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Related Experiment Videos

Evidence-informed practice: from individual to context.

Jo Rycroft-Malone1

  • 1Health Services Research, Centre for Health-Related Research, School of Healthcare Sciences, College of Health & Behavioural Sciences, University of Wales, Bangor, UK. j.rycroft-malone@bangor.ac.uk

Journal of Nursing Management
|April 15, 2008
PubMed
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Evidence-informed practice is shifting from individual practitioners to recognizing the crucial role of context. Organizational capacity and leadership are key to successful evidence-based practice implementation, not just individual skills.

Area of Science:

  • Healthcare practice
  • Evidence-based practice
  • Organizational behavior

Background:

  • The traditional view of practitioners as 'rational agents' solely responsible for research use is being challenged.
  • Growing evidence suggests that evidence use is not solely an individual activity.

Purpose of the Study:

  • To explore the shift in evidence-informed practice from an individual focus to acknowledging the importance of context.
  • To examine the factors influencing the adoption and implementation of evidence-based practice.

Main Methods:

  • Purposive selection of key research studies to support the commentary's arguments.
  • Analysis of existing literature on evidence use in healthcare.

Main Results:

Related Experiment Videos

  • Individual determinants, beyond attitude, have limited impact on research use.
  • Evidence is contextually bound, individually interpreted, and varies across settings and time.
  • Organizational factors like culture and leadership significantly influence evidence use.

    • Conclusions:

    • Acceptance of evidence-based resources like clinical guidelines is not guaranteed.
    • Developing individual critical appraisal skills alone does not ensure increased evidence use.
    • Assessing organizational capacity and investing in leadership are crucial for effective evidence-informed practice.