Evidence-Based Practice, Step by Step: Evaluating and Disseminating the Impact of an Evidence-Based Intervention: Show and Tell

2011 ◽  
Vol 111 (7) ◽  
pp. 56-59 ◽  
Author(s):  
Ellen Fineout-Overholt ◽  
Lynn Gallagher-Ford ◽  
Bernadette Mazurek Melnyk ◽  
Susan B. Stillwell
2021 ◽  
Vol 7 ◽  
pp. 237796082110290
Author(s):  
Jing Xu ◽  
Kristen Hicks-Roof ◽  
Chloe E. Bailey ◽  
Hanadi Y. Hamadi

Introduction Delivery of healthcare services makes up a complex system and it requires providers to be competent and to be able to integrate each of the institute of medicine’s (IOM) 5 core competencies into practice. However, healthcare providers are challenged with the task to be able to understand and apply the IOM core competencies into practice. Objective The purpose of the study was to examine the factors that influence health professional’s likelihood of accomplishing the IOM core competencies. Methods A cross-sectional study design was used to administer a validated online survey to health providers. This survey was distributed to physicians, nursing professionals, specialists, and allied healthcare professionals. The final sample included 3,940 participants who completed the survey. Results The study findings show that younger health professionals more consistently practice daily competencies than their older counterparts, especially in the use of evidence-based practice, informatics, and working in interdisciplinary teams. Less experienced health professionals more consistently applied quality improvement methods but less consistently used evidence-based practice compared to their more experienced counterparts. Conclusion There is a need to understand how health professionals’ age and experience impact their engagement with IOM’s core competencies. This study highlights the need for educational resources on the competencies to be tailored to health providers’ age and experience.


Author(s):  
Sara Debus-Sherrill ◽  
Alex Breno ◽  
Faye S. Taxman

Research on staff and organizational factors that affect receptivity, adoption, feasibility, and utilization of innovations in justice settings is limited. This study uses survey data from 349 employees in one probation agency to assess how staff and perceived organizational factors influence attitudes related to evidence-based practices (EBPs) and their self-reported use. Staff characteristics, including education and knowledge about EBPs, and perceptions of the organization, including cynicism about the organization’s ability to change, predicted EBP outcomes. Staff age, tenure at the agency, and caseload size affected perceptions of organizational culture, but did not predict attitudes or use of EBPs. There is weak evidence for a relationship between self-reported use of EBPs with attitudinal support for EBPs, prior EBP training, and knowledge of EBPs. This study contributes to an emerging body of literature about the impact of various individual and organizational factors on support for EBPs with important lessons for implementation.


2020 ◽  
Author(s):  
Michelle Xue Zheng ◽  
Jingxian Yao ◽  
Jayanth Narayanan

We examine whether a daily mindfulness practice can help people cope better with quarantine during the COVID-19 outbreak. We conducted a study in Wuhan, China between February 20th, 2020 and March 2nd, 2020. We randomly assigned participants to either a daily mindfulness practice or a daily mind-wandering practice. Mindfulness reduced daily anxiety. In addition, the sleep duration of participants in the mindfulness condition was less impacted by the increase of infections in the community compared with participants in the control condition. As the COVID-19 pandemic is ongoing and the number of cases reported in the community increase, our findings offer an evidence-based practice that may help people cope with news about an outbreak in the community.


Author(s):  
Sandra Pol-Castañeda ◽  
Miguel Ángel Rodríguez-Calero ◽  
Concepción Zaforteza-Lallemand ◽  
Carlos Javier Villafáfila-Gomila ◽  
Ian Blanco-Mavillard ◽  
...  

Evidence-based practice (EBP) combined with quality of care improves patient outcomes. However, there are still difficulties for its implementation in daily clinical practice. This project aims to evaluate the impact of the incorporation of the Advanced Practice Nurse (APN) role on the implementation of EBP at three levels: context, nurses’ perceptions, and clinical outcomes. Mixed-methods study in two phases is proposed. Phase 1: a quasi-experimental design where five APNs are included in five hospitalization wards that are compared with another five similar wards without APNs. Variables from Practice-Environment-Scale-Nursing-Work-Index, Health-Science-Evidence-Based-Practice-Questionnaire, and Advanced-Practice-Nursing-Competency-Assessment-Instrument are used. Clinical outcomes are followed-up with monthly. A descriptive and exploratory analysis is performed. Phase 2: an exploratory qualitative design through focus groups at the intervention wards after one year of APNs implementation. Explicative data are gathered to explain the progression of change and how actors perceive and attribute triggers, barriers, and facilitators for change. An inductive thematic analysis is performed. The inclusion of APN in hospitalization context is insufficiently studied. It is hoped that these figures provide solutions to the multiple barriers in the development of EBP in these sceneries and contribute to resolve the gap between research results and healthcare practice.


Author(s):  
Margaret West ◽  
Debra Wantz ◽  
Patricia Campbell ◽  
Greta Rosler ◽  
Dawn Troutman ◽  
...  

The public image of nurse professionalism is important. Attributes of a professional nurse, such as caring, attentive, empathetic, efficient, knowledgeable, competent, and approachable, or lack thereof, can contribute positively or negatively to the patient experience. Nurses at a hospital in central northeast Pennsylvania offer their story as they considered the impact of a wide variety of individual uniform and dress choices. This article describes an evidence based practice project and survey created to increase understanding of patient perceptions regarding the professional image of nurses in this facility. Exploring patient perception of nurse image provided insight into what patients view as important. A team approach included the voice of nurses at different levels in the process. Ultimately, this work informed a revision of the health system nursing dress code. The study team also reflects on challenges, next steps in the process, and offers recommendations based on their experiences.


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