The nursing work of hospital-based clinical practice guideline implementation: An explanatory systematic review using Normalisation Process Theory

作者：Carl May, Andrew Sibley, Katherine Hunt · 发表于：International Journal of Nursing Studies · 年份：2013 · DOI：10.1016/j.ijnurstu.2013.06.019 · 被引用次数：97 · 研究领域：Clinical practice guidelines implementation、Health Policy Implementation Science、Nursing Diagnosis and Documentation

OBJECTIVE: To investigate the dynamics of nurses' work in implementing Clinical Practice Guidelines. DESIGN: Hybrid: systematic review techniques used to identify qualitative studies of clinical guideline implementation; theory-led and structured analysis of textual data. DATA SOURCES: CINAHL, CSA Illumina, EMBASE, MEDLINE, PsycINFO, and Sociological Abstracts. METHODS: Systematic review of qualitative studies of the implementation of Clinical Practice Guidelines, analysed using Directed Content Analysis, and interpreted in the light of Normalisation Process Theory. RESULTS: Seven studies met the inclusion criteria of the review. These revealed that clinical practice guidelines are disposed to normalisation when: (a) They are associated with activities that practitioners can make workable in practice, and practitioners are able to integrate it into their collective workflow. (b) When they are differentiated from existing clinical practice by its proponents, and when claims of differentiation are regarded as legitimate by their potential users. (c) When they are associated with an emergent community of practice, and when members of that community of practice enrol each other into group processes that specify their engagement with it. (d) When they are associated with improvements in the collective knowledge of its users, and when users are able to integrate the application of that knowledge into their individual workflow. And, (e) when nurses can minimise disruption to behavio...