Use and effects of implementation strategies for practice guidelines in nursing: a systematic review

Background Practice guidelines can reduce variations in nursing practice and improve patient care. However, implementation of guidelines is complex and inconsistent in practice. It is unclear which strategies are effective at implementing guidelines in nursing. This review aimed to describe the use and effects of implementation strategies to facilitate the uptake of guidelines focused on nursing care. Methods We conducted a systematic review of five electronic databases in addition to the Cochrane Effective Practice and Organization of Care (EPOC) Group specialized registry. Studies were included if implementation of a practice guideline in nursing and process or outcome of care provided by nurses were reported. Two reviewers independently screened studies, assessed study quality, extracted data, and coded data using the EPOC taxonomy of implementation strategies. For those strategies not included in the EPOC taxonomy, we inductively categorized these strategies and generated additional categories. We conducted a narrative synthesis to analyze results. Results The search identified 46 papers reporting on 41 studies. Thirty-six studies used a combination of educational materials and educational meetings. Review findings show that multicomponent implementation strategies that include educational meetings, in combination with other educational strategies, report positive effects on professional practice outcomes, professional knowledge outcomes, patient health status outcomes, and resource use/expenditures. Twenty-three of the 41 studies employed implementation strategies not listed within the EPOC taxonomy, including adaptation of practice guidelines to local context (n = 9), external facilitation (n = 14), and changes to organizational policy (n = 3). These implementation strategies also corresponded with positive trends in patient, provider, and health system outcomes. Conclusions Nursing guideline implementation may benefit from using the identified implementation strategies described in this review, including participatory approaches such as facilitation, adaptation of guidelines, and organizational policy changes. Further research is needed to understand how different implementation strategy components work in a nursing context and to what effect. As the field is still emerging, future reviews should also explore guideline implementation strategies in nursing in quasi or non-experimental research designs and qualitative research studies.

Management Strategies and Stakeholders Analysis to Strengthen the Management and Use of Biosolids in a Colombian Municipality

The difficulties in the management and use of biosolids in Colombia make it necessary to evaluate and analyze the factors involved through various methodologies to achieve the effective management and recycling of this type of waste. The objective of this study was to evaluate the management of sludge and biosolids from a WWTP in a Colombian municipality through the application of three methodologies (SWOT/TOWS, surveys, and stakeholder (player) weighing) for their subsequent use in agriculture. As a result, strategies were proposed at the regulatory, organizational policy, and entity integration levels, among others. It was identified that about 93.6% of the people surveyed had a positive attitude towards the use of biosolids in agriculture, despite recognizing the existence of a risk (27.3%) in this type of practice. On the other hand, regarding the communication of WWTP management of these wastes, they perceived that it to be absent (65%) and the lack of knowledge regarding the destination of these wastes was even greater (72.7%). Through the weighting of actors, 16 players were classified with whom it is necessary to work closely, regularly, or occasionally. The methodologies proposed will allow similar WWTPs to optimize their processes through continuous improvement and joint work between the different entities and communities. It is recommended that other methodologies be used to evaluate player position level in relation to planned strategies, as well as the level of associations of one player with another, independent of power and influence.

Employee Job Satisfaction and Organizational Performance on the National Shipping Company

This study aims to determine and analyze the contribution of transformational leadership styles and organization policy on employee job satisfaction which has implications for organizational performance in the Athamara Group. Some of the problems on Athamara Group as one of the national shipping company in Indonesia, namely, the level of employee job satisfaction and organizational performance is still low. The research sampling technique used a saturated sample of 102 people. Descriptive statistical analysis and path analysis were used as the analysis method. The results of this study are from seven proposed hypotheses, six of which are accepted and one of the hypotheses have no significant effect on organizational performance. The indirect contribution of transformational leadership style to organizational performance is through employee job satisfaction, although employee job satisfaction has no significant contribution on organizational performance. Finally, organizational policy has an indirect contribution on organizational performance through employee job satisfaction. The indirect contribution of organizational policy to organizational performance is through employee job satisfaction, although employee job satisfaction has no significant contribution on organizational performance. The key funding, that transformational leaders will convey organizational policy properly and appropriately, so that they are easily understood and implemented by employees. Keywords: Employee Job Satisfaction; Organization Performance, Organizational Policy; Transformational Leadership Style; National Shipping Company.

Desiring a balanced identity : a Heideggerian phenomenological inquiry into the pregnancy experiences of newcomer women to Canada living with HIV

The pregnancy experiences of newcomer women to Canada living with HIV is an important area within maternal health research which to date has been unstudied. Hence, the purpose of this study was to explore the meaning of pregnancy for newcomer women living with HIV. Heideggerian phenomenology was used as the methodology and guiding framework. Five women living in an urban setting in Ontario, Canada were interviewed. Through data analysis and using the four existentials of human existence Desiring a Balanced Identity emerged as the overarching theme of the pregnancy experiences of the five women. This overarching theme was intimately connected with the four essential themes which were uncovered during data analysis. These themes were The Situational Self, Living with the Good and the Bad, Support and Acceptance, and The Future Seems Brighter. Recommendations and implications for education, practice and organizational policy, and research are provided in light of the study findings.

Desiring a balanced identity : a Heideggerian phenomenological inquiry into the pregnancy experiences of newcomer women to Canada living with HIV

The pregnancy experiences of newcomer women to Canada living with HIV is an important area within maternal health research which to date has been unstudied. Hence, the purpose of this study was to explore the meaning of pregnancy for newcomer women living with HIV. Heideggerian phenomenology was used as the methodology and guiding framework. Five women living in an urban setting in Ontario, Canada were interviewed. Through data analysis and using the four existentials of human existence Desiring a Balanced Identity emerged as the overarching theme of the pregnancy experiences of the five women. This overarching theme was intimately connected with the four essential themes which were uncovered during data analysis. These themes were The Situational Self, Living with the Good and the Bad, Support and Acceptance, and The Future Seems Brighter. Recommendations and implications for education, practice and organizational policy, and research are provided in light of the study findings.

Штрихи до портрета дніпропетровських «всесвітників»: Сергій Плохій у спогадах учнів

The publication presents the memoirs of the famous historian Serhii Plokhii, who worked at the Department of General History of Dnipropetrovsk State University from 1983 till 1992. During this time he passed all the steps of academic growth from a lecturer to professor, the head of the department. The Department of General History of Dnipropetrovsk State University was a powerful centre of Soviet German studies. But after the socialist camp began to disintegrate, the study of GDR history lost its political relevance. The Germanists faced a problem in which direction the further research should be continued. During the abroad internship Serhii Plokhii found out that the Dnipropetrovsk State Archive contains funds that comprise the documents related to the history of the German colonies. Having returned from the internship, he offered the department staff to develop a new research area related to German colonization. Under his guidance, students and postgraduate students began to work on archival funds which had been previously closed and contained the materials on the colonization, adaptation, economic structure of the German colonies. Due to the active organizational policy Serhii Plokhii managed to involve young researchers - students into the scientific work, the most successful of them became postgraduate students and defended their dissertations on the problems of German studies. This publication presents the memoirs of three students of the historian: Mahomet Ismailov, Nataliia Venher, Oksana Beznosova. The author of each memoir reveals the history of personal relationships with the scientific supervisor, analyzes their own research paths in science. What the memories have in common is that the students note the significant influence of Serhii Plokhii on their academic career and destiny.

The Relationship Between Organizational Culture and Police Officer Wellbeing

This thesis examines the relationship between organizational culture and police officer well-being, using an empirical examination of one agency. Culture is important in law enforcement. Previous studies on police culture have typically sought to understand the effect of culture on officer behaviors. This thesis takes a different approach by examining the effects of culture on individual officer well-being. The results of this study indicates that culture is related to well-being, along certain dimensions. Cultural attitudes towards an organization’s administration and the citizens officers interact with are shown to be consistent predictors of well-being. The results of this study provide implications for future research along with police organizational policy.

Options for developing European strategies on citizenship education

This article explores the tools and strategic options for policymaking of two European intergovernmental organisations in the area of citizenship education. The first section analyses the policy tools used to date, whereas the second section presents current global, political and education-specific challenges in the field. The third section investigates options for how the two organisations might develop their policymaking in future years with a view to formulating recommendations to enable these organisations to make the best use of the policy tools and resources at their disposal. Overall, the article suggests that both the Council of Europe and the European Union are facing significant legal and resource restraints – to a greater extent where the Council of Europe is concerned and to a somewhat lesser extent for the European Union – that limit their capacity to shape and enforce citizenship education policymaking at national levels. Both institutions therefore rely heavily on informational and, to some extent, financial and organisational tools to influence policymaking. Finally, the paper presents a set of clear and actionable goals for improving the power and impact of the informational and organizational policy tools at the disposal of both institutions.