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Enacting evidence-based practice: pathways for community nurses.

Piotr Teodorowski1, Clare Cable2, Sally Kilburn3

  • 1Research Assistant, School of Nursing and Midwifery, Robert Gordon University.

British Journal of Community Nursing
|August 2, 2019
PubMed
Summary

Community nurses face challenges implementing evidence-based practice. This study identified three pathways for change: bottom-up, top-down, and collaborative, highlighting the need for support systems to facilitate practice innovation.

Keywords:
Community nursingEvidenceEvidence-based practicePathwaysResearch

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Area of Science:

  • Nursing
  • Healthcare Management
  • Evidence-Based Practice

Background:

  • Community nurses are tasked with delivering evidence-based practice (EBP).
  • The broad and diverse evidence base presents challenges for EBP implementation in community settings.
  • Understanding nurses' experiences with practice change is crucial for improving healthcare delivery.

Purpose of the Study:

  • To explore community nurses' experiences with implementing changes in their practice.
  • To identify facilitators and barriers to change implementation in community nursing.
  • To inform strategies for supporting evidence-based practice adoption.

Main Methods:

  • Qualitative study utilizing semi-structured interviews (n=9) and focus groups (n=2).
  • Participants included 17 community nurses.
  • Thematic analysis was used to identify key themes and pathways for change.

Main Results:

  • Three distinct pathways for introducing practice change were identified: bottom-up, top-down, and collaborative.
  • The choice of pathway depends on the nature of the change, evidence availability, colleague buy-in, and implementation factors.
  • Community nurses' experiences highlight the complexity of navigating change in practice.

Conclusions:

  • Implementing change in community nursing practice can be approached through multiple pathways.
  • Managerial support, ongoing education, accessible online resources, and practice development roles are essential.
  • Support systems are vital for community nurses to effectively navigate and implement practice changes.