Development of the Change Implementation Strategies Model Regarding Evidence-Based Chronic Wound Pain Management
Keywords:
Change, Chronic wounds, Collaborative action research, Implementation strategies, Nursing, Wound pain managementAbstract
Abstract: Chronic wound pain has not been well managed in many countries around the world. Development of a change implementation strategies model within healthcare contexts is worth constructing in order to reduce suffering and to improve the quality of the life of patients with varying health problems, including chronic wound pain. This study’s purpose was to develop an evidence-based change implementation strategies model for nursing Thai patients with chronic wound pain. A mutual collaborative action research approach was employed with 20 nurses at a tertiary hospital in a northern region of Thailand who were involved in the change process guided by the Lewin’s Planned Change Model. This is a 3-step model of change consisting of unfreezing, moving, and refreezing. The Wound Pain Management Model involving chronic wound pain assessment and management, also supplied important content during the change process. The research process included two phases, firstly preparation, which explored the field and developed a tentative model, and secondly, the use of mutual collaborative action research which resulted in the refinement of the model to become the CLEVER Model.
Twelve strategies evolved during the study, and were executed in order for unfreezing, moving, and refreezing towards the change implementation of evidence-based chronic wound pain management. The acronym “CLEVER” represents the following factors that contributed to successful implementation of the Model: C-Context and Culture, L-Leader, E-Effective driving change, V-Voice, E-Empowerment, and R-Re-audit. The CLEVER Model was found to be beneficial in practice, and can be used to guide changing other evidence-based practices in nursing. However, it requires testing with other populations in Thailand.
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34. Enz CA. Strategies for the implementation of service innovations. CQ. 2012 53: 187-95.
35. Newhouse RP, Spring B. Interdisciplinary evidence-based practice: Moving from silos to synergy. Nurs Outlook. 2010 58: 309-17.
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37. Cullen L, Adams S. What is evidence-based practice? J Perianeth Nurs. 2010 25:171-3.
38. Shojania KG, Jenning A, Mayhew A, Ramsay CR, Eccles MP, Grimshaw J. The effects of on-screen, point of care computer reminders on processes and outcomes of care (review). The Cochrane Library. 2011 1: 1-70. [cited 2015 July 19]. Retrieved from http://www.thecochranelibrary.com
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2. Woo KY, Sibbald RG, Fogh K, Glynn C, Krasner D, Leaper D, et al. Assessment and management of persistent (chronic) and total wound pain. Inter Wound J. 2008 5: 205-15 [cited 2012 February 17]. Available from http://onlinelibrary.wiley.com/doi/10.1111/j.1742-481X.2008.00483.x/pdf
3. Mecca TV. Basic concepts of organizational change for administrative leaders [Internet]. 2004 [cited 2012 December 5]. Available from http://www.pcrest.com/PC/FacDev/2010/FI_reading.htm
4. Nilsen P. Making sense of implementation theories, models, and frameworks. Implementation Science. 2015 0: 1-13.
5. Lewin K. Frontiers in group dynamics concept, method and reality in social science, social equilibrium, and social change. Human Relations. 1947 1: 5-41.
6. Burnes B. Kurt Lewin and complexity theories: Back to the future? J Change Manag. 2004 4: 309-25.
7. Woo KY. Decreasing pain and improving quality of life: Clinical strategies for chronic wound patients. Today’s Wound Clinical. 2012 6(4) [cited 2015 Aug 1]. Available from http://www.todayswoundclinic.com/decreasing-pain-and-improving-quality-life-clinical-strategies-chronic-wound-patients
8. Fogh K, Anderson MB, Bischoff-Mikkelsen M, Bause R, Zutt M, Schilling S, et al. Clinically relevant pain relief with an ibuprofen-releasing foam dressing: result from a randomized, controlled, double-blind clinical trial in exuding, painful venous leg ulcers. Wound Repair Regen. 2012 20: 815-21.
9. Kapur V, Maewaha AK. Evaluation of effect and comparison of superoxidised solution (oxum) V/S providone iodine (betadine). Indian J Surg. 2011 73(1): 48-53.
10.Titler MG. The evidence for evidence-based practice implementation. In Hughes RG, Editor. Patient safety and quality: An evidence-based handbook for nurse. Rochville, MD: Agency for Healthcare Research and Quality; 2008.
11.Fineout-Overholt E, Johnston L. Teaching EBP: Implementation of evidence: Moving from evidence to action. Worldviews Evid Based Nurs. 2006 4: 194-200.
12.Munten G, Bogaard J, Garretsen H, Bongers I. Implementation of evidence-based practice in nursing using action research: A review. Worldview on Evid Based Nurs. 2010 7: 135-57.
13. Aitken LM, Hackwood B, Crouch S, Clayton S, West N, Carney D, et al. Creating an environment to implement and sustain evidence based practice: A developmental process. Aust Crit Care. 2011 24: 244-54.
14. van Achterberg TV, Schoonhoven L, Grol R. Nursing implementation science: How evidence-based nursing requires evidence-based implementation. J Nurs Scholarsh. 2008 40: 302-10.
15. Hsieh Hsiu-Fang, Shannon SE. Three approaches to qualitative content analysis. QHR. 2005 15: 1277-88.
16. Kemmis S, McTaggart R. Participatory action research: communicative action and the public sphere. In Denzin NK, Lincoln YS. Strategies of qualitative inquiry. 3rd ed. Thousand Oaks, CA: Sage; 2008. pp.271-330.
17.Crosby C. Under-functioning: Its role in the sponsor agent target advocate theory. LIOS. 2011 2: 15-6. [cited 2015 19 July]. Available from https://www.saybrook.edu/sites/default/files/lios/Connections02.pdf
18.Warrick DD. Developing organization change champions: A high payoff investment. OD Practitioner. 2009 41: 14-9.
19. Bullivant J, Corbett-Nolan A. Clinical audit: A simple guide for NHS Boards & partners. 2010 [cited 2015 July 19]. Available from http://www.hqip.org.uk/assets/Guidance/HQIP-Clinical-Audit-Simple-Guide-online1.pdf
20. Damschroder L, Aron D, Keith R, Kirsh S, Alexander JA, Lowery J. Fostering implementation of health services research findings into practice: A consolidated framework for advancing implementation science. Implementation Science. 2009 4: 1-15. [cited 2015 July 19]. Available from http://www.implementationscience.com/content/4/1/50
21. Conejar RJ, Gelogo YE, Kim HK. Product Line for remote U-Healthcare smart mobile medical monitoring application. IJSEIA .2014 8: 441-8. [cited 2015 July 19]. Available from http://www.sersc.org/journals/IJSEIA/vol8_no1_ 2014/37.pdf
22. Leggat SG, Bartram T, Casimir G, Stanton P. Nurse perceptions of quality of patient care: Confirming the importance of empowerment and job satisfaction. Health Care Manage Rev. 2010 35: 355-64.
23.Aarons GA, Sommerfeld DH, Walrath-Greene CM. Evidence-based practice implementation: The impact of public versus private sector organization type on organizational support provider attitudes, and adoption of evidence-based practice. Implementation Science. 2009 83: 1-13.
24. McCarthy C, Eastman D. Change management strategies for effective EMR implementation. Chicago: HIMSS. 2010 [cited 2014 July 1]. Available from http://himss.files.cms-plus.com/HIMSSorg/Content/files CHANGEMANAGEMENT.pdf
25. Aiken C, Galper D, Keller S. Winning hearts and minds: The secrets of sustaining change. 2008 [cited 2013 September 3]. Available from http://www.mckinsey.com
26. Fullan M. Leading in a culture of change. San Francisco, CA: Jossey-Bass; 2001.
27. Capelli O, Riccomi S, Scarpa M, Magrini N, Rovatti E, Cacciapuoti I, et al. Clinical audit in primary care: From evidence to practice. In: Oreste C. Primary care at a glance-hot topics and new insights [Internet]. 2012 [cited 2015 March 25]. Available from http://wwwintechopen.com/books/primary-care-at-a-glance-hot-topics-and-new-insights/audit-in-primary-care-from-evidence-to-practice
28. Bostrom AM, Rudman A, Ehrenberg A, Gustavsson JP, Wallin L. Factors associated with evidence-based practice among registered nurses in Sweden: A national cross-sectional stud. BMC Health Serv Res. 2013 13: 1-12. [cited 2015 July 15]. Available from http://www.biomedcentral.com/1472-6963/13/165
29.Shaw EK, Howard J, West DR, Crabtree BF, Nease DE,Tutt B, et al. The role of the champion in primary care change efforts. JABFM. 2012 25(5): 676-85.
30. Flottorp SA, Jamtvedt G, Gibis B, McKee M. Using audit and feedback to health professionals to improve the quality and safety of health care. 2010 [cited 2015 July 19]. Available from http://www.euro.who.int/__data/assets/pdf_file/0003/124419/e94296.pdf
31.Belden CV, Leafman J, Nehrenz G, Miller P. The effect of evidence-based practice on workplace empowerment of rural registered nurses. J Rural Nurs Health Care. 2012 12: 64-76.
32.Foisy K. Pulling nurses together: Implementing evidence-based practice helps nursing staff seeking Magnet status become a better team. 2012 [cited 2015 July 17]. Available from http://goo.gl/oDlJg5
33.Wensing M, Huntink E, van Lieshout J, Godycki-Cwirko M, Kowalczyk A, Jager C, et al. Tailored implementation of evidence-based practice for patients with chronic diseases. Plos One. 2014 9: 1-8.
34. Enz CA. Strategies for the implementation of service innovations. CQ. 2012 53: 187-95.
35. Newhouse RP, Spring B. Interdisciplinary evidence-based practice: Moving from silos to synergy. Nurs Outlook. 2010 58: 309-17.
36. Buscher A, Sivertsen B, White J. Nurses and midwives: A force for health. 2009 [cited 2015 July 15]. Available from http://www.euro.who.int/data/assets/pdf_file/0019/114157/E93980.pdf
37. Cullen L, Adams S. What is evidence-based practice? J Perianeth Nurs. 2010 25:171-3.
38. Shojania KG, Jenning A, Mayhew A, Ramsay CR, Eccles MP, Grimshaw J. The effects of on-screen, point of care computer reminders on processes and outcomes of care (review). The Cochrane Library. 2011 1: 1-70. [cited 2015 July 19]. Retrieved from http://www.thecochranelibrary.com
39. Stirman SW, Kimberly J, Cook N, Calloway A, Castro F, Charms M. The sustainability of new programs and innovations: A review of empirical literature and recommendations for future research. IS. 2012 7: 1-19.
40.Rolley JX. Three-year follow-up after introduction of Canadian best practice guidelines for asthma and foot care in diabetes suggests that monitoring of nursing-care indicators using an electronic documentation system promotes sustained implementation. J Clin Nurs. 2011 20: 1329-38.
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2015-11-18
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Shatpattananunt B, Petpichetchian W, Kitrungrote L. Development of the Change Implementation Strategies Model Regarding Evidence-Based Chronic Wound Pain Management. PRIJNR [Internet]. 2015 Nov. 18 [cited 2024 Nov. 18];19(4):359-72. Available from: https://he02.tci-thaijo.org/index.php/PRIJNR/article/view/33223
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