Implementation of evidence-based practice in nursing using action research: a review

Area of Science:

• Nursing Research
• Healthcare Implementation Science

Background:

• The research-practice gap highlights difficulties in applying evidence-based practice (EBP) principles.
• Action research is a methodology designed to bridge the gap between research and practice.

Purpose of the Study:

• To review existing literature on the implementation of EBP in nursing through action research.
• To identify what is known about using action research to facilitate EBP in nursing.

Main Methods:

• A systematic review of 21 action research studies was conducted.
• A conceptual framework was used to categorize influencing factors and implementation strategies targeting different groups.

Main Results:

• Implementation strategies were often not explicitly stated in the reviewed studies.
• Most studies reported positive outcomes such as improved nurse knowledge and performance, with patient outcomes being least reported.

Conclusions:

• Implementing EBP using action research appears promising but requires cautious interpretation.
• Lack of detailed descriptions of implementation strategies, intensity, and frequency limits definitive conclusions.