Favoriser le développement du rôle des infirmières chefs afin d'accroître les pratiques basées sur des résultats probants en centre hospitalier
Two points stand out from observing training and coaching sessions on evidence-based practice (EBP). First, the process of reflection that guides decision making and intervention by staff nurses with respect to patients does not always seem to take account of the notions learned in training. Straus, Tetroe, and Graham (2009) referred to this years ago when they pointed out that a gap existed between evidence and decision making across the various levels of the healthcare system, including among health professionals. Second, characteristics related to head nurses and organizations influence their interventions to the detriment of EBP (Doherty-King & Bowers, 2011). Presented in the form of an integrative and critical review of the literature, this supervised work seeks to propose an intervention strategy geared to developing the role of head nurses in promoting the application of research-based knowledge by hospital staff nurses. Its aim is to identify the barriers and facilitators encountered by head nurses and to highlight interventions capable of supporting the lasting implementation of EBP in their care units. To meet these two objectives, an electronic search of the empirical literature was carried out on three databases. On the 532 empirical studies found, 16 were retained and analyzed based on the knowledge-to-action (KTA) framework developed by Straus, Tetroe, and Graham (2011). The result of this analysis and the recommendations that flow from them are presented, discussed and then summarized in a table. Results show that in order to foster the application of EBP among staff nurses, head nurses and senior managers in organizations could implement interventions centred on each of the seven steps of the KTA process proposed by Straus et al. (2011). Moreover, interventions under the responsibility of organizations turn out to be prerequisites for others that could be delivered by head nurses. Furthermore, it emerges that head nurses and organizations must deploy interventions that take account not only of the local context but also of the barriers and facilitators encountered in the course of implementing, operationalizing and monitoring EBP in units. Finally, staff nurses would stand to benefit from interventions focused on communication, role modeling, and support delivered by head nurses and their hierarchical superiors throughout the KTA process (Straus & al., 2011).
Head nurses Professional role Acute care hospital evidence-based practice Integrative review