2021 Volume 20 Pages 79-88
This study identified organizational factors and concrete contents that influence diffusion between evidence-based nursing skills in Japanese acute hospitals. A survey using semi-structured interviews was conducted with 28 nurses working in eight facilities, where there was extensive evidence of diffusion between evidence-based nursing skills. We classified the findings into 27 subcategories based on the interpretation of Code 237 and extracted five categories, including “organizational climate,” “cooperation within the organization,” “promotion behavior of nurse managers,” “attitude and characteristics of hospital ward’s members,” and “economic impact”. The individual aspects of “promotion behavior of nurse managers” and “attitudes and characteristics of hospital ward’s members” were identified as organizational factors that influence the dissemination of evidence-based nursing skills. In particular, the importance of the attributes of the head nurse as a leader was observed. In addition, “organizational climate” and “cooperation within the organization” emerged as internal characteristics of the organizational structure, while “economic impact” emerged as an external characteristic of the organization. Among them, a conducive environment for multidisciplinary collaboration and medical reimbursement were catalysts in the dissemination of nursing skills.
