Diffusion Process of Evidence Based Innovative Nursing Care Considered From Case Study of “Sitting Without Back Support Nursing Care Program”

Abstract

　The objective of this study is to investigate the introduction process for the “Sitting without Back Support” Nursing Care Program, which supports the early ambulation for patients with acute cerebrovascular disease, in two hospitals where the program was introduced and to discuss the measures for diffusion of the program based on the promotion and inhibition factors identified for the diffusion. Promotion factors included the following : effectively playing a role of the developer who instructed the introduction of sitting without back support program as a change agent, activities of the change champions who played a central role in the practice, cooperation of the family and various professionals such as nursing managers and doctors, culture in wards, high relative superiority. Inhibition factors included the following : personnel changes or resignation of the nurses, presence of those who rejected the introduction of the program, lack of educational materials, high complexity, and poor observability. The study suggested the necessities for the creation of educational program for the opinion leaders and utilization of the nurses who can longitudinally work, regardless of the personnel changes.