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Determinants of the implementation of a new practice in hormonal contraception by Quebec nurses.

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Title: Determinants of the implementation of a new practice in hormonal contraception by Quebec nurses.
Authors: Guilbert, Edith R. (AUTHOR), Robitaille, Jean (AUTHOR), Guilbert, Alexis C. (AUTHOR), Morin, Diane (AUTHOR)
Source: Canadian Journal of Human Sexuality. 2014, Vol. 23 Issue 1, p34-48. 15p.
Subjects: Oral contraceptives, Confidence intervals, Corporate culture, Diffusion of innovations, Epidemiology, Interprofessional relations, Longitudinal method, Nurse-patient relationships, Nurses, Nursing practice, Nursing education, Pharmacists, Questionnaires, Work environment, Logistic regression analysis, Data analysis, Multiple regression analysis, Human services programs, Statistical models, Descriptive statistics, Therapeutics
Geographic Terms: Québec (Province)
Abstract: In 2007, a task-shifting strategy through which a nurse, in collaboration with a community pharmacist, could start a healthy woman on hormonal contraception without a medical consultation was implemented in the province of Quebec. The purpose of this study was to identify factors associated with the 1) implementation of this new practice by nurses, 2) delay of implementation and 3) intensity of the practice. A validated questionnaire based on Rogers' theory of the diffusion of innovation was sent by postal mail or internet to all nurses that had successfully completed training in hormonal contraception since 2007, were registered at the College of nurses of Quebec and currently worked as nurses. The questionnaire was completed by 745 nurses between November 2011 and March 2012 for a response rate of 26.6%. Results show that implementation of this new nursing practice was more successful when nurses had a high degree of cosmopoliteness, they perceived the new practice as simple, they worked in youth clinics and if health organizations where they worked were open to innovation, had low centralized decision-making and organizational slack. Various attributes of innovation, diffusion networks and characteristics of the organizations also explained intensity of the new practice. The findings suggest new avenues to simplify and scale up this strategy for use in other health organizations. [ABSTRACT FROM AUTHOR]
Copyright of Canadian Journal of Human Sexuality is the property of University of Toronto Press and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Determinants of the implementation of a new practice in hormonal contraception by Quebec nurses.
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  Data: <searchLink fieldCode="AR" term="%22Guilbert%2C+Edith+R%2E%22">Guilbert, Edith R.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Robitaille%2C+Jean%22">Robitaille, Jean</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Guilbert%2C+Alexis+C%2E%22">Guilbert, Alexis C.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Morin%2C+Diane%22">Morin, Diane</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22Canadian+Journal+of+Human+Sexuality%22">Canadian Journal of Human Sexuality</searchLink>. 2014, Vol. 23 Issue 1, p34-48. 15p.
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  Data: <searchLink fieldCode="DE" term="%22Oral+contraceptives%22">Oral contraceptives</searchLink><br /><searchLink fieldCode="DE" term="%22Confidence+intervals%22">Confidence intervals</searchLink><br /><searchLink fieldCode="DE" term="%22Corporate+culture%22">Corporate culture</searchLink><br /><searchLink fieldCode="DE" term="%22Diffusion+of+innovations%22">Diffusion of innovations</searchLink><br /><searchLink fieldCode="DE" term="%22Epidemiology%22">Epidemiology</searchLink><br /><searchLink fieldCode="DE" term="%22Interprofessional+relations%22">Interprofessional relations</searchLink><br /><searchLink fieldCode="DE" term="%22Longitudinal+method%22">Longitudinal method</searchLink><br /><searchLink fieldCode="DE" term="%22Nurse-patient+relationships%22">Nurse-patient relationships</searchLink><br /><searchLink fieldCode="DE" term="%22Nurses%22">Nurses</searchLink><br /><searchLink fieldCode="DE" term="%22Nursing+practice%22">Nursing practice</searchLink><br /><searchLink fieldCode="DE" term="%22Nursing+education%22">Nursing education</searchLink><br /><searchLink fieldCode="DE" term="%22Pharmacists%22">Pharmacists</searchLink><br /><searchLink fieldCode="DE" term="%22Questionnaires%22">Questionnaires</searchLink><br /><searchLink fieldCode="DE" term="%22Work+environment%22">Work environment</searchLink><br /><searchLink fieldCode="DE" term="%22Logistic+regression+analysis%22">Logistic regression analysis</searchLink><br /><searchLink fieldCode="DE" term="%22Data+analysis%22">Data analysis</searchLink><br /><searchLink fieldCode="DE" term="%22Multiple+regression+analysis%22">Multiple regression analysis</searchLink><br /><searchLink fieldCode="DE" term="%22Human+services+programs%22">Human services programs</searchLink><br /><searchLink fieldCode="DE" term="%22Statistical+models%22">Statistical models</searchLink><br /><searchLink fieldCode="DE" term="%22Descriptive+statistics%22">Descriptive statistics</searchLink><br /><searchLink fieldCode="DE" term="%22Therapeutics%22">Therapeutics</searchLink>
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  Data: <searchLink fieldCode="DE" term="%22Québec+%28Province%29%22">Québec (Province)</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: In 2007, a task-shifting strategy through which a nurse, in collaboration with a community pharmacist, could start a healthy woman on hormonal contraception without a medical consultation was implemented in the province of Quebec. The purpose of this study was to identify factors associated with the 1) implementation of this new practice by nurses, 2) delay of implementation and 3) intensity of the practice. A validated questionnaire based on Rogers' theory of the diffusion of innovation was sent by postal mail or internet to all nurses that had successfully completed training in hormonal contraception since 2007, were registered at the College of nurses of Quebec and currently worked as nurses. The questionnaire was completed by 745 nurses between November 2011 and March 2012 for a response rate of 26.6%. Results show that implementation of this new nursing practice was more successful when nurses had a high degree of cosmopoliteness, they perceived the new practice as simple, they worked in youth clinics and if health organizations where they worked were open to innovation, had low centralized decision-making and organizational slack. Various attributes of innovation, diffusion networks and characteristics of the organizations also explained intensity of the new practice. The findings suggest new avenues to simplify and scale up this strategy for use in other health organizations. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of Canadian Journal of Human Sexuality is the property of University of Toronto Press and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=103928748
RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.3138/cjhs.23.1-A1
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 15
        StartPage: 34
    Subjects:
      – SubjectFull: Oral contraceptives
        Type: general
      – SubjectFull: Confidence intervals
        Type: general
      – SubjectFull: Corporate culture
        Type: general
      – SubjectFull: Diffusion of innovations
        Type: general
      – SubjectFull: Epidemiology
        Type: general
      – SubjectFull: Interprofessional relations
        Type: general
      – SubjectFull: Longitudinal method
        Type: general
      – SubjectFull: Nurse-patient relationships
        Type: general
      – SubjectFull: Nurses
        Type: general
      – SubjectFull: Nursing practice
        Type: general
      – SubjectFull: Nursing education
        Type: general
      – SubjectFull: Pharmacists
        Type: general
      – SubjectFull: Questionnaires
        Type: general
      – SubjectFull: Work environment
        Type: general
      – SubjectFull: Logistic regression analysis
        Type: general
      – SubjectFull: Data analysis
        Type: general
      – SubjectFull: Multiple regression analysis
        Type: general
      – SubjectFull: Human services programs
        Type: general
      – SubjectFull: Statistical models
        Type: general
      – SubjectFull: Descriptive statistics
        Type: general
      – SubjectFull: Therapeutics
        Type: general
      – SubjectFull: Québec (Province)
        Type: general
    Titles:
      – TitleFull: Determinants of the implementation of a new practice in hormonal contraception by Quebec nurses.
        Type: main
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            NameFull: Guilbert, Edith R.
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            NameFull: Robitaille, Jean
      – PersonEntity:
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            NameFull: Guilbert, Alexis C.
      – PersonEntity:
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            NameFull: Morin, Diane
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            – D: 01
              M: 04
              Text: 2014
              Type: published
              Y: 2014
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              Value: 11884517
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              Value: 23
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            – TitleFull: Canadian Journal of Human Sexuality
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