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Strategies for advancing evidence-based practice in clinical settings
Ellen Fineout-Overholt1, Rona F Levin, Bernadette Mazurek Melnyk
1Center for the Advancement of Evidence-based Practice at Arizona State University College of Nursing, Tempe, Ariz, USA.
The Journal of the New York State Nurses' Association
|May 12, 2005
Summary
Implementing evidence-based practice (EBP) requires dedicated champions, redefined nursing roles, and organizational support. Successful EBP integration in acute care relies on fostering a supportive culture and allocating resources for research and clinical practice.
Area of Science:
- Nursing
- Healthcare Management
- Clinical Practice
Background:
- Evidence-based practice (EBP) integrates scientific evidence, clinical expertise, and patient values.
- The ARCC (Advancing Research and Clinical practice through close Collaboration) model was developed to facilitate EBP implementation.
- Successful EBP adoption is crucial for improving patient outcomes and healthcare quality.
Purpose of the Study:
- To evaluate the effectiveness of the ARCC model for implementing EBP in acute-care settings.
- To identify key factors essential for successful EBP implementation in hospitals.
- To provide practical strategies for healthcare organizations seeking to adopt EBP.
Main Methods:
- A pilot study was conducted at two acute-care hospital sites.
- The ARCC model was implemented and evaluated within these settings.
- Data was collected on the facilitators and barriers to EBP implementation.
Main Results:
- Successful EBP implementation necessitates identifying dedicated EBP champions.
- Redefining nurses' roles to incorporate EBP activities is essential.
- Allocating financial and time resources, alongside fostering an EBP-supportive organizational culture, are critical.
Conclusions:
- The ARCC model provides a framework for successful EBP implementation in acute care.
- Key elements for success include leadership support, resource allocation, and cultural change.
- Practical strategies are presented to guide healthcare professionals in adopting EBP.