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Determinants of an evidence-based practice environment: an interpretive description
Jed Duff1,2, Laura Cullen3, Kirsten Hanrahan3
1Queensland University of Technology, Nursing & Midwifery Research Centre, Royal Brisbane & Women's Hospital, Butterfield St, Herston, QLD 4029 Australia.
Implementing an evidence-based practice (EBP) model is crucial for improving patient care. Optimizing the EBP environment alongside the model is key to success, ensuring consistent, reliable, evidence-based care delivery.
Area of Science:
- Nursing
- Healthcare Management
- Evidence-Based Practice
Background:
- Many patients do not receive evidence-based care despite available research.
- Evidence-based practice (EBP) models exist but lack uniform adoption.
- This study shifted focus to determinants of the EBP environment.
Purpose of the Study:
- To gather nurses' perspectives on using the Iowa Model of EBP.
- To understand the determinants of a successful EBP environment.
Main Methods:
- Qualitative study using semi-structured interviews with twelve nurses.
- Conducted at an academic medical center with a 25-year history of using the Iowa Model of EBP.
- Data synthesis involved interviews, literature, and internal documents.
Main Results:
- Identified four key determinants of the EBP environment: a shared model, robust support (education, training, infrastructure), active facilitation by diverse nursing roles, and a supportive culture/leadership.
- Participants highlighted the importance of these factors for EBP implementation.
Conclusions:
- Introducing an EBP model is a vital first step for consistent, reliable evidence-based care.
- Optimizing the EBP environment is essential for maximizing the effectiveness of EBP models.
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