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McIntosh K, Collins J, Mick J. Promoting a culture of clinical inquiry in nursing. Nursing 2022; 52:31-35. [PMID: 36006749 DOI: 10.1097/01.nurse.0000854000.91255.f6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/15/2023]
Abstract
Evidence-based nursing practice supports the provision of high-quality patient care. This article shares how a contest at a community hospital promoted a culture of clinical inquiry and engaged nurses in evidence-based practice.
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Affiliation(s)
- Kimberly McIntosh
- Kim McIntosh is a manager of clinical projects at Memorial Hermann The Woodlands Medical Center, The Woodlands, Tex. Jody Collins is a system director of clinical education and JoAnn Mick is a nurse scientist in the Memorial Hermann Health System
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Shafaghat T, Imani Nasab MH, Bahrami MA, Kavosi Z, Roozrokh Arshadi Montazer M, Rahimi Zarchi MK, Bastani P. A mapping of facilitators and barriers to evidence-based management in health systems: a scoping review study. Syst Rev 2021; 10:42. [PMID: 33516269 PMCID: PMC7847165 DOI: 10.1186/s13643-021-01595-8] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/29/2020] [Accepted: 01/20/2021] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Healthcare settings are complex, and the decision-making process is usually complicated, too. Precise use of best evidence from different sources for increasing the desired outcomes is the result of EBM. Therefore, this study aimed to map the potential facilitators and barriers to EBM in health systems to help the healthcare managers to better implement EBM in their organizations. METHODS The present study was a scoping review (SR) conducted in 2020 based on the integration of the frameworks presented by Arksey and O'Malley (2005) and Levac et al. (2010) considering the Joanna Briggs Institute guideline (2015). These frameworks consist of 6 steps. After finalizing the search strategy, 7 databases were searched, and the PRISMA-ScR was used to manage the retrieval and inclusion of the evidence. Microsoft Excel 2013 was used to extract the data, and the graphic description was presented. The summative analysis approach was used applying MAXQDA10. RESULTS According to the systematic search, 4815 studies were retrieved after eliminating duplicates and unrelated articles, 49 articles remained to extract EBM facilitators and barriers. Six main aspects attitude toward EBM, external factors, contextual factors, resources, policies and procedures, and research capacity and data availability were summarized as EBM facilitators. The barriers to EBM were similarly summarized as attitude toward EBM, external factors, contextual factors, policies and procedures, limited resources, and research capacity and data availability. The streamgraphs describe that the international attention to the sub-aspects of facilitators and barriers of EBM has been increased since 2011. CONCLUSIONS The importance of decision-making regarding complex health systems, especially in terms of resource constraints and uncertainty conditions, requires EBM in the health system as much as possible. Identifying the factors that facilitate the use of evidence, as well as its barriers to management and decision-making in the organization, can play an important role in making systematic and reliable decisions that can be defended by the officials and ultimately lead to greater savings in organization resources and prevent them from being wasted.
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Affiliation(s)
- Tahereh Shafaghat
- Student Research Committee, School of Management and Medical Informatics, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Mohammad Hasan Imani Nasab
- Social Determinants of Health Research Center, Lorestan University of Medical Sciences, Khorramabad, Iran
| | - Mohammad Amin Bahrami
- Health Human Resources Research Center, School of Management and Medical Informatics, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Zahra Kavosi
- Health Human Resources Research Center, School of Management and Medical Informatics, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Mahsa Roozrokh Arshadi Montazer
- Student Research Committee, School of Management and Medical Informatics, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Mohammad Kazem Rahimi Zarchi
- Health Policy and Management Research Center, Department of Health Care Management, School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
| | - Peivand Bastani
- Health Human Resources Research Center, School of Management and Medical Informatics, Shiraz University of Medical Sciences, Shiraz, Iran.
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Royer HR, Crary P, Fayram E, Heidrich SM. Five-Year Program Evaluation of an Evidence-Based Practice Scholars Program. J Contin Educ Nurs 2018; 49:547-554. [DOI: 10.3928/00220124-20181116-05] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/03/2018] [Accepted: 08/17/2018] [Indexed: 11/20/2022]
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Carreño Moreno SP, Mayorga Alvarez JH. Pensamiento estadístico: herramienta para el desarrollo de la enfermería como ciencia. AVANCES EN ENFERMERÍA 2017. [DOI: 10.15446/av.enferm.v35n3.62684] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022] Open
Abstract
Objetivo: Integrar los hallazgos de la bibliografía científica que informen sobre la importancia del pensamiento estadístico para el desarrollo de la enfermería como ciencia.Síntesis del contenido: Revisión integradora de publicaciones realizadas en revistas indexadas entre los años 1998 y 2017 en las bases de datos lilacs, sage Journals, Wiley Online Library, Scopus, bireme, Scielo, ScienceDirect, PubMed, cuiden® y ProQuest. Se incluyeron 22 publicaciones cuyos hallazgos fueron extraídos, clasificados y reducidos con el uso de códigos descriptores, códigos nominales y temas emergentes. A partir de las búsquedas surgieron seis temas: Enseñanza para el pensamiento estadístico;Pensamiento estadístico para la toma de decisiones en la práctica; Barreras para el desarrollo del pensamiento estadístico; Competencias necesarias para el pensamiento estadístico; La estadística en la generación de conocimiento para la ciencia; y Desafíos para el desarrollo del pensamiento estadístico.Conclusión: En el desarrollo actual de la enfermería como ciencia, el pensamiento estadístico ha sido una herramienta usada principalmente en el campo de la investigación y en la formación de investigadores. Se ha reportado la presencia de obstáculos para el desarrollo del pensamiento estadístico en los profesionales de la práctica, lo que evidencia la necesidad de conectar la estadística con la práctica de enfermería, para lo cual es indispensable elaborar textos y asignaturas de estadística aplicados al contexto de la disciplina y la práctica.Descriptores: Bioestadística; Estadística como Asunto; Estadística; Ciencia;Enfermería (fuente: decs, bireme).
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Gorczynski P, Burnell K, Dewey A, Costello JT. Teaching evidence-based synthesis: an examination of the development and delivery of two innovative methodologies used at the University of Portsmouth. J Evid Based Med 2017; 10:11-15. [PMID: 28276632 DOI: 10.1111/jebm.12241] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/08/2016] [Accepted: 12/15/2016] [Indexed: 01/11/2023]
Abstract
Evidence based practice (EBP) is a process that involves making conscientious decisions that take into account the best available information, clinical expertise, and values and experiences of the patient. EBP helps empower health care professionals to establish service provisions that are clinically excellent, cost-effective, and culturally sensitive to the wishes of their patients. With a need for rapid integration of new evidence into EBP, systematic reviews and meta-analyses have become important tools for health care professionals. Systematic reviews and meta-analyses are conducted in a conscientious manner, following an established set of rules where individuals identify studies that address a particular question based on clearly defined inclusion and exclusion criteria along with a predetermined method of analysis. Conducting systematic reviews and meta-analyses isn't easy nor quick and requires knowledge in a particular subject area, research methods, and statistics. Teaching health care professionals, including undergraduate and graduate students, the processes and skills necessary to carry out systematic reviews and meta-analyses is essential, yet few teaching resources exist for academic staff to facilitate this endeavor. The purpose of this article is to present two strategies taken by academic staff in the Faculty of Science at the University of Portsmouth, UK to teach evidence synthesis and processes to enhance EBP. One case involves a pedagogical approach used with exercise science masters students while the other details the work of an on-line postgraduate certificate program that has been developed in collaboration with Cochrane UK.
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Affiliation(s)
- Paul Gorczynski
- Department of Sport and Exercise Science, University of Portsmouth, Portsmouth, UK
| | - Karen Burnell
- School of Health Sciences & Social Work, University of Portsmouth, Portsmouth, UK
| | - Ann Dewey
- School of Health Sciences & Social Work, University of Portsmouth, Portsmouth, UK
| | - Joseph T Costello
- Department of Sport and Exercise Science, University of Portsmouth, Portsmouth, UK
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Davison CM, Ndumbe-Eyoh S, Clement C. Critical examination of knowledge to action models and implications for promoting health equity. Int J Equity Health 2015; 14:49. [PMID: 26022369 PMCID: PMC4460698 DOI: 10.1186/s12939-015-0178-7] [Citation(s) in RCA: 40] [Impact Index Per Article: 4.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/26/2014] [Accepted: 05/22/2015] [Indexed: 11/09/2022] Open
Abstract
Introduction Knowledge and effective interventions exist to address many current global health inequities. However, there is limited awareness, uptake, and use of knowledge to inform action to improve the health of disadvantaged populations. The gap between knowledge and action to improve health equity is of concern to health researchers and practitioners. This study identifies and critically examines the usefulness of existing knowledge to action models or frameworks for promoting health equity. Methods We conducted a scoping review of existing literature to identify knowledge to action (KTA) models or frameworks and critiqued the models using a health equity support rubric. Results We identified forty-eight knowledge to action models or frameworks. Six models scored between eight and ten of a maximum 12 points on the health equity support rubric. These high scoring models or frameworks all mentioned equity-related concepts. Attention to multisectoral approaches was the factor most often lacking in the low scoring models. The concepts of knowledge brokering, integrative processes, such as those in some indigenous health research, and Ecohealth applied to KTA all emerged as promising areas. Conclusions Existing knowledge to action models or frameworks can help guide knowledge translation to support action on the social determinants of health and health equity. There is a need to further test existing models or frameworks. This process should be informed by participatory and integrative research. There is room to develop more robust equity supporting models. Electronic supplementary material The online version of this article (doi:10.1186/s12939-015-0178-7) contains supplementary material, which is available to authorized users.
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Affiliation(s)
- Colleen M Davison
- Department Public Health Sciences, Queen's University, 63 Fifth Field Company Lane, Kingston, ON, K7L 3N6, Canada.
| | - Sume Ndumbe-Eyoh
- National Collaborating Centre for Determinants of Health, St Francis Xavier University, P.O. Box 5000, Antigonish, NS, B2G 2WG, Canada.
| | - Connie Clement
- National Collaborating Centre for Determinants of Health, St Francis Xavier University, P.O. Box 5000, Antigonish, NS, B2G 2WG, Canada.
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Moullin JC, Sabater-Hernández D, Fernandez-Llimos F, Benrimoj SI. A systematic review of implementation frameworks of innovations in healthcare and resulting generic implementation framework. Health Res Policy Syst 2015; 13:16. [PMID: 25885055 PMCID: PMC4364490 DOI: 10.1186/s12961-015-0005-z] [Citation(s) in RCA: 197] [Impact Index Per Article: 21.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/23/2014] [Accepted: 02/19/2015] [Indexed: 12/29/2022] Open
Abstract
BACKGROUND Implementation science and knowledge translation have developed across multiple disciplines with the common aim of bringing innovations to practice. Numerous implementation frameworks, models, and theories have been developed to target a diverse array of innovations. As such, it is plausible that not all frameworks include the full range of concepts now thought to be involved in implementation. Users face the decision of selecting a single or combining multiple implementation frameworks. To aid this decision, the aim of this review was to assess the comprehensiveness of existing frameworks. METHODS A systematic search was undertaken in PubMed to identify implementation frameworks of innovations in healthcare published from 2004 to May 2013. Additionally, titles and abstracts from Implementation Science journal and references from identified papers were reviewed. The orientation, type, and presence of stages and domains, along with the degree of inclusion and depth of analysis of factors, strategies, and evaluations of implementation of included frameworks were analysed. RESULTS Frameworks were assessed individually and grouped according to their targeted innovation. Frameworks for particular innovations had similar settings, end-users, and 'type' (descriptive, prescriptive, explanatory, or predictive). On the whole, frameworks were descriptive and explanatory more often than prescriptive and predictive. A small number of the reviewed frameworks covered an implementation concept(s) in detail, however, overall, there was limited degree and depth of analysis of implementation concepts. The core implementation concepts across the frameworks were collated to form a Generic Implementation Framework, which includes the process of implementation (often portrayed as a series of stages and/or steps), the innovation to be implemented, the context in which the implementation is to occur (divided into a range of domains), and influencing factors, strategies, and evaluations. CONCLUSIONS The selection of implementation framework(s) should be based not solely on the healthcare innovation to be implemented, but include other aspects of the framework's orientation, e.g., the setting and end-user, as well as the degree of inclusion and depth of analysis of the implementation concepts. The resulting generic structure provides researchers, policy-makers, health administrators, and practitioners a base that can be used as guidance for their implementation efforts.
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Affiliation(s)
- Joanna C Moullin
- Graduate School of Health, Pharmacy, University of Technology Sydney, Broadway, PO Box 123, Ultimo, 2007, NSW, Australia.
| | - Daniel Sabater-Hernández
- Graduate School of Health, Pharmacy, University of Technology Sydney, Broadway, PO Box 123, Ultimo, 2007, NSW, Australia. .,Academic Centre in Pharmaceutical Care, Pharmaceutical Care Research Group, Faculty of Pharmacy, University of Granada, 18071, Granada, Spain.
| | - Fernando Fernandez-Llimos
- Institute for Medicines Research (iMed.UL), Department of Social Pharmacy, Faculty of Pharmacy, University of Lisbon, Avda. Prof. Gama Pinto, 1649-019, Lisbon, Portugal.
| | - Shalom I Benrimoj
- Graduate School of Health, Pharmacy, University of Technology Sydney, Broadway, PO Box 123, Ultimo, 2007, NSW, Australia.
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Williams B, Perillo S, Brown T. What are the factors of organisational culture in health care settings that act as barriers to the implementation of evidence-based practice? A scoping review. NURSE EDUCATION TODAY 2015; 35:e34-e41. [PMID: 25482849 DOI: 10.1016/j.nedt.2014.11.012] [Citation(s) in RCA: 108] [Impact Index Per Article: 12.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/17/2014] [Revised: 10/31/2014] [Accepted: 11/12/2014] [Indexed: 06/04/2023]
Abstract
BACKGROUND The responsibility to implement evidence-based practice (EBP) in a health care workplace does not fall solely on the individual health care professional. Organisational barriers relate to the workplace setting, administrational support, infrastructure, and facilities available for the retrieval, critique, summation, utilisation, and integration of research findings in health care practices and settings. OBJECTIVE Using a scoping review approach, the organisational barriers to the implementation of EBP in health care settings were sought. METHOD This scoping review used the first five of the six stage methodology developed by Levac et al. (2010). The five stages used are: 1) Identify the research question; 2) identify relevant studies; 3) study selection; 4) charting the data; and 5) collating, summarising and reporting the results. The following databases were searched from January 2004 until February 2014: Medline, EMBASE, EBM Reviews, Google Scholar, The Cochrane Library and CINAHL. RESULTS Of the 49 articles included in this study, there were 29 cross-sectional surveys, six descriptions of specific interventions, seven literature reviews, four narrative reviews, nine qualitative studies, one ethnographic study and one systematic review. The articles were analysed and five broad organisational barriers were identified. CONCLUSIONS This scoping review sought to map the breadth of information available on the organisational barriers to the use of EBP in health care settings. Even for a health care professional who is motivated and competent in the use of EBP; all of these barriers will impact on their ability to increase and maintain their use of EBP in the workplace.
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Affiliation(s)
- Brett Williams
- Department of Community Emergency Health and Paramedic Practice, Monash University, Victoria, Australia.
| | - Samuel Perillo
- Department of Community Emergency Health and Paramedic Practice, Monash University, Victoria, Australia
| | - Ted Brown
- Department of Occupational Therapy, Monash University, Victoria, Australia
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Evidence-Based Practice for Pain Identification in Cognitively Impaired Nursing Home Residents. Nurs Clin North Am 2014; 49:345-56. [DOI: 10.1016/j.cnur.2014.05.008] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
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Park JW, Ahn JA, Park MM. Factors influencing evidence-based nursing utilization intention in Korean practice nurses. Int J Nurs Pract 2014; 21:868-75. [DOI: 10.1111/ijn.12296] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Affiliation(s)
- Jee-Won Park
- College of Nursing; Ajou University; Suwon Korea
| | - Jeong-Ah Ahn
- College of Nursing; Ajou University; Suwon Korea
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Abstract
The terms "model of health care," "service model." and "nursing model of practice" are often used interchangeably in practice, policy, and research, despite differences in definitions. This article considers these terms in the context of consumer-centred recovery and its implementation into a publicly-funded health service organization in Australia. Findings of a case study analysis are used to inform the discussion, which considers the diverse models of health care employed by health professionals; together with the implications for organizations worldwide that are responsible for operationalizing recovery approaches to health care. As part of the discussion, it is suggested that the advent of recovery-oriented services, rather than recovery models of health care, presents challenges for the evaluation of the outcomes of these services. At the same time, this situation provides opportunities for mental health nurses to lead the way, by developing rigorous models of practice that support consumers who have acute, chronic, or severe mental illness on their recovery journey; and generate positive, measureable outcomes.
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Affiliation(s)
- Catherine Hungerford
- University of Canberra, Disciplines of Nursing and Midwifery, Faculty of Health , Canberra , Australia
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Bryar R, Anto-Awuakye S, Christie J, Davis C, Plumb K. Using the delphi approach to identify priority areas for health visiting practice in an area of deprivation. Nurs Res Pract 2013; 2013:780315. [PMID: 24151552 PMCID: PMC3782824 DOI: 10.1155/2013/780315] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/29/2013] [Accepted: 07/15/2013] [Indexed: 11/23/2022] Open
Abstract
Families with children living in areas of high deprivation face multiple health and social challenges, and this high level of need has impacts on the work of health practitioners working in such areas. All families in the UK with children under five years have access to health visiting services, and health visitors have a key role in mitigating the effects of deprivation by addressing health needs through evidence based practice. This paper reports the first stage of a project in Tower Hamlets, London, an area of significant deprivation, which aims to develop an evidence-based toolkit to support health visitors in their practice with families. The first stage used a modified Delphi process to identify the priority health needs of families in the area between June and July 2012. The three-stage Delphi process involved 25 people: four health visitors, four other members of the health visiting service, and 17 representatives of other services working with families. A focus group event was followed by a second event where individuals completed a questionnaire ranking the 27 priorities identified in the first event. The consultation process concluded with participants completing a second questionnaire, by email, confirming or changing their prioritisation of the topics.
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Affiliation(s)
- Rosamund Bryar
- School of Health Sciences, City University London, Northampton Square, London EC1V 0HB, UK
| | - Sandra Anto-Awuakye
- School of Health Sciences, City University London, Northampton Square, London EC1V 0HB, UK
| | - Janice Christie
- School of Health Sciences, City University London, Northampton Square, London EC1V 0HB, UK
| | - Claire Davis
- Community Health Services, Barts Health NHS Trust, 9 Prescot Street, London E1 8BR, UK
| | - Karen Plumb
- Community Health Services, Barts Health NHS Trust, 9 Prescot Street, London E1 8BR, UK
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Balakas K, Sparks L, Steurer L, Bryant T. An outcome of evidence-based practice education: sustained clinical decision-making among bedside nurses. J Pediatr Nurs 2013; 28:479-85. [PMID: 22999987 DOI: 10.1016/j.pedn.2012.08.007] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/21/2012] [Revised: 08/02/2012] [Accepted: 08/19/2012] [Indexed: 11/27/2022]
Abstract
This research described factors related to incorporating evidence-based practice for clinical decision-making by staff nurses who completed an evidence-based practice (EBP) scholars program. A phenomenological approach was used with focus groups to collect data. A semi-structured questionnaire and field notes comprised study instruments. Audio tapes were transcribed and semantic content analysis was used to code data. Programs to teach bedside nurses how to incorporate EBP into care delivery not only result in better outcomes for patients but also greatly contribute to the sustained enculturation of EBP as a foundation for nursing practice.
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Science and practice aligned within nursing: structure and process for evidence-based practice. J Nurs Adm 2013; 43:229-34. [PMID: 23528689 DOI: 10.1097/nna.0b013e3182895a5b] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
Science and Practice Aligned Within Nursing (SPAWN) is an innovative method developed to guide the implementation of evidence-based practice (EBP) by oncology nurses in direct patient care settings. Science and Practice Aligned Within Nursing actualizes and addresses the important and essential practice component of EBP in oncology nursing. This article describes the development of SPAWN infrastructure, phases of the process, implementation, outcome evaluation, key insights, and lessons learned.
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Sortedahl C. Effect of Online Journal Club on Evidence-Based Practice Knowledge, Intent, and Utilization in School Nurses. Worldviews Evid Based Nurs 2012; 9:117-25. [DOI: 10.1111/j.1741-6787.2012.00249.x] [Citation(s) in RCA: 25] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Christie J, Hamill C, Power J. How can we maximize nursing students’ learning about research evidence and utilization in undergraduate, preregistration programmes? A discussion paper. J Adv Nurs 2012; 68:2789-801. [DOI: 10.1111/j.1365-2648.2012.05994.x] [Citation(s) in RCA: 29] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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Bridging the theory-practice gap: a practice-relevant research course for RN to BSN students. Nurse Educ 2011; 36:219-23. [PMID: 21857344 DOI: 10.1097/nne.0b013e3182297c78] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
Wanting to create passion for research and evidence-based practice (EBP), the authors describe how a nursing instructor and the director for research and EBP in a community hospital partnered together to teach a practice-relevant research course for RN to BSN students. Students participated in the steps of the EBP process and presented formal reports in class of their EBP project results. One student described her research experience as awesome-evidence that this course bridged the theory-practice gap.
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The Effect of a Journal Club on Perceived Barriers to the Utilization of Nursing Research in a Practice Setting. ACTA ACUST UNITED AC 2011; 27:160-4; quiz E18-9. [DOI: 10.1097/nnd.0b013e31822365f6] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Mitchell SA, Fisher CA, Hastings CE, Silverman LB, Wallen GR. A thematic analysis of theoretical models for translational science in nursing: mapping the field. Nurs Outlook 2011; 58:287-300. [PMID: 21074646 DOI: 10.1016/j.outlook.2010.07.001] [Citation(s) in RCA: 80] [Impact Index Per Article: 6.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/02/2010] [Indexed: 01/28/2023]
Abstract
The quantity and diversity of conceptual models in translational science may complicate rather than advance the use of theory. This paper offers a comparative thematic analysis of the models available to inform knowledge development, transfer, and utilization. Literature searches identified 47 models for knowledge translation. Four thematic areas emerged: (1) evidence-based practice and knowledge transformation processes, (2) strategic change to promote adoption of new knowledge, (3) knowledge exchange and synthesis for application and inquiry, and (4) designing and interpreting dissemination research. This analysis distinguishes the contributions made by leaders and researchers at each phase in the process of discovery, development, and service delivery. It also informs the selection of models to guide activities in knowledge translation. A flexible theoretical stance is essential to simultaneously develop new knowledge and accelerate the translation of that knowledge into practice behaviors and programs of care that support optimal patient outcomes.
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Medves J, Godfrey C, Turner C, Paterson M, Harrison M, MacKenzie L, Durando P. Systematic review of practice guideline dissemination and implementation strategies for healthcare teams and team-based practice. INT J EVID-BASED HEA 2010; 8:79-89. [PMID: 20923511 DOI: 10.1111/j.1744-1609.2010.00166.x] [Citation(s) in RCA: 54] [Impact Index Per Article: 3.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
AIM To synthesis the literature relevant to guideline dissemination and implementation strategies for healthcare teams and team-based practice. METHODS Systematic approach utilising Joanna Briggs Institute methods. Two reviewers screened all articles and where there was disagreement, a third reviewer determined inclusion. RESULTS Initial search revealed 12,083 of which 88 met the inclusion criteria. Ten dissemination and implementation strategies identified with distribution of educational materials the most common. Studies were assessed for patient or practitioner outcomes and changes in practice, knowledge and economic outcomes. A descriptive analysis revealed multiple approaches using teams of healthcare providers were reported to have statistically significant results in knowledge, practice and/or outcomes for 72.7% of the studies. CONCLUSION Team-based care using practice guidelines locally adapted can affect positively patient and provider outcomes.
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Affiliation(s)
- Jennifer Medves
- School of Nursing, Queen's University, Kingston, Ontario, Canada.
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Medves J, Godfrey C, Turner C, Paterson M, Harrison M, MacKenzie L, Durando P. Systematic review of practice guideline dissemination and implementation strategies for healthcare teams and team-based practice. INT J EVID-BASED HEA 2010. [DOI: 10.1111/j.1479-6988.2010.00166.x] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Stetler CB, Ritchie JA, Rycroft-Malone J, Schultz AA, Charns MP. Institutionalizing evidence-based practice: an organizational case study using a model of strategic change. Implement Sci 2009; 4:78. [PMID: 19948064 PMCID: PMC2795741 DOI: 10.1186/1748-5908-4-78] [Citation(s) in RCA: 83] [Impact Index Per Article: 5.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/23/2008] [Accepted: 11/30/2009] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND There is a general expectation within healthcare that organizations should use evidence-based practice (EBP) as an approach to improving the quality of care. However, challenges exist regarding how to make EBP a reality, particularly at an organizational level and as a routine, sustained aspect of professional practice. METHODS A mixed method explanatory case study was conducted to study context; i.e., in terms of the presence or absence of multiple, inter-related contextual elements and associated strategic approaches required for integrated, routine use of EBP ('institutionalization'). The Pettigrew et al. Content, Context, and Process model was used as the theoretical framework. Two sites in the US were purposively sampled to provide contrasting cases: i.e., a 'role model' site, widely recognized as demonstrating capacity to successfully implement and sustain EBP to a greater degree than others; and a 'beginner' site, self-perceived as early in the journey towards institutionalization. RESULTS The two sites were clearly different in terms of their organizational context, level of EBP activity, and degree of institutionalization. For example, the role model site had a pervasive, integrated presence of EBP versus a sporadic, isolated presence in the beginner site. Within the inner context of the role model site, there was also a combination of the Pettigrew and colleagues' receptive elements that, together, appeared to enhance its ability to effectively implement EBP-related change at multiple levels. In contrast, the beginner site, which had been involved for a few years in EBP-related efforts, had primarily non-receptive conditions in several contextual elements and a fairly low overall level of EBP receptivity. The beginner site thus appeared, at the time of data collection, to lack an integrated context to either support or facilitate the institutionalization of EBP. CONCLUSION Our findings provide evidence of some of the key contextual elements that may require attention if institutionalization of EBP is to be realized. They also suggest the need for an integrated set of receptive contextual elements to achieve EBP institutionalization; and they further support the importance of specific interactions among these elements, including ways in which leadership affects other contextual elements positively or negatively.
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Affiliation(s)
- Cheryl B Stetler
- Health Services Department, Boston University School of Public Health, Independent Consultant, 321 Middle St, Amherst, MA 01002, USA.
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Cleary M, Hunt G, Walter G. A comparison of patient and staff satisfaction with services after relocating to a new purpose-built mental health facility. Australas Psychiatry 2009; 17:212-7. [PMID: 19253073 DOI: 10.1080/10398560802691693] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Abstract
OBJECTIVE This study measured patient satisfaction levels and staff views regarding their expectations and workplace and other opinions after relocation to a new purpose-built mental health facility within the grounds of a general repatriation hospital. METHOD Patients were interviewed face-to-face using a standardized satisfaction survey at least 2 months after the move to the new facility. In addition, surveys were sent by mail to all clinical staff rostered to work the same period that the patient interviews were conducted. RESULTS One hundred patients were interviewed and 123 staff returned the survey (56% response rate). Patients and staff rated the new ward environment and food services most highly and were least satisfied with patient information and medical services. Less satisfaction was expressed about resource issues such as information technology and dedicated staff facilities. Most staff (70-80%) rated services provided to patients to be the same or better than their original expectations. CONCLUSIONS The results indicate that the hospital move did not have any measurable negative impact on overall service provision or patient satisfaction. In fact, expectations were met or improved for several clinically relevant areas after relocating the mental health facility. Another survey is planned in 12 months to assess if patient and staff ratings change.
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Affiliation(s)
- Michelle Cleary
- Faculty of Nursing and Midwifery, University of Sydney, Sydney South West Area Mental Health Service, Concord Hospital, Sydney, NSW, Australia.
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Medves J, Godfrey C, Turner C, Paterson M, Harrison M, MacKenzie L, Durando P. Practice Guideline Dissemination and Implementation Strategies for Healthcare Teams and Team-Based Practice: a systematic review. JBI LIBRARY OF SYSTEMATIC REVIEWS 2009; 7:450-491. [PMID: 27819946 DOI: 10.11124/01938924-200907120-00001] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/31/2022]
Abstract
OBJECTIVES The objective of this systematic review is to describe and identify the effectiveness of different practice guideline implementation strategies on team-based practice and/or patient outcomes. METHODS A systematic review was conducted, using a comprehensive, reproducible search strategy that revealed 88 studies that met the inclusion criteria. RESULTS A descriptive analysis revealed multiple approaches using teams of health care providers with 72.7% of the studies reporting statistically significant results in knowledge, practice and/or outcomes. Of 10 dissemination strategies the most effective were reminders, and audit and feedback. The most popular strategy was education meetings. A secondary analysis revealed different populations with chronic or complex disorders where a team approach was effective in practice guideline dissemination and implementation. CONCLUSIONS Many of the studies provided caveats to explain how or why the strategies did or did not demonstrate improvements. Overall, authors described complex health care requiring increasingly complex approaches to ensure evidence based guidelines were utilised in practice, including using multiple dissemination and implementation strategies. The review has provided evidence that a multi-pronged approach to dissemination and implementation of practice guidelines will assist in gaining significant improvements in change in knowledge, practice and patient outcomes.
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Affiliation(s)
- Jennifer Medves
- Queen's Joanna Briggs Collaboration: a Collaborating Centre of the Joanna Briggs Institute, School of Nursing, Queen's University, Kingston, Ontario, Canada
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Oh EG. Research activities and perceptions of barriers to research utilization among critical care nurses in Korea. Intensive Crit Care Nurs 2008; 24:314-22. [PMID: 18243707 DOI: 10.1016/j.iccn.2007.12.001] [Citation(s) in RCA: 41] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/11/2007] [Revised: 12/01/2007] [Accepted: 12/12/2007] [Indexed: 11/26/2022]
Abstract
BACKGROUND Research utilization is vital to promote evidence-based practice in the critical care area, where nursing practice continues to grow in complexity and nurses have greater responsibility and accountability for patient care. However, information about research activities and barriers to research utilization of critical care nurses is limited. AIMS This study aimed to describe research activities, to identify barriers to research utilization for practice and to examine factors related to research barriers among critical care nurses. METHODS Data from 63 critical care nurses were analyzed from a national study examining research utilization of clinical nurses working in university affiliated and educational hospitals in Korea. FINDINGS Research activities were relatively low. A lack of guidance for clinical implication and insufficient time to implement new ideas in the clinical area were identified as the highest-ranking barriers to use of research in this group. Perceptions of barriers to research utilization were significantly higher in those staff nurses with lesser clinical experience. The critical care nurses in this study shared a strong sense of valuing the contribution of research, but also shared perceptions on barriers for administrative aspects. Organizational support is crucial for critical care nurses to achieve evidence-based practice.
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Affiliation(s)
- Eui Geum Oh
- College of Nursing, Nursing Policy Research Institute, Yonsei University, 134 Shinchon-Dong, Seodaemun-Gu, Seoul 120-752, Republic of Korea.
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DePalma JA. Evidence Needed to Support Home Care in the Future. HOME HEALTH CARE MANAGEMENT AND PRACTICE 2008. [DOI: 10.1177/1084822307308257] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
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Medves J, Godfrey C. Clinical Practice Guideline Dissemination and Implementation Strategies for Healthcare Teams and Team-Based Practice: a systematic review. JBI LIBRARY OF SYSTEMATIC REVIEWS 2008; 6:1-13. [PMID: 27819928 DOI: 10.11124/01938924-200806041-00002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Affiliation(s)
- Jennifer Medves
- 1QJBC Deputy Director. Contact: Telephone: (613) 533-6000 ext. 74740 Facsimile: (613) 533-6331 2QJBC Review Coordinator. Contact: Telephone: (613) 533-6000 ext. 78688 Facsimile: (613) 533-6331
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