Tolson D, Booth J, Lowndes A. Achieving evidence-based nursing practice: impact of the Caledonian Development Model.
J Nurs Manag 2009;
16:682-91. [PMID:
18808462 DOI:
10.1111/j.1365-2834.2008.00889.x]
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Abstract
AIM
To determine the impact of the Caledonian Development Model, designed to promote evidence-based practice.
BACKGROUND
The model features practice-development activities, benchmarking, knowledge pooling and translation through membership of a community of practice and a virtual college.
METHODS
Twenty-four nurses, from 18 practice sites formed three communities of practice, each selecting evidence-based guidance to implement. A modified group supervision framework empowered nurses to champion local implementation. Outcomes were determined at 6 months.
RESULTS
Eighty per cent of the patient-related criteria and 35% of the facilities criteria were achieved. The Revised Nursing Work Index indicated these nurses experienced greater autonomy (P = 0.019) and increased organizational support (P = 0.037). Focus groups revealed a deepening organizational support for the initiative over time, illuminated work-based learning challenges and overall enthusiasm for the approach.
CONCLUSION
Implementation of the model effectively promoted evidence-based practice, most notably at the level of the individual patient.
IMPLICATIONS FOR NURSING MANAGEMENT
Time and budgetary constraints necessitate smart, value for money approaches to developing evidence-based practice and improved care standards. This work demonstrates an effective model that strikes a balance between individual and group learning, virtual and real-time activities, coupled with resource pooling across organizations and sectors.
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