A Rapid Realist Review of Quality Care Process Metrics Implementation in Nursing and Midwifery Practice
Dados Bibliográficos
Quality measurement initiatives promote quality improvement in healthcare but can be challenging to implement effectively. This paper presents a Rapid Realist Review (RRR) of published literature on Quality Care-Process Metrics (QCP-M) implementation in nursing and midwifery practice. An RRR informed by RAMESES II standards was conducted as an efficient means to synthesize evidence using an expert panel. The review involved research question development, quality appraisal, data extraction, and evidence synthesis. Six program theories summarised below identify the key characteristics that promote positive outcomes in QCP-M implementation. Program Theory 1: Focuses on the evidence base and accessibility of the QCP-M and their ease of use by nurses and midwives working in busy and complex care environments. Program Theory 2: Examines the influence of external factors on QCP-M implementation. Program Theory 3: Relates to existing cultures and systems within clinical sites. Program Theory 4: Relates to nurses' and midwives' knowledge and beliefs. Program Theory 5: Builds on the staff theme of Programme Theory four, extending the culture of organizational learning, and highlights the meaningful engagement of nurses and midwives in the implementation process as a key characteristic of success. Program Theory 6: Relates to patient needs. The results provide nursing and midwifery policymakers and professionals with evidence-based program theory that can be translated into action-orientated strategies to help guide successful QCP-M implementation
Alternative medicine · Critical appraisal · Epistemology · Health care · MEDLINE · Nursing process · Nursing theory · Operations management · Political science · Process (computing · Quality (philosophy · Quality management · Computer Science · Engineering · Geriatric Care and Nursing Homes · Health Policy Implementation Science · Health Systems, Economic Evaluations, Quality of Life · Medicine · Nursing · Psychology
Implementation, context and complexity
Realist review - a new method of systematic review designed for complex policy interventions
Making sense of complexity in context and implementation
A systematic review of the use of the Consolidated Framework for Implementation Research
Enabling the implementation of evidence based practice
A Practical, Robust Implementation and Sustainability Model (PRISM) for Integrating Research Findings into Practice
Development of a framework for person‐centred nursing
Context matters in implementation science
The dynamic sustainability framework
Towards a general theory of implementation
Rameses II reporting standards for realist evaluations
Fostering implementation of health services research findings into practice
Diffusion of Innovations in Service Organizations
Care Planning
Using Realistic Evaluation to Evaluate a Practice-level Intervention to Improve Primary Healthcare for Patients with Long-term Mental Illness
Middle-range realism
| Obras citantes distintas | 1 |
|---|---|
| Citações por ano | 0,25 |
| Intervalo de citações | 2022 - 2022 (1) |
| Velocidade de citação | historical |
| Altamente citado | Não |
| Tipos de citação | Neutras: 1 |