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Related Experiment Videos

Implementing evidence-based practice: walking the talk.

Norma E Thurston1, Kathryn M King

  • 1Faculty of Nursing, University of Calgary, Alberta, Canada.

Applied Nursing Research : ANR
|December 2, 2004
PubMed
Summary
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Ten nursing teams found Russworm and Larrabee's evidence-based practice (EBP) model useful for clinical questions. However, teams needed to adapt the model for better decision-making and evidence gathering to improve nursing practices.

Area of Science:

  • Nursing
  • Healthcare Management

Background:

  • Evidence-based practice (EBP) is crucial for advancing healthcare.
  • Implementing EBP models in clinical settings presents unique challenges for nursing teams.
  • The Russworm and Larrabee (1999) six-step model is a framework for EBP.

Purpose of the Study:

  • To evaluate the utility of the Russworm and Larrabee (1999) six-step model in a real-world nursing EBP program.
  • To identify necessary adaptations and additional strategies for successful EBP implementation by nursing teams.

Main Methods:

  • Ten nursing teams participated in a year-long, region-wide EBP program.
  • Teams utilized the six-step model to address practice-derived clinical questions.
  • Qualitative assessment of the model's application and participant feedback.

Related Experiment Videos

Main Results:

  • The model was generally useful for examining clinical questions.
  • Teams identified a need for earlier decision-making on change/no change.
  • Seeking additional evidence, including survey data, and ensuring stakeholder involvement were critical.
  • Six projects showed promise for directing EBP, while four found insufficient evidence for procedural changes.

Conclusions:

  • The Russworm and Larrabee model provides a valuable foundation for EBP in nursing.
  • Adaptations, including earlier decision-making and broader evidence seeking, enhance EBP implementation.
  • Successful EBP requires collaboration, support from management, and adequate empirical evidence.