Aging, Community and Health Research Group (ACHRU)

McMaster University

Studies & Research

Funded by

leveraged Study 1

Spreading nursing best practice guidelines in community-based settings: Enhancing evidence-based care of older adults


A qualitative Grounded Theory approach was used. Four home care organizations in Ontario that had implemented best practice guidelines related to older adults (i.e., falls prevention, pain management, management of venous leg ulcers) participated in the study. Qualitative interviews were conducted with 8-12 front line providers, managers and directors per site at baseline (n=44) and one year later (n=40). Participants discussed their involvement in the process of spread, perceived facilitators and barriers to spread and outcomes related to spread. Open, axial and selective coding and constant comparison analysis were used to develop a theory of the process of spread.

  • Maureen Markle-Reid
    Professor and Canada Research Chair in Person Centred Interventions for Older Adults with Multimorbidity and their Caregivers
    McMaster University School of Nursing
    Scientific Co-Lead, MIRA Collaborative for Health and Aging (OSSU SPOR Research Centre)
  • Jenny Ploeg
    Professor Emeritus
    McMaster University School of Nursing
    Department of Health, Aging and Society
  • Barbara Davies
  • Kathy Higuchi
  • Heather McConnell
  • Wendy Gifford

Publications and Activities relating to this study:

Celebrate Nursing Week 2016 by video on ACHRU key research principles

Did you know one of the key principles of ACHRU research is an inter-professional nurse-led team based approach to patient care? Drs. Maureen Markle-Reid and Jenny Ploeg and the ACHRU research team invite you to celebrate Nursing Week 2016 by watching our video on ACHRU key research principles.

Read More

New video release: ACHRU Key Principles

ACHRU research key principles include a focus on client-centred care, support for the caregivers in their caregiver role, among others.

Read More

Research Brief: The Process of Spreading Best Practice Guidelines in Home Care Organizations

Little is known about how best practices are spread within home care organizations. Spread can result in healthcare improvements through efficient use of scarce resources. Spread can be defined as “the process through which new working methods developed in one setting are adopted, perhaps with appropriate modifications, in other organizational contexts”.

Read More