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Hawaii's statewide evidence-based practice program.

Debra D Mark1, Rene'e W Latimer2, Joan P White3

  • 1Hawai'i State Center for Nursing, University of Hawai'i School of Nursing & Dental Hygiene, 2528 McCarthy Mall, Webster Hall 402, Honolulu, HI 96822, USA.

The Nursing Clinics of North America
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PubMed
Summary
This summary is machine-generated.

Hawaii implemented a statewide evidence-based practice program to drive healthcare innovation. While communication strategies were effective, resource availability significantly influenced adoption, though successful implementation patterns remained unpredictable.

Keywords:
Diffusion of innovationsEvidence-based practice programImplementation scienceNursingTranslation science

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Area of Science:

  • Healthcare Management
  • Nursing Practice
  • Health Services Research

Background:

  • Healthcare organizations face challenges in adopting evidence-based practices (EBP).
  • Statewide initiatives can facilitate EBP adoption across diverse health systems.
  • Previous pilot programs informed the development of this statewide EBP program.

Purpose of the Study:

  • To describe Hawaii's statewide evidence-based practice program.
  • To identify facilitators and barriers to practice change in healthcare.
  • To analyze the adoption and institutionalization of EBP.

Main Methods:

  • Implementation of a statewide, evidence-based practice program.
  • Utilized interpersonal and mass media communication strategies.
  • Engaged nurse champions and multidisciplinary teams.

Main Results:

  • The program eliminated duplicative efforts and provided resources.
  • Compatibility with organizational values and pilot program experience were noted.
  • Adoption rates varied; resource availability appeared crucial for institutionalization.
  • No predictable pattern for successful project implementation was identified.

Conclusions:

  • Statewide EBP programs can foster practice change.
  • Effective communication and organizational alignment are important.
  • Resource allocation is a key factor in EBP success, but implementation predictability remains a challenge.