The role of ward managers when developing consistent evidence-based practices in long-term care facility: a qualitative study

Background: A ward manager performs important tasks in the implementation of consistent evidence-based practice (EBP). However, little is known about these tasks, especially in long-term care facilities.  

Aim: This study aimed to describe the tasks of ward managers in improving consistent EBP according to the four-phase Operational Model for Evidence-Based Practice (OMEBP).

Method: Data were collected through focus group interviews (9) in each of the four phases of OMEBP. The interviews were separately conducted in two groups: (1) ward managers (n=4) and (2) wound contact persons (registered and practical nurses, n=8); participants from the four units were present in the same interview. In addition, a third focus group [practical nurses (n=8) was involved in the first phase of the interview regarding the evaluation of the development needs of the current practice and their realization. The groups were interviewed after the completion of each phase of OMEBP. Data were analyzed by deductive content analysis based on the four phases of OMEBP.

Results: Results described the tasks of ward managers in the four-phase OMEBP. These tasks included informing, mentoring, taking responsibility, supporting the nursing staff, reminding, and consulting.

Conclusions: Ward managers perform several tasks during the implementation of consistent EBP. Management of EBP requires several knowledge and skills.