Preliminary research for establishing a program to promote organizational learning activities for nurses' sustainment of evidence-based practices

2023 Fiscal Year Final Research Report

• Project/Area Number: 22K21079
• Research Category: Grant-in-Aid for Research Activity Start-up
• Allocation Type: Multi-year Fund
• Review Section: 0908:Society medicine, nursing, and related fields
• Research Institution: Tokyo Medical and Dental University (2023); The University of Tokyo (2022)
• Principal Investigator: Ishii Keiko 東京医科歯科大学, 大学院保健衛生学研究科, 特任助教 (90936428)
• Project Period (FY): 2022-08-31 – 2024-03-31
• Keywords: 看護管理 / 組織開発 / 組織学習 / 実装科学 / 実装戦略 / Evidence-based practice

Outline of Final Research Achievements

This study aimed to identify the factors that promote or inhibit learning activities in hospital wards, which could be effective for nurses' sustainable implementation of evidence-based practices (EBPs).
We conducted focus-group interviews with healthcare professionals involved in implementing EBPs in the wards. By conducting a content analysis of the axis of the organizational change framework, 45 items were identified across eight categories: sociopolitical context and healthcare policy (e.g., demands from society), style (e.g., a psychologically safe climate), superordinate goals (e.g., nurse managers' vision), strategy (e.g., nurse managers' strategic thinking), skills (e.g., doctors' soft skills－communication skills, creativity, open-mindedness), staff (e.g., professionalism), systems (e.g., a system for the nursing department to support and instruct the EBP-implementing departments/wards), and structure (e.g., a system for flexibly reviewing the allocation of duties).

Free Research Field

看護管理学、組織開発、実装科学、実装戦略、Evidence-based practice

Academic Significance and Societal Importance of the Research Achievements

本研究は看護職向けの実装戦略の開発に向けた基礎研究として、組織変革の枠組みを基に、部署の学習活動の規定要因を組織内外の階層と多様なステークホルダーを含めて明らかにした。既存の実装戦略では、看護職が組織の状態を把握したうえで実践の場に適した戦略を活用することは難しかった。本研究は、組織の状態を体系的且つ包括的に提示しており、組織の管理者や看護職が組織の状態を把握する枠組みとして本成果を活用することで、部署の学習活動が活発になり、新しい実践の継続と組織への定着が促進できる可能性がある。また本研究は、組織論を基に実装戦略の開発を目指す点が新しく、理論への貢献も期待できる学術的意義の高いものである。