Fidelity and sustainability of mouth care without a battle and lessons for other innovations in care / Sheryl Zimmerman, Christopher J. Wretman, Kimberly Ward, Meera Tandan, Philip D. Sloane, John S. Preisser
Series: Geriatric Nursing. 41 : 6, pages 878-884 Publication details: November/December 2020Content type:- text
- unmediated
- volume
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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.
Nursing.
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