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International Journal of Health Professions

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Scoping review of nursing-related dissemination and implementation research in German-speaking countries: Mapping the field / Scoping Review zum Stand der pflegebezogenen Disseminations- und Implementierungsforschung in deutschsprachigen Ländern: eine Bestandsaufnahme

Matthias Hoben
  • Corresponding author
  • Knowledge Utilization Studies Program, Faculty of Nursing, University of Alberta, 114058 – 87 Avenue, NW, Edmonton, AB, Canada T6G 1C9, CANADA
  • Netzwerk AlternsfoRschung (NAR), Ruprecht-Karls-University Heidelberg, Bergheimer Str. 20, 69115 Heidelberg, GERMANY
  • Institute of Health and Nursing Sciences, Medical Faculty, Martin- Luther-University Halle-Wittenberg, Magdeburger Straße 8, 06112 Halle (Saale), GERMANY
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  • Other articles by this author:
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/ Charlotte Berendonk
  • Knowledge Utilization Studies Program, Faculty of Nursing, University of Alberta, 114058 – 87 Avenue, NW, Edmonton, AB, Canada T6G 1C9, CANADA
  • Netzwerk AlternsfoRschung (NAR), Ruprecht-Karls-University Heidelberg, Bergheimer Str. 20, 69115 Heidelberg, GERMANY
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/ Ines Buscher
  • German Center for Neurodegenerative Diseases (DZNE), Stockumer Straße 12, 58453 Witten, GERMANY
  • Department of Nursing Science, Faculty of Health, University Witten/Herdecke, Stockumer Straße 12, 58453 Witten, GERMANY
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/ Tina Quasdorf
  • German Center for Neurodegenerative Diseases (DZNE), Stockumer Straße 12, 58453 Witten, GERMANY
  • Department of Nursing Science, Faculty of Health, University Witten/Herdecke, Stockumer Straße 12, 58453 Witten, GERMANY
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/ Christine Riesner
  • Division of Nursing Science and Nursing Pedagogics, Ministry of Health, Equalities, Care and Ageing, North Rhine-Westphalia, Horionplatz 1, 40213 Düsseldorf, GERMANY
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/ Doris Wilborn
  • Department of Nursing and Management, Faculty of Business and Social Sciences, Hamburg University of Applied Sciences, Alexanderstraße 1, 20099 Hamburg, GERMANY
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/ Johann Behrens
  • Institute of Health and Nursing Sciences, Medical Faculty, Martin- Luther-University Halle-Wittenberg, Magdeburger Straße 8, 06112 Halle (Saale), GERMANY
  • German Institute for Economic Research (DIW), Mohrenstraße 58, 10117 Berlin (Mitte), GERMANY
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Published Online: 2014-12-30 | DOI: https://doi.org/10.2478/ijhp-2014-0002

Abstract

Implementing evidence-based innovations into care practice is a complex, slow and haphazard process. Dissemination and implementation (DI) research seeks to understand and optimize that process, to close gaps between research and practice and to improve quality of care. While there is a growing body of international DI research, little is known about the number and types of DI research studies and the DI topics studied in German-speaking nursing settings. This scoping review therefore evaluates the state of nursing-related DI research in German-speaking countries, discusses these results in light of the international state of DI research and provides directions for future research. We searched international databases (Web of Knowledge including Medline, CINAHL, PsycInfo, and GeroLit), German library meta-search engines, six German-language key trade journals, and reference lists of included articles. In total, 186 references representing 140 research projects were included in our review. Quality appraisal used five validated checklists. Methodological quality of the included studies was generally low. A total of 92 studies assessed the effects of DI strategies, 67 studied DI barriers and facilitators, 64 evaluated the impact or characteristics of DI processes, and 5 reported on the development or validation of DI research tools. None of the included studies focussed on methodological questions of DI research or on development and testing of DI theories and models. Future nursing-related DI research in German-speaking countries should particularly focus on these latter topics. Taking into account the international state of DI research will be especially crucial for those research activities.

Abstract

Evidenzbasierte Innovationen in die Pflegepraxis zu implementieren, ist eine Herausforderung. International steht ein wachsender Fundus an Arbeiten der Disseminations- und Implementierungsforschung (DI-Forschung) zur Verfügung, die versuchen, DI-Prozesse besser zu verstehen, zu optimieren und damit die Versorgungsqualität zu verbessern. Über die Zahl und den Fokus von DI-Forschungsarbeiten in deutschsprachigen Pflegesettings ist hingegen wenig bekannt. Dieses scoping Review untersucht daher diesen Forschungsstand, diskutiert diesen vor dem Hintergrund der internationalen DI-Forschung und gibt Empfehlungen für künftige Forschungsaktivitäten. Durchsucht wurden internationale Datenbanken (Web of Knowledge einschließlich Medline, CINAHL PsycInfo und GeroLit), sechs deutschsprachige Pflegezeitschriften sowie die Literaturlisten der eingeschlossenen Quellen. Insgesamt wurden 186 Publikationen eingeschlossen, die 140 Forschungsprojekte repräsentierten. Die Studienqualität wurde mittels fünfinternational bewährter Checklisten eingeschätzt. Die Qualität der Studien war tendenziell gering. 94 Forschungsprojekte evaluierten DI-Strategien, 67 erforschten Einflussfaktoren auf DI-Prozesse, 64 untersuchten Auswirkungen, Merkmale oder Verläufe von DI-Prozessen und 5 berichteten über die Entwicklung oder Validierung von Erhebungsinstrumenten für DI-Variablen. Methodologische Fragen der DI-Forschung oder die Entwicklung und Testung von DI-Theorien wurden in keiner der eingeschlossenen Studien thematisiert. Künftige pflegewissenschaftliche DI-Forschung im deutschsprachigen Raum sollte sich vor allem den letztgenannten Themen verstärkt widmen. Dabei wird es insbesondere darauf ankommen, die internationalen DI-Befunde zur Kenntnis zu nehmen, systematisch zu berücksichtigen, darauf aufzubauen und diese ggf. zu erweitern.

This article offers supplementary material which is provided at the end of the article.

Keywords : Dissemination and Implementation Research; Nursing; German-speaking Countries; Scoping Review

Keywords : Disseminations- und Implementierungsforschung; Pflege; deutschsprachige Länder; Scoping Review

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About the article

Received: 2014-04-15

Accepted: 2014-08-27

Published Online: 2014-12-30

Published in Print: 2014-12-01


Citation Information: International Journal of Health Professions, Volume 1, Issue 1, Pages 34–49, ISSN (Online) 2296-990X, DOI: https://doi.org/10.2478/ijhp-2014-0002.

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