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Management Involvement--A Decisive Condition When Implementing Evidence-Based Practice.

Katrine Aasekjaer1, Hilde Valen Waehle2, Donna Ciliska3

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Summary

Health professionals use "tailoring principles" to implement evidence-based practice (EBP), with management involvement being key. Adapting EBP to organizational context and culture is crucial for successful clinical integration.

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Area of Science:

  • Healthcare Implementation Science
  • Evidence-Based Practice (EBP) Integration
  • Health Professional Education

Background:

  • Health professionals express positive attitudes towards evidence-based practice (EBP) but face challenges in its implementation.
  • Limited knowledge exists on how graduates of postgraduate EBP programs apply these principles in diverse healthcare settings.
  • A postprofessional EBP program has been available at Bergen University College since 2004.

Purpose of the Study:

  • To explore facilitators and strategies for successful EBP implementation.
  • To understand the experiences of health professionals who completed a postgraduate EBP program.
  • To identify how EBP steps are implemented in clinical practice.

Main Methods:

  • Grounded theory methodology employed for data collection and analysis.
  • Data gathered through single and focus group interviews.
  • Involved 20 health professionals currently in clinical practice who had completed a postgraduate EBP program.

Main Results:

  • Identified specific activities used by health professionals for EBP implementation.
  • "Tailoring principles" emerged as a strategy to address challenges in colleague engagement and understanding of EBP.
  • Management involvement was identified as a dominant condition for the success of "tailoring principles".

Conclusions:

  • Middle managers play a crucial coordinating and supporting role in implementing EBP in Norwegian clinical settings.
  • "Tailoring principles" is a dynamic process where clinical protocols serve as both outcomes and inputs for further interventions.
  • Adapting EBP principles to the specific organizational and cultural context significantly facilitates implementation.