Evaluation of a theory-informed implementation of a nursing discharge teaching intervention for older adults.

Details

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State: Public
Version: Final published version
License: CC BY-NC 4.0
Serval ID
serval:BIB_F1CFE708FD6A
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Evaluation of a theory-informed implementation of a nursing discharge teaching intervention for older adults.
Journal
Journal of advanced nursing
Author(s)
Pellet J., Weiss M., Mabire C.
ISSN
1365-2648 (Electronic)
ISSN-L
0309-2402
Publication state
Published
Issued date
08/2023
Peer-reviewed
Oui
Volume
79
Number
8
Pages
3147-3159
Language
english
Notes
Publication types: Evaluation Study ; Journal Article
Publication Status: ppublish
Abstract
To evaluate the implementation process of a multi-site trial of a novel discharge teaching intervention.
Hybrid type 3 trial.
A discharge teaching intervention for older adults was implemented in medical units from August 2020 to August 2021 with 30 nurse participants. The implementation process was guided by behaviour change frameworks. Outcome data comprised determinants of nurses' behaviours related to teaching and the acceptability, appropriateness, feasibility of the intervention and frequency of teaching activities received by the participants. This study adheres to StaRI and TIDieR reporting guidelines.
Twelve of 18 determinants of nurses' behaviour domains improved post-implementation. Being trained reinforced nurses' knowledge and skills in patient teaching. Practicing the intervention increased their awareness on the gaps between evidence-based teaching principles and their actual practice. The intervention was considered acceptable and moderately appropriate and feasible.
A theoretically informed implementation process can influence nurses' perceptions and behaviours related to discharge teaching by targeting specific behaviour domains. Practice change to improve discharge teaching will require organizational support from nursing management.
Although the conceptual foundations of the intervention tested in this study were informed by the priorities and experience of patients, this population was not directly involved in the design and conduct of the study.
ClinicalTrials.gov: NCT04253665.
Keywords
Aged, Humans, Clinical Competence, Nurses, Patient Discharge, feasibility, implementation science, nurses, patient discharge, process evaluation, teaching, trial
Pubmed
Web of science
Open Access
Yes
Create date
11/04/2023 10:27
Last modification date
01/08/2023 7:16
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