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Progressing evidence-based practice: an effective nursing model?

Debbie Tolson1, Marie McAloon, Rhona Hotchkiss

  • 1School of Nursing, Midwifery and Community Health, Glasgow Caledonian University, Govan Mbeki Building, Cowcaddens Road, Glasgow G4 0BA, Scotland, UK. d.tolson@gcal.ac.uk

Journal of Advanced Nursing
|March 25, 2005
PubMed
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Link nurses in Scotland utilized a virtual college and Community of Practice to advance evidence-based gerontological nursing. Key facilitators included enhanced confidence and professional identity, despite challenges like time constraints and a lack of learning culture.

Area of Science:

  • Gerontological Nursing
  • Evidence-Based Practice
  • Nursing Professional Development

Background:

  • An innovative practice development initiative in Scotland (2001) established a national Community of Practice for experienced nurses.
  • Key components included defining gerontological nursing, developing a nurse-sensitive methodology for care guidance, and creating a virtual college based on situated learning.

Purpose of the Study:

  • To explore how participation in a virtual college and Community of Practice influenced the achievement of evidence-based practice among link nurses.
  • To assess the impact of gerontological nursing descriptions and best practice statements on nursing practice.

Main Methods:

  • Telephone interviews were conducted with a volunteer sample of link nurses two years into the project.
  • Interviews focused on experiences with the virtual college and the influence of specific gerontological nursing initiatives on practice.

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Main Results:

  • Five facilitating components for evidence-based practice attainment were identified, emphasizing confidence-building and clarity in gerontological nursing.
  • Membership in the Community of Practice enhanced professional identity and status.
  • Progress towards evidence-based practice was reported, though challenges included lack of time and doubts about internet-based learning.

Conclusions:

  • E-practice development holds significant potential for nurses facing isolation or dissatisfaction with traditional professional development.
  • The virtual college enriched nursing practice and promoted a culture of change, particularly for isolated or disenchanted nurses.