ArticleJournal of clinical nursing2016
Bridging the gap between guidelines and practice in the management of emerging infectious diseases: a qualitative study of emergency nurses.
Article in Journal of clinical nursing, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed.
- Adherence to infection prevention and control best practices in emergency units at a tertiary care hospital, Riyadh.BMC emergency medicine · 2026Observational
- Scenario-based assessment of emergency management of urban infectious disease outbreaks.Frontiers in public health · 2024Article
- Photovoice Exploration of Frontline Nurses' Experiences During the COVID-19 Pandemic.The Canadian journal of nursing research = Revue canadienne de recherche en sciences infirmieres · 2023Article
- Mapping research findings on change implementation in nursing practice: A scoping literature review.Nursing open · 2023Article
- A survey of coping strategies among clinical nurses in China during the early stage of coronavirus disease 2019 pandemic: A cross-sectional study.Nursing open · 2021Article
- The Effectiveness of Disaster Education for Undergraduate Nursing Students' Knowledge, Willingness, and Perceived Ability: An Evaluation Study.International journal of environmental research and public health · 2021Article
- Workplace violence against frontline clinicians in emergency departments during the COVID-19 pandemic.PeerJ · 2021Article
- Emergency nurses' perceptions regarding the risks appraisal of the threat of the emerging infectious disease situation in emergency departments.International journal of qualitative studies on health and well-being · 2020Article
- Investigating the Strategies Adopted by Emergency Nurses to Address Uncertainty and Change in the Event of Emerging Infectious Diseases: A Grounded Theory Study.International journal of environmental research and public health · 2020Article
- A qualitative descriptive study of the contextual factors influencing the practice of emergency nurses in managing emerging infectious diseases.International journal of qualitative studies on health and well-being · 2019Article
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
AIMS AND
objectivesTo explore the difficulties and strategies regarding guideline implementation among emergency nurses.
backgroundEmerging infectious diseases remain an underlying source of global health concern. Guidelines for accident and emergency departments would require adjustments for infectious disease management. However, disparities between guidelines and nurses' practice are frequently reported, which undermines the implementation of these guidelines into practice. This article explores the experience of frontline emergency nurses regarding guideline implementation and provides an in-depth account of their strategies in bridging guideline-practice gaps.
designA qualitative descriptive design was used.
methodsSemi-structured, face-to-face, individual interviews were conducted between November 2013-May 2014. A purposive sample of 12 frontline emergency nurses from five accident and emergency departments in Hong Kong were recruited. The audio-recorded interviews were transcribed verbatim and analysed with a qualitative content analysis approach.
resultsFour key categories associated with guideline-practice gaps emerged, including getting work done, adapting to accelerated infection control measures, compromising care standards and resolving competing clinical judgments across collaborating departments. The results illustrate that the guideline-practice gaps could be associated with inadequate provision of corresponding organisational supports after guidelines are established.
conclusionsThe nurses' experiences have uncovered the difficulties in the implementation of guidelines in emergency care settings and the corresponding strategies used to address these problems. The nurses' experiences reflect their endeavour in adjusting accordingly and adapting themselves to their circumstances in the face of unfeasible guidelines. RELEVANCE TO CLINICAL PRACTICE: It is important to customise guidelines to the needs of frontline nurses. Maintaining cross-departmental consensus on guideline interpretation and operation is also indicated as an important component for effective guideline implementation.
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