期刊
GERIATRIC NURSING
卷 41, 期 6, 页码 878-884出版社
MOSBY-ELSEVIER
DOI: 10.1016/j.gerinurse.2020.06.002
关键词
Fidelity; Sustainability; Mouth care; Oral hygiene; Nursing home
资金
- Agency for Healthcare Research and Quality [R01HS022298]
There are countless efficacious interventions that improve outcomes when conducted in controlled situations. Many fewer are effective when implemented in real-world situations, largely because they are not implemented with fidelity. Still fewer are sustained over time, for reasons including lack of institutional support and fit with existing values, among others. It is especially important to examine fidelity and sustainability when efficacious interventions are being implemented, because these interventions are the ones that hold the most promise. This project examined the fidelity and sustainability of Mouth Care Without a Battle (MCWB), an evidence-based program conducted in a two-year cluster randomized trial in 14 nursing homes. Results that triangulated two sources of data indicated that fidelity decreased after the first year; they provide guidance to promote fidelity and sustainability of this and other new care practices in nursing homes, including ongoing education, coaching, evaluation, feedback, and sufficient resources. (C) 2020 Elsevier Inc. All rights reserved.
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