The Experience of Implementing Evidence-Based Practice Change: A Qualitative Analysis

2013 ◽  
Vol 17 (5) ◽  
pp. 544-549 ◽  
Author(s):  
Margaret M. Irwin ◽  
Rosalie M. Bergman ◽  
Rebecca Richards
Keyword(s):  
Qualitative Analysis ◽  
Evidence Based Practice ◽  
Practice Change ◽  
Evidence Based

Development and Evaluation of a Workshop to Support Evidence-Based Practice Change in Long-Term Care

2015 ◽  
Vol 31 (1) ◽  
pp. 28-34 ◽  
Author(s):  
Kathryn Smith Higuchi ◽  
Nancy Edwards ◽  
Tracy Carr ◽  
Patricia Marck ◽  
Ghadah Abdullah
Keyword(s):  
Long Term Care ◽  
Evidence Based Practice ◽  
Practice Change ◽  
Evidence Based ◽  
Term Care ◽  
Support Evidence

Evaluation of Nurse Engagement in Evidence-Based Practice

2014 ◽  
Vol 25 (1) ◽  
pp. 43-55
Author(s):  
Judy E. Davidson ◽  
Caroline Brown
Keyword(s):  
Evidence Based Practice ◽  
Clinical Problem ◽  
Regulatory Compliance ◽  
Care Patient ◽  
Cost Of Care ◽  
Practice Change ◽  
Evidence Based ◽  
Project Leader ◽  
Practice Improvement ◽  
Clinical Problem Solving

The purpose of this project was to explore nurses’ willingness to question and change practice. Nurses were invited to report practice improvement opportunities, and participants were supported through the process of a practice change. The project leader engaged to the extent desired by the participant. Meetings proceeded until the participant no longer wished to continue, progress was blocked, or practice was changed. Evaluation of the evidence-based practice change process occurred. Fifteen nurses reported 23 practice improvement opportunities. The majority (12 of 15) preferred to have the project leader review the evidence. Fourteen projects changed practice; 4 were presented at conferences. Multiple barriers were identified throughout the process and included loss of momentum, the proposed change involved other disciplines, and low level or controversial evidence. Practice issues were linked to quality metrics, cost of care, patient satisfaction, regulatory compliance, and patient safety. Active engagement by nurse leaders was needed for a practice change to occur. Participants identified important problems previously unknown to hospital administrators. The majority of nurses preferred involvement in practice change based on clinical problem solving when supported by others to provide literature review and manage the process through committees. Recommendations include supporting a culture that encourages employees to report practice improvement opportunities and provide resources to assist in navigating the identified practice change.

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