From: Best practice transfer by public health nurses in Japan: actual conditions and related factors
 |  |  |  | N = 702 | N = 399 | ||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Word Factors | Â | Â | Â | Experience of BPT in service development | [Breakdown of Inexperienced group] Willingness to perform BPT going forward in the group without experience of BPT | ||||||||||||
 |  |  | Experienced group (n = 303) |  | Inexperienced group (n = 399) |  |  |  | Existence group (n = 302) | Nonexistence group (n = 97) |  |  | |||||
 |  |  | n | % |  | n | % |  | P |  | n | % | n | % | P |  | |
Behavior style and experience | Experience of difficulty in service development | Experienced | 279 | 92.7 |  | 356 | 93.4 |  | 0.702 |  | 278 | 96.9 | 78 | 83.0 | < 0.001 | * | |
Expectations for best practice in service development | Existence | 288 | 96.0 |  | 345 | 89.1 |  | 0.001 | * | 276 | 94.8 | 69 | 71.9 | < 0.001 | * | ||
Sources of best practice | Websites of national and local governments | 267 | 88.1 |  | 303 | 75.9 |  | < 0.001 | * | 240 | 79.5 | 63 | 64.9 | 0.004 | * | ||
 |  | Trainers and lecturers | 202 | 66.7 |  | 213 | 53.4 |  | < 0.001 | * | 167 | 55.3 | 46 | 47.4 | 0.176 |  | |
 |  | Professional publications | 191 | 63.0 |  | 205 | 51.4 |  | < 0.001 | * | 160 | 53.0 | 45 | 46.4 | 0.259 |  | |
 |  | Other websites | 160 | 52.8 |  | 218 | 54.6 |  | 0.630 |  | 173 | 57.3 | 45 | 46.4 | 0.061 |  | |
 |  | Inquiry to local governments nearby | 122 | 40.3 |  | 122 | 30.6 |  | 0.008 | * | 101 | 33.4 | 21 | 21.6 | 0.028 | * | |
 |  | Supervisors | 66 | 21.8 |  | 100 | 25.1 |  | 0.311 |  | 87 | 28.8 | 13 | 13.4 | 0.002 | * | |
 |  | Colleagues | 68 | 17.0 |  | 55 | 18.2 |  | 0.702 |  | 55 | 18.2 | 13 | 13.4 | 0.273 |  | |
 |  | Japan Medical Abstracts and other article search tools | 42 | 13.9 |  | 36 | 9.0 |  | 0.043 | * | 28 | 9.3 | 8 | 8.2 | 0.759 |  | |
 |  | Inquiries to universities | 17 | 5.6 |  | 8 | 2.0 |  | 0.011 | * | 6 | 2.0 | 2 | 2.1 | 1.000 | a) | |
 |  | Other | 20 | 6.6 |  | 4 | 1.0 |  | < 0.001 | * | 1 | 0.3 | 3 | 3.1 | 0.046 | *a) | |
Workplace environment | Opportunities for learning about BPT | Existence | 154 | 50.8 |  | 93 | 23.3 |  | < 0.001 | * | 79 | 26.2 | 14 | 14.4 | 0.017 | * | |
Desire to learn about BPT |  | Existence | 270 | 89.1 |  | 333 | 83.5 |  | 0.033 | * | 271 | 89.7 | 62 | 63.9 | < 0.001 | * | |
Organizational culture that promotes BPT | Existence | 226 | 74.6 |  | 138 | 34.6 |  | < 0.001 | * | 122 | 40.4 | 16 | 16.5 | < 0.001 | * | ||
Facilitating factors | Knowledge of BPT |  | Consulted websites and relevant materials | 183 | 60.4 |  | 109 | 27.3 |  | < 0.001 | *b) | 87 | 28.8 | 22 | 22.7 | 0.101 |  |
 |  | Only heard of it | 86 | 28.4 |  | 149 | 37.3 |  | 117 | 38.7 | 32 | 33.0 |  | ||||
Awareness of the importance of BPT | Existence | 295 | 97.4 |  | 376 | 94.2 |  | 0.046 | * | 298 | 98.7 | 78 | 80.4 | < 0.001 | * | ||
Enhancement factors | Recognition of benefit of BPT for local residents |  | Existence | 279 | 92.7 |  | 356 | 93.4 |  | 0.702 |  | 292 | 96.7 | 78 | 80.4 | < 0.001 | * |
Expectations for reduced burden by adopting best practice |  | Existence | 280 | 92.4 |  | 337 | 84.5 |  | 0.001 | * | 277 | 91.7 | 60 | 61.9 | < 0.001 | * | |
Support and systems required to promote BPT | Â | Expert support | 215 | 71.0 | Â | 277 | 69.4 | Â | 0.660 | Â | 215 | 71.2 | 62 | 63.9 | 0.176 | Â | |
Supporter | Supervisor’s support | 177 | 58.4 |  | 235 | 58.9 |  | 0.898 |  | 197 | 65.2 | 38 | 39.2 | < 0.001 | * | ||
 |  | Head's support | 112 | 37.0 |  | 136 | 34.1 |  | 0.429 |  | 103 | 34.1 | 33 | 34.0 | 0.988 |  | |
 |  | Case studies available online | 169 | 55.8 |  | 210 | 52.6 |  | 0.408 |  | 172 | 57.0 | 38 | 39.2 | 0.002 | * | |
 | Material | Published case studies | 128 | 42.2 |  | 165 | 41.4 |  | 0.813 |  | 135 | 44.7 | 30 | 30.9 | 0.017 | * | |
 |  | Introduction video | 42 | 13.9 |  | 55 | 13.8 |  | 0.977 |  | 45 | 14.9 | 10 | 10.3 | 0.254 |  | |
 | Budget | Production development budget | 263 | 86.8 |  | 317 | 79.4 |  | 0.011 | * | 246 | 81.5 | 71 | 73.2 | 0.080 |  | |
 | Inspection budget | 112 | 37.0 |  | 122 | 30.6 |  | 0.075 |  | 101 | 33.4 | 21 | 21.6 | 0.028 | * | ||
 |  | Information exchange sessions | 157 | 51.8 |  | 217 | 54.4 |  | 0.499 |  | 176 | 58.3 | 41 | 42.3 | 0.006 | * | |
 | Information | Mailing list for distributing information | 91 | 30.0 |  | 86 | 21.6 |  | 0.010 | * | 70 | 23.2 | 16 | 16.5 | 0.164 |  | |
 |  | Periodical magazine | 78 | 25.7 |  | 88 | 22.1 |  | 0.255 |  | 67 | 22.2 | 21 | 21.6 | 0.912 |  | |
 |  | Skill training | 166 | 54.8 |  | 238 | 59.6 |  | 0.197 |  | 190 | 62.9 | 48 | 49.5 | 0.019 | * | |
 | Training | Methodological guidelines | 165 | 54.5 |  | 207 | 51.9 |  | 0.498 |  | 161 | 53.3 | 46 | 47.4 | 0.313 |  | |
 |  | Review meeting | 103 | 34.0 |  | 134 | 33.6 |  | 0.910 |  | 109 | 36.1 | 25 | 25.8 | 0.061 |  | |
 | Other |  | 10 | 3.3 |  | 6 | 1.5 |  | 0.114 |  | 3 | 1.0 | 3 | 3.1 | 0.157 | a) | |
Realization factors | Awareness of the need for criteria to evaluate the quality of practice | Existence | 197 | 65.0 |  | 259 | 64.9 |  | 0.977 |  | 217 | 71.9 | 42 | 43.3 | < 0.001 | * | |
Criteria to evaluate the quality of practice evaluation | Clarification of outcome evaluation | 256 | 84.5 | Â | 315 | 78.9 | Â | 0.062 | Â | 248 | 82.1 | 67 | 69.1 | 0.006 | * | ||
Clarification of implementation process | 229 | 75.6 | Â | 291 | 72.9 | Â | 0.428 | Â | 232 | 76.8 | 59 | 60.8 | 0.002 | * | |||
 |  | Reaction of local residents | 213 | 70.3 |  | 255 | 63.9 |  | 0.075 |  | 202 | 66.9 | 53 | 54.6 | 0.029 | * | |
 |  | Clarification of structure including budgeting, staffing and collaborating systems | 191 | 63.0 |  | 212 | 53.1 |  | 0.009 | * | 163 | 54.0 | 49 | 50.5 | 0.553 |  | |
 |  | Evaluation by others | 89 | 29.4 |  | 94 | 23.6 |  | 0.082 |  | 74 | 24.5 | 20 | 20.6 | 0.433 |  | |
 |  | Enthusiasm/thoughts of those involved | 32 | 10.6 |  | 36 | 9.0 |  | 0.495 |  | 29 | 9.6 | 7 | 7.2 | 0.475 |  | |
 |  | Other | 8 | 2.6 |  | 7 | 1.8 |  | 0.421 |  | 3 | 1.0 | 4 | 4.1 | 0.063 | a) | |
Awareness of the need for criteria to evaluate the applicability of practice to the local community | Existence | 219 | 72.3 |  | 268 | 67.2 |  | 0.146 |  | 224 | 74.2 | 44 | 45.4 | < 0.001 | * | ||
Criteria to evaluate the applicability of best practice | The needs and demands of local residents | 235 | 77.6 | Â | 302 | 75.7 | Â | 0.563 | Â | 231 | 76.5 | 71 | 73.2 | 0.511 | Â | ||
Suitability/affinity with the local community | 236 | 77.9 | Â | 294 | 73.7 | Â | 0.200 | Â | 225 | 74.5 | 69 | 71.1 | 0.512 | Â | |||
 |  | Procedural convenience | 168 | 55.4 |  | 232 | 58.1 |  | 0.474 |  | 185 | 61.3 | 47 | 48.5 | 0.026 | * | |
 |  | Flexibility to allow improvements | 175 | 57.8 |  | 192 | 48.1 |  | 0.011 | * | 153 | 50.7 | 39 | 40.2 | 0.073 |  | |
 |  | Clarification of success factors and how to meet challenges | 178 | 58.7 |  | 186 | 46.6 |  | 0.001 | * | 146 | 48.3 | 40 | 41.2 | 0.222 |  | |
 |  | Ease of explaining to stakeholders | 112 | 37.0 |  | 151 | 37.8 |  | 0.811 |  | 119 | 39.4 | 32 | 33.0 | 0.257 |  | |
 |  | Enjoyment of the program | 86 | 28.4 |  | 101 | 25.3 |  | 0.362 |  | 79 | 26.2 | 22 | 22.7 | 0.493 |  | |
 |  | Follow-up from the originator | 38 | 12.5 |  | 41 | 10.3 |  | 0.347 |  | 31 | 10.3 | 10 | 10.3 | 0.990 |  | |
 |  | Other | 9 | 3.0 |  | 5 | 1.3 |  | 0.107 |  | 2 | 0.7 | 3 | 3.1 | 0.095 | a) | |
Willingness to perform | Willingness to perform BPT going forward | Existence | 284 | 93.7 |  | 302 | 75.7 |  | < 0.001 | * |  |  |  |  |  |  |