS  Google Scholar 

  12. Gunningberg L, Donaldson N, Aydin C, Idvall E. Exploring variation in pressure ulcer prevalence in Sweden and the USA: benchmarking in action. J Eval Clin Pract. 2012;18(4):904–10.

    Article  Google Scholar 

  13. Gunningberg L, Hommel A, Bååth C, Idvall E. The first national pressure ulcer prevalence survey in county council and municipality settings in Sweden. J Eval Clin Pract. 2013;19(5):862–7.

    PubMed  Google Scholar 

  14. Bååth C, Idvall E, Gunningberg L, Hommel A. Pressure-reducing interventions among persons with pressure ulcers: results from the first three national pressure ulcer prevalence surveys in Sweden. J Eval Clin Pract. 2014;20(1):58–65.

    Article  Google Scholar 

  15. Hommel A, Gunningberg L, Idvall E, Bååth C. Successful factors to prevent pressure ulcers – an interview study. J Clin Nurs. 2017;26(1–2):182–9.

    Article  Google Scholar 

  16. National Pressure Ulcer Advisory Panel, European Pressure Ulcer Advisory Panel and Pan Pacific Pressure Injury Alliance. In: Haesler E, editor. Prevention and treatment of pressure ulcers: quick reference guide. Osborne Park, WA: Cambridge Media; 2014.

    Google Scholar 

  17. SBU. Tidig koordinerad utskrivning och fortsatt rehabilitering i hemmiljö för äldre efter stroke. 2015a. www.sbu.se/234.

  18. SBU. Rehabilitering av äldre personer med höftfrakturer – interdisciplinära team. 2015b. www.sbu.se/235.

  19. Dawes M, Summerskill W, Glasziou P, Cartabellotta A, Martin J, Hopayian K, Porzsolt F, Burls A, Osborne J. Second international conference of evidence-based health care teachers and developers. Sicily Statement Evid-Based Pract. 2005;5(1):1.

    Google Scholar 

  20. The Swedish Society of Nursing. ReAktion om att minska risken för undernäring. 2017a. https://www.swenurse.se/globalassets/01-svensk-sjukskoterskeforening/publikationer-svensk-sjukskoterskeforening/re-aktion-publikationer/re-aktion-om-att-minska-risken-for-undernaring.pdf.

  21. Quality and Safety Education for Nurses. http://qsen.org/. (2005).

  22. Greiner A, Knebel E. Health professions education: a bridge to quality. Institute of Medicine (US) Committee on the Health Professions Education Summit. Washington: National Academies Press; 2003. In Swedish.

    Google Scholar 

  23. Carlström ED, Ekman I. Organisational culture and change: implementing person-centred care. Health Organ Manag. 2012;26(2):175–91.

    Article  Google Scholar 

  24. Rantala A. Being taken seriously. Person-centredness and person-centred climate as experienced by patients and significant others when the patient is assessed as non-urgent by the Swedish Ambulance Service. Lund University, Faculty of Medicine Doctoral Dissertation Series; 2017. p. 108. ISBN 978-91-7619-490-4.

    Google Scholar 

  25. Elf M, Fröst P, Lindahl P, Wijk H. Shared decision making in designing new healthcare environments- time to begin improving quality. BMC Health Serv Res. 2015;15:114.

    Article  Google Scholar 

  26. Stankos M, Schwartz B. Evidence-based design in healthcare: a theoretical dilemma. Interdiscip Design Res e-J. 2007;1(1):1–15.

    Google Scholar 

  27. Huisman ERCM, Morales E, van Hoof J, Kort HSM. Healing environment: a review of the impact of physical environmental factors on users. Build Environ. 2012;58:70–80.

    Article  Google Scholar 

  28. Salonen H, Morawska L. Physical characteristics of the indoor environment that affect health and wellbeing in healthcare facilities: a review. Intell Build Int. 2013;5(1):3–25.

    Article  Google Scholar 

  29. Nordin S, Elf M, McKee K, Wijk H. Assessing the physical environment of older people’s residential care facilities: development of the Swedish version of the Sheffield Care Environment Assessment Matrix (S-SCEAM). BMC Geriatr. 2015;15:3.

    Article  Google Scholar 

  30. Joelsson-Alm E, Nyman CR, Lindholm C, Ulfvarson J, Svensén C. Perioperative bladder distension: a prospective study. Scand J Urol Nephrol. 2009;43(1):58–62.

    Article  Google Scholar 

  31. Joelsson-Alm E, Ulfvarson J, Nyman CR, Divander MB, Svensén C. Preoperative ultrasound monitoring can reduce postoperative bladder distension. Scand J Urol Nephrol. 2012;46(2):84–90.

    Article  Google Scholar 

  32. Joelsson-Alm E, Nyman CR, Svensén C, Ulfvarson J. Micturition problems after bladder distension during hospitalization in Sweden: “I’m not ill, just damaged for the rest of my life”. Nurs Res. 2014;63(6):418–25.

    Article  Google Scholar 

  33. Joelsson-Alm E, Thulin H. www.vardhandboken.se/Texter/Blasovervakning-vid-sjukhusvard/Blasovervakning-i-samband-med-operation/ (2015). In Swedish.

  34. Clayer M, Bruckner J. Occult hypoxia after femoral neck fractures and elective hip surgery. Clin Orthop Relat Res. 2000;370:265–71.

    Article  Google Scholar 

  35. Chilov MN, Cameron ID, March LM. Evidence-based guidelines for fixing broken hips: an update. Med J Aust. 2003;179(9):489–93.

    PubMed  Google Scholar 

  36. Tierney AJ. Undernutrition and elderly hospital patients: a review. J Adv Nurs. 1996;23(2):228–36. Review.

    Article  CAS  Google Scholar 

  37. Milisen K, Abraham LL, Broos PL. Postoperative variation in neurocognitive and functional status in elderly hip fracture patients. J Adv Nurs. 1998;27:59–67.

    Article  CAS  Google Scholar 

  38. EPUAP. European Pressure Ulcer Advisory Panel. Guidelines on pressure ulcer treatment of pressure ulcers. EPUAP Rev. 1999;1.

    Google Scholar 

  39. NICE. 2003/057 NICE relieves the pressure: the launch of clinical guidelines on the use of pressure relieving devices for the prevention of pressure ulcers. (2003).

    Google Scholar 

  40. Avenell A, Handoll HH. A systematic review of protein and energy supplementation for hip fracture aftercare in older people. Eur J Clin Nutr. 2003;57(8):895–903. Review.

    Article  CAS  Google Scholar 

  41. Hommel A. Improved safety and quality of care for patients with a hip fracture-interventions audited by the Quality Register RIKSHÖFT. Lund University, Faculty of Medicine Doctoral Dissertation Series. 2007;207:29. ISBN 978-91-85559–52-7.

    Google Scholar 

  42. Turesson E, Ivarsson K, Ekelund U, Hommel A. The implementation of a fast-track care pathway for hip fracture patients. Eur Orthop Traumatol. 2012; https://doi.org/10.1007/s12570-012-0125-7.

  43. George M. The effect of introducing new public management practices on compassion within the NHS. Nurs Times. 2017;113(7):30–4.

    Google Scholar 

  44. Francis R. The Mid Staffordshire NHS Foundation Trust Public Inquiry. 2013. http://webarchive.nationalarchives.gov.uk/20150407084231/http://www.midstaffspublicinquiry.com/report.

  45. Kramer M, Hafner L. Shared values: impact on staff nurse job satisfaction and perceived productivity. Nurs Res. 1989;38(3):172–7.

    Article  CAS  Google Scholar 

  46. Aiken L, Smith H, Lake E. Lower Medicare mortality among a set of hospitals known for good nursing care. Med Care. 1994;32(8):771–87.

    Article  CAS  Google Scholar 

  47. American Nurses Credentialing Center. History of the Magnet program. 2018. www.nursecredentialing.org/Magnet/ProgramOverview/HistoryoftheMagnetProgram.aspx.

  48. Aiken L, Havens D, Sloane D. The Magnet nursing services recognition program: a comparison of two groups of Magnet hospitals. J Nurs Adm. 2000;39(7/8):S5–S14.

    Google Scholar 

  49. The 2017 Magnet Application Manual. The Magnet Recognition Program, Application Manual 2017. Silver Spring MD: American Nurses Credentialing Center; 2017.

    Google Scholar 

  50. The Swedish Society of Nursing. Nursing - Research and the future. 2016b. https://www.swenurse.se/globalassets/01-svensk-sjukskoterskeforening/publikationer-svensk-sjukskoterskeforening/nordic-journal-of-nursing-research/nursing.research.and.the.future.pdf

  51. The Swedish Society of Nursing. Strategy for improving the quality of nursing. 2017b. https://www.swenurse.se/globalassets/01-svensk-sjukskoterskeforening/engelska/strategy_for_improving_the_quality_of_nursing.pdf.

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Author information

Authors and Affiliations

  1. Professor of Malmö University, Malmö, Sweden

    Ami Hommel

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  1. Ami Hommel
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Correspondence to Ami Hommel .

Editor information

Editors and Affiliations

  1. Faculty of Nursing, School of Health Sciences, University of Iceland, Reykjavík, Iceland

    Thóra B. Hafsteinsdóttir

  2. School of Health Sciences, Faculty of Nursing, School of Health Sciences, University of Iceland, Reykjavík, Iceland

    Helga Jónsdóttir

  3. Department of Nursing Science, Institute of Health and Society, University of Oslo, Olso, Norway

    Marit Kirkevold

  4. Department of Nursing Science, University of Turku, Turku, Finland

    Helena Leino-Kilpi

  5. Department of Clinical Medicine, Aarhus University, Aarhus, Denmark

    Kirsten Lomborg

  6. Lund University, Lund, Sweden

    Ingalill Rahm Hallberg

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Hommel, A. (2019). Clinical Practice Project Implementing Evidence-Based Practice. In: Hafsteinsdóttir, T., Jónsdóttir, H., Kirkevold, M., Leino-Kilpi, H., Lomborg, K., Rahm Hallberg, I. (eds) Leadership in Nursing: Experiences from the European Nordic Countries. Springer, Cham. https://doi.org/10.1007/978-3-030-10964-6_19

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  • DOI: https://doi.org/10.1007/978-3-030-10964-6_19

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-10963-9

  • Online ISBN: 978-3-030-10964-6

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