From: Use and effects of implementation strategies for practice guidelines in nursing: a systematic review
Study author, date (country) | Implementation strategies from EPOC taxonomy | Implementation strategies not included in EPOC taxonomy | Outcomes | |||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Educational materials | Educational meetings | Local consensus process | Educational outreach visits | Local opinion leaders | Patient mediated interventions | Audit & feedback | Tailoring interventions | Reminders | Adaptation of CPG to local context | External facilitation | Changes to Org Policy | Multi-faceted participatory Approach | Â | |
Ammerman, 2003 (USA) |  | X |  |  |  |  |  |  |  |  |  |  |  | Ø Patient health status (attitudes/practices to prevent hypercholesterolemia; blood lipids, weight and dietary choices) |
Charrier, 2008 (Italy) | Â | Â | Â | Â | Â | Â | X | Â | Â | Â | X | Â | Â | + Professional practice (adoption of guideline practices) |
Cheater, 2006 (UK) | X | X |  | X |  |  | X | X |  |  |  |  |  | Ø Professional practice (adherence to urinary incontinence assessment guidelines) |
Daniels, 2005 (USA) | X | X | X | Â | Â | Â | Â | Â | Â | X | X | Â | Â | + Professional practice (compliance with asthma care guidelines) |
Day, 2001 (UK) | Â | X | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â | + Professional knowledge (knowledge of endotracheal suctioning) + Professional practice (ability to practice guideline recommendations effectively) |
Donati, 2020 (Italy) | Â | X | Â | Â | Â | Â | X | Â | Â | Â | Â | Â | Â | + Professional practice (hand hygiene) |
Elliott, 1997 (USA) | X | X |  | X | X |  |  | X |  |  | X |  |  | Ø Professional knowledge (knowledge of cancer pain management, pain intensity) |
Evans, 1997 (USA) | X | X | X | X |  |  |  |  |  |  | X |  |  | + Professional practice (identification/treatment of asthma) + Patient health status (continuity of care, patient education by professionals) |
Fairall, 2005, 2010 (South Africa) | X |  | X | X |  |  |  | X |  | X |  |  |  | + Professional practice (Increased case detection, improved therapy/practices by professionals, improved prescribing) Ø Expenditures (cost effectiveness) |
Feldman, 2004(USA) | X | X |  | X |  |  |  |  |  | X | X |  |  | + Professional practice (quality of life, satisfaction with home care services, survival at 9 days) + Resource use (emergency department use, hospital admissions) |
Friese, 2019 (USA) | X |  |  |  |  |  | X | X | X |  |  | X |  | Ø Professional knowledge (knowledge of PPE) Ø Professional practice (PPE use) |
Haegdorens 2018, 2019 (Belgium) |  | X |  |  |  |  |  |  |  |  |  |  |  | + Professional practice (frequency and quality of vital signs) Ø Patient health status (unexpected death, cardiac arrest, unplanned ICU admission |
Harrison, 2000 (South Africa) | X | X | Â | X | Â | Â | Â | Â | Â | X | Â | Â | Â | + Professional practice (quality of case management) |
Hödl, 2019 (Austria) | X | X |  |  |  |  |  |  |  |  |  |  |  | + Patient health status (adverse events caused by urinary incontinence) |
Hodnett, 1996 (Canada) | X | X |  |  | X |  |  |  |  |  | X |  |  | Ø Professional practice (adherence to practice guidelines) |
Jansson, 2014 (Finland) | Â | X | Â | Â | Â | Â | X | Â | Â | Â | X | Â | Â | + Professional knowledge (knowledge of mechanical ventilation) + Professional knowledge (adherence to practice guidelines, improved simulation exposure) |
Jansson, 2016a, 2016b (Finland) |  | X |  |  |  |  | X |  |  |  |  |  |  | Ø Professional knowledge (hand hygiene, pneumonia prevention by staff) |
Kalinowski, 2015 (Germany) | X | X |  |  |  |  |  |  |  |  |  |  |  | Ø Professional practice (nonpharmacological pain management techniques) + Patient health status (pain management) |
Kaner, 2003 (UK) |  | X |  | X |  |  |  |  |  |  |  |  |  | + Professional practice (screening/adherence to protocol; patient management) Ø Expenditures (cost effectiveness) |
Köpke, 2012 (Germany) | X | X |  |  |  |  |  |  |  |  | X |  | X | Ø Professional practice (decreased restraint use; adherence to guidelines) |
Lozano, 2004 (USA) | X | X | Â | Â | Â | Â | X | Â | Â | Â | X | Â | Â | + Patient health status (Asthma symptoms, frequency of steroid use) |
Mayou, 2002 (UK) | X | X | Â | Â | Â | Â | Â | X | Â | Â | Â | Â | Â | + Patient health status (quality of life, anxiety/depression) |
McDonald, 2005 (USA) | X |  | X | X |  |  |  |  | X | X |  |  |  | Ø Professional practice (nursing pain assessment) + Patient health status (symptom management and quality of life) + Expenditures (cost effectiveness) |
Moon, 2015 (South Korea) | X | X |  |  |  |  |  |  |  |  |  |  |  | Ø Patient health status (incidence of delirium; in hospital mortality) |
Murtaugh, 2005 (USA) | X | Â | Â | X | Â | Â | Â | Â | X | X | Â | Â | Â | + Professional practice (Adherence to nursing protocols; nursing assessment) |
Naylor, 2004 (USA) | X | X | Â | Â | Â | Â | Â | Â | Â | X | Â | Â | Â | + Patient health status (time to first hospitalization or death, quality of life, functional status) |
Noome, 2017 (Netherlands) | X |  |  |  | X |  |  |  |  | X | X |  |  | + Professional knowledge (knowledge of evidence-based practice in end-of-life care) Ø Professional practice (adherence to guidelines) |
Pagaiya, 2005 (Thailand) | X | X | Â | X | Â | Â | X | Â | Â | Â | Â | Â | Â | + Professional practice (prescribing medication to manage diabetes) |
Parker, 1995 (USA) |  | X |  |  |  |  |  |  |  |  |  |  |  | + Professional knowledge (knowledge of diabetes management) Ø Professional practice (diabetes management) |
Premaratne, 1999 (UK) |  | X |  | X |  |  |  |  |  |  | X |  |  | Ø Professional practice (steroid prescribing) + Patient health status (quality of life) Ø Resource use (attendance to emergency department, admission to hospital) |
Rood, 2005 (Netherlands) | X | Â | Â | Â | Â | X | Â | Â | X | Â | Â | Â | Â | + Professional practice (adherence to guidelines) |
Ruijter, 2018 (Netherlands) | X |  |  |  |  |  |  | X |  |  |  |  |  | Ø Professional practice (adherence to guidelines) |
Snelgrove-Clarke, 2015 (Canada) | Â | X | Â | Â | Â | Â | Â | Â | Â | Â | X | Â | Â | + Professional practice (patient safety, adherence to guidelines) |
Titler, 2009; Brooks, 2008 (USA) | X | X | X | X | X | Â | X | Â | Â | Â | X | X | Â | + Professional practice (adoption of practices to address pain intensity) + Patient health status (pain intensity) |
Tjia, 2015 (USA) | X | X |  |  |  |  | X |  |  |  |  |  | X | Ø Patient health status (toolkit awareness) Ø Professional practice (adherence to guidelines, antipsychotic prescribing) |
Vallerand, 2004 (USA) | X | X | Â | Â | Â | Â | Â | Â | Â | Â | X | Â | Â | + Professional knowledge (perceptions of pain) |
Van Gaal, 2011a; 2001b (Netherlands) | X | X | Â | Â | Â | X | X | X | Â | Â | Â | Â | Â | + Patient health status (patient safety) |
VonLengerke, 2017 (Germany) | Â | X | Â | Â | Â | Â | Â | X | Â | X | Â | Â | X | + Professional practice (hand hygiene) |
Weiss 2019 (USA) | X | X |  |  |  |  |  |  |  |  |  | X |  | Ø Patient health status (in-patient readmission, return visit to hospital) |
Wright, 1997 (USA) | Â | X | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â | + Professional practice (universal precautions) |
Zhu, 2018 (China) |  | X |  |  |  |  |  |  |  |  |  |  |  | Ø Patient health status (hypertension prevention/ management) |
Total | 27 | 33 | 5 | 12 | 4 | 2 | 11 | 8 | 4 | 9 | 14 | 3 | 3 | Â |