ArticleBMC nursing2015
Effectiveness of multifaceted and tailored strategies to implement a fall-prevention guideline into acute care nursing practice: a before-and-after, mixed-method study using a participatory action research approach.
Article in BMC nursing, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 4 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
21 citing papers in PubMed, 4 syntheses or guidelines pooled it, 76 citations in OpenAlex.
- Models and frameworks for assessing the implementation of clinical practice guidelines: a systematic review.Implementation science : IS · 2024Pooled it
- Implementation strategies to support fall prevention interventions in long-term care facilities for older persons: a systematic review.BMC geriatrics · 2023Pooled it
- Fall prevention in hospitals and nursing homes: Clinical practice guideline.Worldviews on evidence-based nursing · 2022Guideline
- German language questionnaires for assessing implementation constructs and outcomes of psychosocial and health-related interventions: a systematic review.Implementation science : IS · 2018Pooled it
- Article
- Implementation science promotes clinical practice of guidelines: a scoping review.BMC health services research · 2025Article
- Development of a multifaceted implementation plan to guide falls prevention in residential aged care facilities.BMC geriatrics · 2025Article
- Making sense of the outcome of a rehabilitation implementation trial in the intensive care unit: Mixed methods.The Southern African journal of critical care : the official journal of the Critical Care Society · 2025Article
- Barriers and facilitators to guideline for the management of pediatric off-label use of drugs in China: a qualitative descriptive study.BMC health services research · 2024Article
- Developing and Testing Implementation Strategies to support the Centers for Disease Control and Prevention's Initiative for Falls Risk Management in Outpatient Physical Therapy: A Protocol.Archives of rehabilitation research and clinical translation · 2023Article
- Mapping research findings on change implementation in nursing practice: A scoping literature review.Nursing open · 2023Article
- Evaluation of the nation-wide implementation of ALS home monitoring & coaching: an e-health innovation for personalized care for patients with motor neuron disease.BMC health services research · 2022Article
- Using mixed-methods in evidence-based nursing: a scoping review guided by a socio-ecological perspective.Journal of research in nursing : JRN · 2022Article
- Trends in guideline implementation: an updated scoping review.Implementation science : IS · 2022Article
- A framework for the implementation of certification procedures in nurse level: a mixed approach study.BMC health services research · 2021Article
- Can care coordination across levels be improved through the implementation of participatory action research interventions? Outcomes and conditions for sustaining changes in five Latin American countries.BMC health services research · 2020Article
- Understanding the factors influencing the implementation of participatory interventions to improve care coordination. An analytical framework based on an evaluation in Latin America.Health policy and planning · 2020Article
- A qualitative study of the determinants of adherence to NICE falls guideline in managing older fallers attending an emergency department.International journal of emergency medicine · 2018Article
- Evaluation of a Systems Analysis and Improvement Approach to Optimize Prevention of Mother-To-Child Transmission of HIV Using the Consolidated Framework for Implementation Research.Journal of acquired immune deficiency syndromes (1999) · 2016Article
- Article
Corrections and comments
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Authors and funding
3 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundResearch- and/or evidence-based knowledge are not routinely adopted in healthcare and nursing practice. It is also unclear which implementation strategies are effective in nursing practice and what expenditures of time and money are required for the successful implementation of clinical practice guidelines (CPGs). The aim in this study was to assess the effectiveness and required time investment of multifaceted and tailored strategies for implementing an evidence-based fall-prevention guideline (Falls CPG) into nursing practice in an acute care hospital setting.
methodsA before-and-after, mixed-method design was used within a participatory action research approach (PAR). The study was carried out in two departments of an Austrian university teaching hospital and included all graduate and assistant nurses. Data were collected through a questionnaire, group discussions and semi-structured interviews. Qualitative data were content-analysed using a template based on the Consolidated Framework for Implementation Research (CFIR), which also served as a theoretical framework for the study. Quantitative data were descriptively analysed using appropriate tests for independent groups.
resultsBy applying multifaceted and tailored implementation strategies, the graduate and assistant nurses' knowledge on fall prevention, how to access the Falls CPG and the guideline itself increased significantly between baseline and final assessment (p ≤ .001). Qualitative data also revealed an increase in participant awareness of fall prevention. A baseline positive attitude towards guidelines improved significantly towards the end of the project (p = .001). Required fall prevention equipment like baby monitors or one-way glide sheets were available for use and any required environmental adaptations, e.g. a handrail in the corridor, were made. Hospital nursing personnel (approximately 150) invested a total of 1192 hours of working time over the course of the project.
conclusionsMultifaceted strategies tailored to the specific setting within a PAR approach and guided by the CFIR enabled the effective implementation of a CPG into acute care nursing practice. Nursing managers now have sound knowledge of the time resources required for CPG implementation.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.