Effect of implementation interventions on nurses’ behaviour in clinical practice: a systematic review, meta-analysis and meta-regression protocol
Abstract Background Practitioner-level implementation interventions such as audit and feedback, communities of practice, and local opinion leaders have shown potential to change nurses’ behaviour in clinical practice and improve patients’ health. However, their effectiveness remains unclear. Moreove...
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2019-12-01
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Series: | Systematic Reviews |
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Online Access: | https://doi.org/10.1186/s13643-019-1227-x |
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doaj-3559015b87c24d6e9f06c4d63ebf44c7 |
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Article |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Guillaume Fontaine Sylvie Cossette Marc-André Maheu-Cadotte Marie-France Deschênes Geneviève Rouleau Andréane Lavallée Catherine Pépin Ariane Ballard Gabrielle Chicoine Alexandra Lapierre Patrick Lavoie Jérémie Blondin Tanya Mailhot |
spellingShingle |
Guillaume Fontaine Sylvie Cossette Marc-André Maheu-Cadotte Marie-France Deschênes Geneviève Rouleau Andréane Lavallée Catherine Pépin Ariane Ballard Gabrielle Chicoine Alexandra Lapierre Patrick Lavoie Jérémie Blondin Tanya Mailhot Effect of implementation interventions on nurses’ behaviour in clinical practice: a systematic review, meta-analysis and meta-regression protocol Systematic Reviews Behaviour change Implementation strategy Implementation intervention Implementation science Knowledge translation Theory-based interventions |
author_facet |
Guillaume Fontaine Sylvie Cossette Marc-André Maheu-Cadotte Marie-France Deschênes Geneviève Rouleau Andréane Lavallée Catherine Pépin Ariane Ballard Gabrielle Chicoine Alexandra Lapierre Patrick Lavoie Jérémie Blondin Tanya Mailhot |
author_sort |
Guillaume Fontaine |
title |
Effect of implementation interventions on nurses’ behaviour in clinical practice: a systematic review, meta-analysis and meta-regression protocol |
title_short |
Effect of implementation interventions on nurses’ behaviour in clinical practice: a systematic review, meta-analysis and meta-regression protocol |
title_full |
Effect of implementation interventions on nurses’ behaviour in clinical practice: a systematic review, meta-analysis and meta-regression protocol |
title_fullStr |
Effect of implementation interventions on nurses’ behaviour in clinical practice: a systematic review, meta-analysis and meta-regression protocol |
title_full_unstemmed |
Effect of implementation interventions on nurses’ behaviour in clinical practice: a systematic review, meta-analysis and meta-regression protocol |
title_sort |
effect of implementation interventions on nurses’ behaviour in clinical practice: a systematic review, meta-analysis and meta-regression protocol |
publisher |
BMC |
series |
Systematic Reviews |
issn |
2046-4053 |
publishDate |
2019-12-01 |
description |
Abstract Background Practitioner-level implementation interventions such as audit and feedback, communities of practice, and local opinion leaders have shown potential to change nurses’ behaviour in clinical practice and improve patients’ health. However, their effectiveness remains unclear. Moreover, we have a paucity of data regarding the use of theory in implementation studies with nurses, the causal processes—i.e. mechanisms of action—targeted by interventions to change nurses’ behaviour in clinical practice, and the constituent components—i.e. behaviour change techniques—included in interventions. Thus, our objectives are threefold: (1) to examine the effectiveness of practitioner-level implementation interventions in changing nurses’ behaviour in clinical practice; (2) to identify, in included studies, the type and degree of theory use, the mechanisms of action targeted by interventions and the behaviour change techniques constituting interventions and (3) to examine whether intervention effectiveness is associated with the use of theory or with specific mechanisms of action and behaviour change techniques. Methods We will conduct a systematic review based on the Cochrane Effective Practice and Organization of Care (EPOC) Group guidelines. We will search six databases (CINAHL, EMBASE, ERIC, PsycINFO, PubMed and Web of Science) with no time limitation for experimental and quasi-experimental studies that evaluated practitioner-level implementation interventions aiming to change nurses’ behaviour in clinical practice. We will also hand-search reference lists of included studies. We will perform screening, full-text review, risk of bias assessment, and data extraction independently with the Covidence systematic review software. We will assess the quality of evidence using the GRADEpro software. We will code included studies independently for theory use (Theory Coding Scheme), mechanisms of action (coding guidelines from Michie) and behaviour change techniques (Behaviour Change Technique Taxonomy v1) with QSR International’s NVivo qualitative data analysis software. Meta-analyses will be performed using the Review Manager (RevMan) software. Meta-regression analyses will be performed with IBM SPSS Statistics software. Discussion This review will inform knowledge users and researchers interested in designing, developing and evaluating implementation interventions to support nurses’ behaviour change in clinical practice. Results will provide key insights regarding which causal processes—i.e. mechanisms of action—should be targeted by these interventions, and which constituent components—i.e. behaviour change techniques—should be included in these interventions to increase their effectiveness. Systematic review registration The protocol has been registered at the International Prospective Register of Systematic Reviews (PROSPERO; registration number: CRD42019130446). |
topic |
Behaviour change Implementation strategy Implementation intervention Implementation science Knowledge translation Theory-based interventions |
url |
https://doi.org/10.1186/s13643-019-1227-x |
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doaj-3559015b87c24d6e9f06c4d63ebf44c72020-12-06T12:09:55ZengBMCSystematic Reviews2046-40532019-12-018111010.1186/s13643-019-1227-xEffect of implementation interventions on nurses’ behaviour in clinical practice: a systematic review, meta-analysis and meta-regression protocolGuillaume Fontaine0Sylvie Cossette1Marc-André Maheu-Cadotte2Marie-France Deschênes3Geneviève Rouleau4Andréane Lavallée5Catherine Pépin6Ariane Ballard7Gabrielle Chicoine8Alexandra Lapierre9Patrick Lavoie10Jérémie Blondin11Tanya Mailhot12Faculty of Nursing, Université de MontréalFaculty of Nursing, Université de MontréalFaculty of Nursing, Université de MontréalFaculty of Nursing, Université de MontréalResearch Center, Université de Montréal Hospital CenterFaculty of Nursing, Université de MontréalFaculty of Nursing, Université de MontréalFaculty of Nursing, Université de MontréalFaculty of Nursing, Université de MontréalFaculty of Nursing, Université de MontréalFaculty of Nursing, Université de MontréalSchool of Librarianship and Information Science, Université de MontréalDepartment of Pharmacy and Health Systems Sciences, Bouvé College of Health Sciences, Northeastern UniversityAbstract Background Practitioner-level implementation interventions such as audit and feedback, communities of practice, and local opinion leaders have shown potential to change nurses’ behaviour in clinical practice and improve patients’ health. However, their effectiveness remains unclear. Moreover, we have a paucity of data regarding the use of theory in implementation studies with nurses, the causal processes—i.e. mechanisms of action—targeted by interventions to change nurses’ behaviour in clinical practice, and the constituent components—i.e. behaviour change techniques—included in interventions. Thus, our objectives are threefold: (1) to examine the effectiveness of practitioner-level implementation interventions in changing nurses’ behaviour in clinical practice; (2) to identify, in included studies, the type and degree of theory use, the mechanisms of action targeted by interventions and the behaviour change techniques constituting interventions and (3) to examine whether intervention effectiveness is associated with the use of theory or with specific mechanisms of action and behaviour change techniques. Methods We will conduct a systematic review based on the Cochrane Effective Practice and Organization of Care (EPOC) Group guidelines. We will search six databases (CINAHL, EMBASE, ERIC, PsycINFO, PubMed and Web of Science) with no time limitation for experimental and quasi-experimental studies that evaluated practitioner-level implementation interventions aiming to change nurses’ behaviour in clinical practice. We will also hand-search reference lists of included studies. We will perform screening, full-text review, risk of bias assessment, and data extraction independently with the Covidence systematic review software. We will assess the quality of evidence using the GRADEpro software. We will code included studies independently for theory use (Theory Coding Scheme), mechanisms of action (coding guidelines from Michie) and behaviour change techniques (Behaviour Change Technique Taxonomy v1) with QSR International’s NVivo qualitative data analysis software. Meta-analyses will be performed using the Review Manager (RevMan) software. Meta-regression analyses will be performed with IBM SPSS Statistics software. Discussion This review will inform knowledge users and researchers interested in designing, developing and evaluating implementation interventions to support nurses’ behaviour change in clinical practice. Results will provide key insights regarding which causal processes—i.e. mechanisms of action—should be targeted by these interventions, and which constituent components—i.e. behaviour change techniques—should be included in these interventions to increase their effectiveness. Systematic review registration The protocol has been registered at the International Prospective Register of Systematic Reviews (PROSPERO; registration number: CRD42019130446).https://doi.org/10.1186/s13643-019-1227-xBehaviour changeImplementation strategyImplementation interventionImplementation scienceKnowledge translationTheory-based interventions |