Improving Quality of Care through Routine, Successful Implementation of Evidence-Based Practice at the Bedside: An Organizational Case Study Protocol Using the Pettigrew and Whipp Model of Strategic Change

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dc.contributor.author Stetler, Cheryl B en_US
dc.contributor.author Ritchie, Judith en_US
dc.contributor.author Rycroft-Malone, Joanne en_US
dc.contributor.author Schultz, Alyce en_US
dc.contributor.author Charns, Martin en_US
dc.date.accessioned 2012-01-11T23:12:10Z
dc.date.available 2012-01-11T23:12:10Z
dc.date.copyright 2007 en_US
dc.date.issued 2007-1-31 en_US
dc.identifier.citation Stetler, Cheryl B, Judith Ritchie, Joanne Rycroft-Malone, Alyce Schultz, Martin Charns. "Improving quality of care through routine, successful implementation of evidence-based practice at the bedside: an organizational case study protocol using the Pettigrew and Whipp model of strategic change" Implementation Science 2:3. (2007) en_US
dc.identifier.issn 1748-5908 en_US
dc.identifier.uri http://hdl.handle.net/2144/3311
dc.description.abstract BACKGROUND. Evidence-based practice (EBP) is an expected approach to improving the quality of patient care and service delivery in health care systems internationally that is yet to be realized. Given the current evidence-practice gap, numerous authors describe barriers to achieving EBP. One recurrently identified barrier is the setting or context of practice, which is likewise cited as a potential part of the solution to the gap. The purpose of this study is to identify key contextual elements and related strategic processes in organizations that find and use evidence at multiple levels, in an ongoing, integrated fashion, in contrast to those that do not. METHODS. The core theoretical framework for this multi-method explanatory case study is Pettigrew and Whipp's Content, Context, and Process model of strategic change. This framework focuses data collection on three entities: the Why of strategic change, the What of strategic change, and the How of strategic change, in this case related to implementation and normalization of EBP. The data collection plan, designed to capture relevant organizational context and related outcomes, focuses on eight interrelated factors said to characterize a receptive context. Selective, purposive sampling will provide contrasting results between two cases (departments of nursing) and three embedded units in each. Data collection methods will include quantitative tools (e.g., regarding culture) and qualitative approaches including focus groups, interviews, and documents review (e.g., regarding integration and "success") relevant to the EBP initiative. DISCUSSION. This study should provide information regarding contextual elements and related strategic processes key to successful implementation and sustainability of EBP, specifically in terms of a pervasive pattern in an acute care hospital-based health care setting. Additionally, this study will identify key contextual elements that differentiate successful implementation and sustainability of EBP efforts, both within varying levels of a hospital-based clinical setting and across similar hospital settings interested in EBP. en_US
dc.description.sponsorship Canadian Institutes of Health Research International Opportunity Development/Planning grant en_US
dc.language.iso en en_US
dc.publisher BioMed Central en_US
dc.rights Copyright 2007 Stetler et al; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. en_US
dc.rights.uri http://creativecommons.org/licenses/by/2.0 en_US
dc.title Improving Quality of Care through Routine, Successful Implementation of Evidence-Based Practice at the Bedside: An Organizational Case Study Protocol Using the Pettigrew and Whipp Model of Strategic Change en_US
dc.type article en_US
dc.identifier.doi 10.1186/1748-5908-2-3 en_US
dc.identifier.pubmedid 17266756 en_US
dc.identifier.pmcid 1803000 en_US

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