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Related Experiment Videos

Promoting evidence-based practice: an organizational approach.

Kate Gerrish1, Jane Clayton

  • 1School of Nursing and Midwifery, The University of Sheffield, Sheffield Formerly Research Fellow in Nursing, Sheffield Hallam University, Sheffield, UK. k.a.gerrish@sheffield.ac.uk

Journal of Nursing Management
|March 11, 2004
PubMed
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Nurses prioritize experiential knowledge over research due to time and resource barriers. Promoting evidence-based practice requires organizational support and a culture receptive to change.

Area of Science:

  • Healthcare Management
  • Nursing Practice
  • Evidence-Based Practice

Background:

  • A 5-year initiative to promote evidence-based practice in a large English teaching hospital.
  • A survey of clinical nurses was conducted to assess progress and inform future policy.

Purpose of the Study:

  • To examine factors influencing the achievement of evidence-based practice among nurses.
  • To identify barriers to accessing and implementing evidence-based information.
  • To evaluate nurses' core skills for evidence-based practice.

Main Methods:

  • A survey using self-completed questionnaires distributed to 330 clinical nurses.
  • Assessed knowledge sources, barriers to evidence access and implementation, and self-perceived core skills.
  • Investigated the utilization of various knowledge sources, including experiential and formal research.

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Main Results:

  • Nurses primarily rely on experiential knowledge from colleagues and patients.
  • Organizational policies and audit reports are used more than research reports.
  • Lack of time, resources, and perceived authority hinder the use of formal evidence.
  • Nurses are skilled in accessing research but lack confidence in changing practice.

Conclusions:

  • Healthcare organizations must implement multifaceted strategies to foster evidence-based practice.
  • Managerial support, facilitation, and a change-receptive culture are crucial.
  • Addressing barriers and enhancing confidence in practice change are essential for successful implementation.