Implement Sci . 2024 Sep Effects of implementation strategies on nursing practice and patient outcomes: a comprehensive systematic review and meta-analysis
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Implement Sci . 2024 Sep Effects of implementation strategies on nursing practice and patient outcomes: a comprehensive systematic review and meta-analysis
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概要
This comprehensive systematic review and meta-analysis investigates how specific professional-level implementation strategies influence the adoption of evidence-based nursing and the resulting quality of patient care. By analyzing hundreds of studies involving thousands of participants, the researchers found that active interventions—particularly tailored, multifaceted approaches and targeted education—consistently outperform passive methods in changing clinical behavior. While the research highlights that strategies like reminders and opinion leaderseffectively bridge the gap between theory and practice, it also notes that the impact on patient outcomes remains modest and varies based on environmental context. Ultimately, the text serves as a roadmap for healthcare organizations, suggesting that they can best improve nursing performance by deploying integrated strategies that address local barriers rather than relying on a single type of training.