Factors influencing the sustainability of the evidence-based practice project for irritant dermatitis around urostomy: a qualitative study based on the i-PARIHS framework
10.3760/cma.j.cn115682-20220325-01450
- VernacularTitle:尿路造口周围刺激性皮炎循证实践项目持续性应用的影响因素分析：一项基于i-PARIHS框架的质性研究
- Author:
Yang JIANG
1
;
Yonghui SANG
;
Yanbo HUANG
;
Xinyan CHE
;
Shuhui YU
;
Dong PANG
Author Information
1. 北京大学第一医院泌尿外科，北京 100034
- Keywords:
Dermatitis, irritant;
Urostomy;
Evidence-based practice;
Sustainability;
Integrated-Promoting Action on Research Implementation in Health Services framewo
- From:
Chinese Journal of Modern Nursing
2023;29(4):439-444
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the influencing factors of the poor sustainability of the evidence-based practice project for irritant dermatitis around urostomy.Methods:This is a qualitative study. From April to May 2020, 12 nurses working in the Urology Surgery of Peking University First Hospital were selected by purposive sampling for the semi-structured interview. The integrated-Promoting Action on Research Implementation in Health Services framework (i-PARIHS framework) was applied to analyze and extract the obtained data.Results:The interview results found that, in terms of transform (evidence) , the localization and continuity of evidence for the evidence-based practice project of irritant dermatitis around urostomy needed to be improved, including the high matching between evidence and practice environment, and the insufficient continuity of evidence application. In terms of transform recipients, the leadership of project practitioner needed to be improved, including the conflict between the roles of practitioners and researchers, the lack of knowledge reserves of practitioners, and the conflict among the values of practitioners. In terms of organizational environment, the leadership of managers and the imformatization degree of project needed to be improved, including insufficient support from leaders and insufficient facilities.Conclusions:At the initial stage of formulating the nursing evidence-based practice project, the project implementer should fully incorporate the opinions of stakeholders for localization debugging, and consider the sustainability of the project. In addition, the leadership of managers, nurses and interns should be increased, the use and training of urostomy talents should be strengthened, the training of urostomy knowledge should be continued, the information-based follow-up system should be improved, and the intervention strategy should be continuously adjusted to ensure the project is carried out.
