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Implementing evidence-based practice: walking the talk.

Norma E Thurston1, Kathryn M King

  • 1Faculty of Nursing, University of Calgary, 1500 University Drive NW, Calgary, Alberta T2N 1N4, Canada.

Journal of Vascular Nursing : Official Publication of the Society for Peripheral Vascular Nursing
|August 17, 2005
PubMed
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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 implementation and evidence gathering.

Area of Science:

  • Nursing
  • Healthcare Management

Background:

  • Evidence-based practice (EBP) is crucial for improving patient care and outcomes.
  • Implementing EBP models in clinical settings can be challenging for nursing teams.
  • Existing models may require adaptation to effectively address practice-derived clinical questions.

Purpose of the Study:

  • To evaluate the utility of Russworm and Larrabee's six-step model for evidence-based practice (EBP) in a real-world nursing program.
  • To identify necessary modifications 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 Russworm and Larrabee's six-step model to address clinical questions derived from practice.

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  • Qualitative assessment of the model's application and participant feedback were gathered.

    • Main Results:

    • The six-step EBP model was generally useful for examining practice-derived questions.
    • Teams identified a need for earlier decision-making regarding practice changes and enhanced evidence-seeking strategies.
    • Insufficient empirical evidence hindered practice change for four teams, while six showed promising EBP implementation.
    • The EBP program received high satisfaction ratings from participants and managers.

    Conclusions:

    • Russworm and Larrabee's EBP model provides a useful framework but requires adaptation for optimal clinical application.
    • Successful EBP implementation necessitates incorporating strategies for earlier change decisions, broader evidence acquisition, and stakeholder engagement.
    • While challenges exist, particularly regarding evidence availability, the EBP program demonstrated potential and participant satisfaction.