Supporting first-line managers in implementing oral care guidelines in nursing homes
Journal article, 2018
This study investigated first-line managers’ experience of and responses to a concise leadership intervention to facilitate the implementation of oral care clinical practice guidelines (CPGs) in nursing homes. Leadership is known to be an important element in knowledge implementation but little is known as to what supports managers to facilitate the process. By means of a process evaluation with mixed methods, the context and a three-month leadership program was explored, including activities during and in relation to the program, and the effects in terms of oral care CPG implementation plans. While the managers appreciated the intervention and considered improved oral care to be a priority, their implementation plans mainly focused the dissemination of an oral care checklist. The findings suggest that extended implementation interventions engaging both managers and clinical staff are needed, and that a concise intervention does not facilitate first-line managers to adopt behaviors known to facilitate knowledge implementation.
leadership
oral care
frail older people
knowledge implementation
nursing home
context
Author
A. C. Eldh
Institutionen för folkhälso- och vårdvetenskap
Dalarna university
Linköping University
Lena Olai
Dalarna university
Institutionen för folkhälso- och vårdvetenskap
Birgitta Jönsson
Dalarna university
The Public Dental Health Service Competence Centre of Northern Norway
Laris Wallin
University of Gothenburg
Karolinska Institutet
Dalarna university
Leif Denti
University of Gothenburg
Marie Elf
Chalmers, Architecture and Civil Engineering, Building Design
Dalarna university
Nordic Journal of Nursing Research
20571585 (ISSN) 20571593 (eISSN)
Vol. 38 2 87-95Subject Categories
Health Care Service and Management, Health Policy and Services and Health Economy
Work Sciences
Nursing
DOI
10.1177/2057158517713379