Jul 6, All rights are reserved. Annals of Nursing Research and Practice spread of knowledge through research is a two-way street between theory. Understand the differences between evidence-based practice and nursing The ANCC also expects nurses to conduct research projects and that knowledge. Several studies have been published listing sources of practice knowledge .. relationship between physicians and nurses creates a sense of.
An organization that is able to systematically identify, capture, interpret, share, reframe, and recodify new knowledge, and put it to appropriate use, will be better able to assimilate EBPs. Leadership is critical in encouraging organizational members to break out of the convergent thinking and routines that are the norm in large, well-established organizations.
Elements of system readiness include tension for change, EBP-system fit, assessment of implications, support and advocacy for the EBP, dedicated time and resources, and capacity to evaluate the impact of the EBP during and following implementation. If there is tension around specific work or clinical issues and staff perceive that the situation is intolerable, a potential EBP is likely to be assimilated if it can successfully address the issues, and thereby reduce the tension.
If implications of the EBP are fully assessed, anticipated, and planned for, the practice is more likely to be adopted. The review suggests that revision of professional roles changing responsibilities and work of health professionals such as expanding roles of nurses and pharmacists improved processes of care, but it was less clear about the effect on improvement of patient outcomes.
Multidisciplinary teams collaborative practice teams of physicians, nurses, and allied health professionals treating mostly patients with prevalent chronic diseases resulted in improved patient outcomes.
Integrated care services e. Interventions aimed at knowledge management principally via use of technology to support patient care resulted in improved adherence to EBPs and patient outcomes.
The last aspect, quality management, had the fewest reviews available, with the results uncertain. A number of organizational interventions were not included in this review e.
This information is then used in tailoring an intervention for the setting that will promote use of the specified EBP.
Based on a recent systematic review, effectiveness of tailored implementation interventions remains uncertain. Implementing the change will take several weeks to months, depending on the nature of the practice change.
Increasing staff knowledge about a specific EBP and passive dissemination strategies are not likely to work, particularly in complex health care settings.
EBP and nursing research: Avoiding confusion - animesost.info ©
It is important that senior leadership and those leading EBP improvements are aware of change as a process and continue to encourage and teach peers about the change in practice.
The new practice must be continually reinforced and sustained or the practice change will be intermittent and soon fade, allowing more traditional methods of care to return.
First, consider the context and engage health care personnel who are at the point of care in selecting and prioritizing patient safety initiatives, clearly communicating the evidence base strength and type for the patient safety practice topic s and the conditions or setting to which it applies. These communication messages need to be carefully designed and targeted to each stakeholder user group. Second, illustrate, through qualitative or quantitative data e.
Third, didactic education alone is never enough to change practice; one-time education on a specific safety initiative is not enough. Simply improving knowledge does not necessarily improve practice. Rather, organizations must invest in the tools and skills needed to create a culture of evidence-based patient safety practices where questions are encouraged and systems are created to make it easy to do the right thing.
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There is no one way to implement, and what works in one agency may need modification to fit the organizational culture of another context. Finally, it is important to evaluate the processes and outcomes of implementation.
Users and stakeholders need to know that the efforts to improve patient safety have a positive impact on quality of care. For example, if a new barcoding system is being used to administer blood products, it is imperative to know that the steps in the process are being followed process indicators and that the change in practice is resulting in fewer blood product transfusion errors outcome indicators.
Research Implications Translation science is young, and although there is a growing body of knowledge in this area, we have, to date, many unanswered questions.
Evidence-Based Practice and Nursing Research: Avoiding Confusion | HealthLeaders Media
These include the type of audit and feedback e. We also know very little about use of tailored implementation interventions, or the key context attributes to assess and use in developing and testing tailored interventions.
The types of clinical reminders that are most effective for making EBP knowledge available at the point of care require further empirical explanation. We also know very little about the intensity and intervention dose of single and multifaceted strategies that are effective for promoting and sustaining use of EBPs or how the effectiveness differs by type of topic e.
Research is generating new knowledge about a phenomenon or validating existing knowledge, she explains. Although evidence-based practice may have opinion—expert opinion, but opinion still—woven in, research is built in such a way to avoid bias.
You must be able to speak and understand it to truly do it. But there is hope: Every hospital has people who do speak the language of research. Look at who the people are in your facility currently doing research; in smaller facilities, these names will already be well known. In addition, look also at who is sitting on the institutional review board.
Take note of what questions are being asked—what they are looking at when examining proposals. These experts do not have to be nurses; look for help across other disciplines as well. Gaining buy-in Once you have established the difference between evidence-based practice and nursing research, the next trick is obtaining buy-in from the nursing staff for both requirements.
Flaugher points to the benefits of ownership as a way of promoting buy-in for evidence-based practice and nursing research among staff members. If they are part of a major change that is supported by leadership, implemented, and demonstrated to be successful, this can lead to greater buy-in for future improvements.