Organisational infrastructures to promote evidence based nursing practice

Area of Science:

• Healthcare Management
• Nursing Research
• Evidence-Based Practice

Background:

• Organizational infrastructures are crucial for implementing high-quality research evidence in nursing interventions.
• The effectiveness of these infrastructures in promoting evidence-based nursing practice requires systematic investigation.

Purpose of the Study:

• To systematically review and summarize rigorous evaluations of organizational infrastructure developments.
• To assess the extent to which organizational infrastructures promote the implementation of effective nursing interventions.

Main Methods:

• Comprehensive literature search across multiple databases (Cochrane Library, MEDLINE, EMBASE, CINAHL, etc.) up to August 2002.
• Inclusion of randomized controlled trials, controlled clinical trials, and interrupted time series studies.
• Independent screening and data collection by two reviewers.

Main Results:

• No studies met the criteria for sufficient rigor to be included in the systematic review.
• Seven case study evaluations were identified but excluded due to poor design and lack of controls.

Conclusions:

• There are no clear implications for practice due to the lack of rigorous evaluations.
• Conceptual models and interventions exist, but none have been properly evaluated.
• Future research should focus on well-planned evaluations using appropriate designs like interrupted time series and assessing costs and patient outcomes.