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Related Experiment Videos

A model for change to evidence-based practice.

M A Rosswurm1, J H Larrabee

  • 1West Virginia University School of Nursing, Charleston Division, USA. mrosswur@wvu.edu

Image--The Journal of Nursing Scholarship
|January 11, 2000
PubMed
Summary
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This model guides healthcare professionals in adopting evidence-based practice by integrating research, clinical expertise, and contextual data. It addresses challenges in synthesizing evidence for improved patient outcomes and practice innovation.

Area of Science:

  • Nursing
  • Healthcare Management
  • Clinical Practice Improvement

Background:

  • The shift towards evidence-based practice (EBP) is driven by increased clinical research.
  • Practitioners face challenges in synthesizing and integrating evidence into practice.
  • Existing models for research utilization may not fully address these complexities.

Purpose of the Study:

  • To present a systematic model for guiding healthcare professionals in the transition to evidence-based practice.
  • To provide a framework for developing and integrating EBP changes.
  • To support EBP changes using diverse data sources.

Main Methods:

  • The model is grounded in literature concerning EBP, research utilization, standardized language, and change theory.
  • It integrates quantitative and qualitative data, clinical expertise, and contextual evidence.

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  • Development involved literature searches (Medline, CINAHL) and review of systematic reviews, alongside quality improvement information.

    • Main Results:

    • The model offers a structured approach to evidence-based practice implementation.
    • It facilitates the synthesis of empirical and contextual evidence.
    • It supports the integration of EBP changes into clinical workflows.

    Conclusions:

    • Healthcare professionals require enhanced skills and resources for evidence appraisal and synthesis.
    • Improved patient outcomes depend on discipline-specific and interdisciplinary accountability.
    • Collaboration between researchers and practitioners is crucial for disseminating EBP innovations.