Increasing the Utilization of Health Outcomes for Better Information and Care – Nursing Health Services Research Unit – 2011

Posted on June 28, 2011. Filed under: Clin Governance / Risk Mgmt / Quality, Knowledge Translation, Nursing | Tags: , |

Increasing the Utilization of Health Outcomes for Better Information and Care – Nursing Health Services Research Unit – 2011

Extract from the Executive Summary:

“This report presents evidence in published literature about successful outcomes/performance monitoring implementation strategies, as well as recommendations from healthcare managers to provide a process evaluation of the Ministry of Health and Long Term Care (MOHLTC) Health Outcomes for Better Information and Care (HOBIC) implemented between 2006 and 2010.The findings demonstrate implementation and sustainability strategies for healthcare initiatives that have been evaluated and published in academic literature, and interview feedback from healthcare managers in acute and long-term care settings in which HOBIC was implemented. The research design for this project included two key components: a literature review on successful outcomes/performance monitoring implementation strategies and interviews with HOBIC leadership in MOHLTC identified sites to discuss specific implementation and utilization strategies and recommendations for HOBIC going forward. Rogers’ Model of the Innovation-Decision Process (2003) was used as a theoretical model to link the implementation processes, specifically the five sequential stages of the process of innovation decision-making: knowledge, persuasion, decision, implementation, and confirmation. This theoretical model describes how, why, and at what rate new ideas and technology spread through culture, and therefore has particular relevance to HOBIC utilization and uptake. A review of published literature focused on the terms: practice change, practice implementation, practice improvement, implementation strategy, successful implementation, nursing practice change, nursing intervention implementation and nursing implementation adoption. This revealed an initial 2,338 abstracts which were scanned, and 29 studies that were selected (Appendix A) and analysed for key themes, strategies, and sustainability efforts that proved successful. Expert consultation was sought through semi-structured phone interviews with HOBIC leaders from 12 acute care sites and four long-term care sites. Qualitative analysis of interview content focused on motivators and strategies for implementation, utilization and sustainability practices, and recommendations for practice-change going forward.”

… continues on the site

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