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  1. Feb 9, 2023 · Background Implementation fidelity assesses the degree to which an intervention is delivered as it should be. Fidelity helps to determine if the outcome(s) of an intervention are attributed to the intervention itself or to a failure of its implementation. Little is known about how fidelity impacts the intended outcome(s) and what elements or moderators can affect the fidelity trajectory over ...

    • Fidelity in nursing helps foster a trusting relationship between patients, families, nurses, and healthcare team members. Patients and their loved ones often feel anxious or afraid.
    • When nurses practice fidelity, patients experience more favorable outcomes. Several factors affect patient outcomes. Nurses who conduct themselves professionally and provide quality patient care help improve the likelihood of positive patient outcomes.
    • Fidelity in nursing practice results in increased patient satisfaction. Patients cared for by nurses concerned with honesty, integrity, and other principles of fidelity are more satisfied with the care they receive.
    • Fidelity in nursing promotes patient autonomy, which is beneficial to the patient and the healthcare team. When nurses encourage patient autonomy, patients feel empowered to make decisions about their medical care and have the confidence in knowing their decisions are supported by their nurses and healthcare providers.
  2. In this article, we briefly review progress in implementation science, and suggest five priorities for enhancing the impact of implementation strategies. Specifically, we suggest the need to: (1) enhance methods for designing and tailoring implementation strategies; (2) specify and test mechanisms of change; (3) conduct more effectiveness ...

  3. Keywords: Implementation research, Implementation strategies, Implementation strategy fidelity, Implementation trials, Implementation research reporting Implementation strategy fidelity, or the extent to which an implementation strategy is carried out as it was designed, is under-developed and under-reported, and the quality of reporting is decreasing over time.

  4. Mar 4, 2021 · Health care leaders and researchers should pay close attention to fidelity of implementation as they evaluate the effect of programs and methods on health care quality. Optimal measurement of fidelity will help inform adjustments during implementation, support meaningful evaluation of results, and help us learn how these methods can live up to their potential to deliver better, safer, and more ...

  5. Nov 6, 2012 · Fidelity is an important component of implementation science (Eccles & Mittman, 2006). Implementation science is “the scientific study of methods to promote the systematic uptake of research findings (and other EBPs) into routine practice, and, hence, to improve the quality and effectiveness of health services and care” ( Eccles & Mittman, 2006 , ¶2).

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  7. Little is known about how it acts as a moderator between an intervention and its intended outcome(s) and which factors affect the fidelity trajectory over time. We exemplify implementation fidelity in INTERCARE, a nurse-led care model implemented in eleven Swiss nursing homes (NH) successfully decreasing unplanned hospital transfers.

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