Creating an environment to implement and sustain evidence based practice: A developmental process

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Title Creating an environment to implement and sustain evidence based practice: A developmental process
Author Aitken, Leanne Maree; Hackwood, Ben; Crouch, Shannon; Clayton, Samantha; West, Nicky; Carney, Debbie; Jack, Leanne
Journal Name Australian Critical Care
Year Published 2011
Place of publication United States
Publisher Elsevier
Abstract Background Elements of evidence based practice (EBP) are well described in the literature and achievement of EBP is frequently being cited as an organisational goal. Despite this, the practical processes and resources for achieving EBP are often not readily apparent, available or successful. Purpose To describe a multi-dimensional EBP program designed to incorporate evidence into practice to lead to sustainable improvement in patient care and ultimately patient outcome. Implementation strategies A multi-dimensional EBP program incorporating EBP champions and mentors, provision of resources, creation of a culture to foster EBP and use of practical EBP strategies was implemented in a 22-bed intensive care unit (ICU) in a public, tertiary hospital in Brisbane, Australia. The practical EBP strategies included workgroups, journal club and nursing rounds. Achievements The multi-dimensional EBP program has been successfully implemented over the past three years. EBP champions and mentors are now active and two EBP workgroups have investigated specific aspects of practice, with one of these resulting in development of an associated research project. Journal club is a routine component of the education days that all ICU nurses attend. Nursing rounds is now conducted twice a week, with between one and seven short-term issues identified for each patient reviewed in the first 12 months. Conclusions A multi-dimensional program of practice change has been implemented in one setting and is providing a forum for discussion of practice-related issues and improvements. Adaptation of these strategies to multiple different health care settings is possible, with the potential for sustained practice change and improvement.
Peer Reviewed Yes
Published Yes
Alternative URI http://dx.doi.org/10.1016/j.aucc.2011.01.004
Copyright Statement Copyright 2011 ACCCN. Published by Elsevier. This is the author-manuscript version of this paper. Reproduced in accordance with the copyright policy of the publisher. Please refer to the journal website for access to the definitive, published version.
Volume 24
Issue Number 4
Page from 244
Page to 254
ISSN 1036-7314
Date Accessioned 2012-02-24
Date Available 2012-05-27T22:35:16Z
Language en_US
Research Centre Griffith Health Institute; Centre for Health Practice Innovation
Faculty Griffith Health Faculty
Subject Clinical Nursing: Secondary (Acute Care)
URI http://hdl.handle.net/10072/43767
Publication Type Journal Articles (Refereed Article)
Publication Type Code c1

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