Scholarlink

Background <p>Existing models that promote the implementation of evidence-based practice (EBP) give a fragmented picture of the process and factors. This means that a comprehensive view of the elements necessary for an organization to implement sustained EBP is lacking. Clarifying organizational transformation elements using the 7-S framework (<i>Styles</i>, <i>Superordinate goals</i>, <i>Skills</i>, <i>Staff</i>, <i>Strategy</i>, <i>Systems</i>, <i>Structure</i>) allows the organizational conditions to be comprehensively assessed, guiding transformation efforts toward sustaining EBPs. In addition, while ward-level group learning supports EBP sustainment, its organizational antecedents remain unclear.</p> Aim <p>This study aimed to clarify organizational transformation elements for the sustainable implementation of EBPs by the nursing staff through group learning.</p> Methods <p>This qualitative study used face-to-face or online focus-group interviews with 30 healthcare professionals in eight wards of five hospitals. The participants were nursing staff (nurse managers, registered nurses, clinical nurse specialists), and other healthcare professionals involved in the implementation of the EBPs in the selected wards. In the interviews, for the eight activities in the Group Organizational Learning Activities Inventory, participants were asked about the facilitating/inhibiting factors for performing each activity related to sustaining the selected EBP. Qualitative content analysis was conducted using the 7-S framework as the axis of analysis. After the researchers repeatedly checked the categories, member checking was conducted with the four interview participants to confirm content validity and face validity of the extracted categories and items, as well as data saturation.</p> Results <p>In total, 39 items in eight S categories, including socio-political context and healthcare policy as the new S category, were extracted as elements of an organizational transformation framework for EBPs. Furthermore, group conversations suggested that each S and item may be related to each other.</p> Conclusions <p>This study systematically and comprehensively identified the elements required to transform organizations and sustain EBP. The novelty of the 8&#xa0;S framework is based on how it enables a multifaceted assessment of both the soft and hard aspects of organizations concerning EBP sustainability. Given that the eight S elements are likely to be interrelated, successful organizational transformation can be achieved by intervening in multiple elements.</p> Clinical trial number <p>Not applicable.</p>

错误：搜索内容不能为空，请输入英文关键词
错误：关键词超出字数限制，请精简
高级检索

Organizational transformation elements for evidence-based practice by hospital nursing staff: a qualitative study using 7-S framework

  • 期刊论文

  • 出版模式：

    开放获取

  • 发表日期：

    2025年6月2日

查看全文
  • Keiko Ishii,
  • Yukie Takemura,
  • Aya Kitamura

摘要

Background

Existing models that promote the implementation of evidence-based practice (EBP) give a fragmented picture of the process and factors. This means that a comprehensive view of the elements necessary for an organization to implement sustained EBP is lacking. Clarifying organizational transformation elements using the 7-S framework (Styles, Superordinate goals, Skills, Staff, Strategy, Systems, Structure) allows the organizational conditions to be comprehensively assessed, guiding transformation efforts toward sustaining EBPs. In addition, while ward-level group learning supports EBP sustainment, its organizational antecedents remain unclear.

Aim

This study aimed to clarify organizational transformation elements for the sustainable implementation of EBPs by the nursing staff through group learning.

Methods

This qualitative study used face-to-face or online focus-group interviews with 30 healthcare professionals in eight wards of five hospitals. The participants were nursing staff (nurse managers, registered nurses, clinical nurse specialists), and other healthcare professionals involved in the implementation of the EBPs in the selected wards. In the interviews, for the eight activities in the Group Organizational Learning Activities Inventory, participants were asked about the facilitating/inhibiting factors for performing each activity related to sustaining the selected EBP. Qualitative content analysis was conducted using the 7-S framework as the axis of analysis. After the researchers repeatedly checked the categories, member checking was conducted with the four interview participants to confirm content validity and face validity of the extracted categories and items, as well as data saturation.

Results

In total, 39 items in eight S categories, including socio-political context and healthcare policy as the new S category, were extracted as elements of an organizational transformation framework for EBPs. Furthermore, group conversations suggested that each S and item may be related to each other.

Conclusions

This study systematically and comprehensively identified the elements required to transform organizations and sustain EBP. The novelty of the 8 S framework is based on how it enables a multifaceted assessment of both the soft and hard aspects of organizations concerning EBP sustainability. Given that the eight S elements are likely to be interrelated, successful organizational transformation can be achieved by intervening in multiple elements.

Clinical trial number

Not applicable.