Evaluating the implementation of strategies to improve evidence-based surgical care: a focus group study

Abstract Introduction The implementation of evidence-based surgical nursing interventions poses significant challenges, particularly when modifying clinical routine practices to achieve excellence in surgical nursing in alignment with core nursing competencies. This study aimed to evaluate healthcare professionals' perspectives on the factors contributing to the successful implementation of strategies designed to enhance evidence-based surgical nursing care. Method A qualitative study design with four focus group interviews was conducted between February and March 2024 in a surgical department. The groups comprised 18 participants, including specialist nurses in surgical care, registered nurses, and assistant nurses. The data were analyzed using content analysis. Result Three themes with seven subthemes were developed to capture the evaluation of health care professionals’ perspectives of the implementation strategies. The themes were, 1) Roles and leadership, 2) Engagement in the implementation and 3) Facilitators and barriers to implementation. The implementation has meant the transition from theory to practice and integrating new routines. It was a learning process where the professionals needed to familiarize themselves with new concepts and working methods. The positive outcome of the project and support from the nursing leadership was important facilitators in the implementation process. Discussion The implementation of new working methods included both resistance and learning but ultimately led to positive changes in the surgical care environment. The project resulted in specialist nurses in surgical care gaining increased authority and extended responsibilities. Support from the department head and the management team was crucial for the successful execution of the project, with the gradual implementation of activities proving effective.