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Examination of the utility of the Promoting Action on Research Implementation in Health Services framework for implementation of evidence based practice in residential aged care settings

Authors

  • Lin Perry,

    1. Lin Perry MSc PhD RN Professor Faculty of Nursing, Midwifery and Health, University of Technology Sydney, New South Wales, Australia
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  • Helen Bellchambers,

    1. Helen Bellchambers PhD RN Senior Lecturer School of Nursing and Midwifery, University of Newcastle, New South Wales, Australia
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  • Andrew Howie,

    1. Andrew Howie BSc MMgmt DipNutr&Diet Research Dietitian Research Centre for Gender, Health and Ageing, University of Newcastle, New South Wales, Australia
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  • Annette Moxey,

    1. Annette Moxey BA DipHSocSci PhD Research Fellow Research Centre for Gender, Health and Ageing, University of Newcastle, New South Wales, Australia
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  • Lynne Parkinson,

    1. Lynne Parkinson BSc(Hons) PhD Associate Professor Research Centre for Gender, Health and Ageing, University of Newcastle, New South Wales, Australia
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  • Sandra Capra,

    1. Sandra Capra DipNutr&Diet MSocSc PhD ProfessorSchool of Human Movement Studies, University of Queensland, Brisbane, Queensland, Australia
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  • Julie Byles

    1. Julie Byles BMed PhD Professor Research Centre for Gender, Health and Ageing, University of Newcastle, New South Wales, Australia
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L. Perry: e-mail: lin.perry@uts.edu.au

Abstract

perry l., bellchambers h., howie a., moxey a., parkinson l., capra s. & byles j. (2011) Examination of the utility of the Promoting Action on Research Implementation in Health Services framework for implementation of evidence based practice in residential aged care settings. Journal of Advanced Nursing 67(9), 2139–2150.

Abstract

Aim.  This study examined the relevance and fit of the PARiHS framework (Promoting Action on Research Implementation in Health Services) as an explanatory model for practice change in residential aged care.

Background.  Translation of research knowledge into routine practice is a complex matter in health and social care environments. Examination of the environment may identify factors likely to support and hinder practice change, inform strategy development, predict and explain successful uptake of new ways of working. Frameworks to enable this have been described but none has been tested in residential aged care.

Methods.  This paper reports preliminary qualitative analyses from the Encouraging Best Practice in Residential Aged Care Nutrition and Hydration project conducted in New South Wales in 2007–2009. We examined congruence with the PARiHS framework of factors staff described as influential for practice change during 29 digitally recorded and transcribed staff interviews and meetings at three facilities.

Findings.  Unique features of the setting were flagged, with facilities simultaneously filling the roles of residents’ home, staff’s workplace and businesses. Participants discussed many of the same characteristics identified by the PARiHS framework, but in addition temporal dimensions of practice change were flagged.

Conclusion.  Overall factors described by staff as important for practice change in aged care settings showed good fit with those of the PARiHS framework. This framework can be recommended for use in this setting. Widespread adoption will enable cross-project and international synthesis of findings, a major step towards building a cumulative science of knowledge translation and practice change.

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