Aim(s)To explore first‐line managers' experience of guideline implementation in orthopaedic care during the COVID‐19 pandemic.DesignA descriptive, qualitative study.MethodsSemi‐structured interviews with 30 first‐line nursing and rehabilitation managers in orthopaedic healthcare at university, regional and local hospitals. The interviews were analysed by thematic analysis.ResultsFirst‐line managers described the implementation of guidelines related to the pandemic as different from everyday knowledge translation, with a swifter uptake and time freed from routine meetings in order to support staff in adoption and adherence. The urgent need to address the crisis facilitated guideline implementation, even though there were specific pandemic‐related barriers such as staffing and communication issues. An overarching theme, Hanging on to guidelines for dear life, is substantiated by three themes: Adapting to facilitate change, Anchoring safety through guidelines and Embracing COVID guidelines.ConclusionA health crisis such as the COVID‐19 pandemic can generate enabling elements for guideline implementation in healthcare, despite prevailing or new hindering components. The experience of guideline implementation during the COVID‐19 pandemic can improve understanding of context aspects that can benefit organizations in everyday translation of evidence into practice.Implications for the Profession and/or Patient CareRecognizing what enabled guideline implementation in a health crisis can help first‐line managers to identify local enabling context elements and processes. This can facilitate future guideline implementation.ImpactDuring the COVID‐19 pandemic, the healthcare context and staff's motivation for guideline recognition and adoption changed. Resources and ways to bridge barriers in guideline implementation emerged, although specific challenges arose. Nursing managers can draw on experiences from the COVID‐19 pandemic to support implementation of new evidence‐based practices in the future.Reporting MethodThis study adheres to the EQUATOR guidelines by using Standards for Reporting Qualitative Research (SRQR).No Patient or Public Contribution.

中文翻译：

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COVID-19 大流行期间一线管理人员实施指南的经验

目的 探讨 COVID-19 大流行期间一线管理人员在骨科护理中实施指南的经验。设计一项描述性定性研究。方法对 30 名大学骨科医疗保健一线护理和康复管理人员进行半结构化访谈，地区和地方医院。通过主题分析对访谈进行分析。结果一线管理人员表示，与大流行相关的指南的实施与日常知识翻译不同，其吸收速度更快，并且可以从例行会议中解放出来，以支持员工采用和遵守。尽管存在与大流行相关的具体障碍，例如人员配备和沟通问题，但解决危机的迫切需要促进了指南的实施。一个总体主题，坚持亲爱的生活准则，由三个主题证实：适应以促进变革,通过指南确保安全和遵守新冠疫情指南结论 尽管存在普遍的或新的阻碍因素，但像 COVID-19 大流行这样的健康危机可以为医疗保健指南的实施产生有利因素。 COVID-19 大流行期间指南实施的经验可以提高对背景方面的理解，这可以使组织在日常将证据转化为实践时受益。对专业和/或患者护理的影响认识到在健康危机中推动指南实施的因素可以首先提供帮助直线经理识别本地支持环境元素和流程。这可以促进未来指南的实施。影响在 COVID-19 大流行期间，医疗保健环境和工作人员认可和采用指南的动机发生了变化。尽管出现了具体的挑战，但克服指南实施中障碍的资源和方法已经出现。护理管理者可以借鉴 COVID-19 大流行的经验来支持未来实施新的循证实践。报告方法本研究通过使用报告定性研究标准 (SRQR) 遵守 EQUATOR 指南。无患者或公众贡献。