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A bridge over turbulent waters : illustrating the interaction between managerial leaders and facilitators when implementing research evidence

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Van der Zjjpp , T. J., Niessen, T., Eldh, Ann Catrine, Hawkes, C. M., McMullan, Christel, Mockford, Carole, Wallin, Lars, McCormack, Brendan, Rycroft-Malone, Jo and Seers, Kate (2016) A bridge over turbulent waters : illustrating the interaction between managerial leaders and facilitators when implementing research evidence. Worldviews on Evidence Based Nursing, 13 (1). pp. 25-31. doi:10.1111/wvn.12138 ISSN 1741-6787.

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Official URL: http://dx.doi.org/10.1111/wvn.12138

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Abstract

Background
Emerging evidence focuses on the importance of the role of leadership in successfully transferring research evidence into practice. However, little is known about the interaction between managerial leaders and clinical leaders acting as facilitators (internal facilitators [IFs]) in this implementation process.

Aims
To describe the interaction between managerial leaders and IFs and how this enabled or hindered the facilitation process of implementing urinary incontinence guideline recommendations in a local context in settings that provide long-term care to older people.

Methods
Semistructured interviews with 105 managers and 22 IFs, collected for a realist process evaluation across four European countries informed this study. An interpretive data analysis unpacks interactions between managerial leaders and IFs.

Results
This study identified three themes that were important in the interactions between managerial leaders and IFs that could hinder or support the implementation process: “realising commitment”; “negotiating conditions”; and “encouragement to keep momentum going.” The findings revealed that the continuous reciprocal relationships between IFs and managerial leaders influenced the progress of implementation, and could slow the process down or disrupt it. A metaphor of crossing a turbulent river by the “building of a bridge” emerged as one way of understanding the findings.

Item Type: Journal Article
Divisions: Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Clinical Trials Unit
Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences
Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences > Warwick Research in Nursing > Royal College of Nursing Research Institute (RCN) (- July 2017)
Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School
Journal or Publication Title: Worldviews on Evidence Based Nursing
Publisher: Wiley-Blackwell Publishing, Inc.
ISSN: 1741-6787
Official Date: February 2016
Dates:
DateEvent
February 2016Published
20 January 2015Available
19 September 2015Accepted
Volume: 13
Number: 1
Page Range: pp. 25-31
DOI: 10.1111/wvn.12138
Status: Peer Reviewed
Publication Status: Published
Access rights to Published version: Restricted or Subscription Access
Date of first compliant deposit: 4 April 2016

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