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A Comparison of Evidence-Based Practice Training With and Without Postimmersion Follow-up.

Lisa M Wayman¹, Colleen Walsh-Irwin, Sheila Cox Sullivan

¹Author Affiliations: Chief of Nursing Education, Special Procedures and Clinical Outcomes, and Chair of the Veterans Health Association Office of Nursing Service Evidence Based Practice Field Advisory Committee (Dr Wayman), Phoenix VA Health Care System, Arizona; and Associate Director (Dr Walsh-Irwin), Evidence-Based Practice, and Director (Dr Sullivan), Research, Evidence-Based Practice and Analytics, Office of Nursing Services, Central Office Department of Veterans Affairs, Washington, DC.

The Journal of Nursing Administration

|April 22, 2024

Summary

Evidence-based practice (EBP) education alone is insufficient for implementation. Ongoing support is crucial to translate EBP initiatives into practice, with follow-up courses significantly improving implementation rates.

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Area of Science:

Healthcare Education
Nursing Practice
Evidence-Based Practice

Background:

Current educational strategies for evidence-based practice (EBP) often fail to ensure its consistent application in clinical settings.
There is a recognized gap between EBP knowledge acquisition and its successful implementation.

Purpose of the Study:

To evaluate the effectiveness of EBP education models in promoting the implementation of EBP initiatives.
To compare the impact of EBP immersion versus EBP immersion plus a follow-up course on implementation outcomes.

Main Methods:

A comparative study design was employed to assess two groups of participants.
One group underwent an EBP immersion program, while the other received EBP immersion followed by an additional EBP course.

Main Results:

Participants who received only EBP immersion implemented 18% of their initiatives.
The group with EBP immersion plus a follow-up course achieved a 35% implementation rate, with an additional 22% in progress.

Conclusions:

Standard EBP education may not adequately foster sustained implementation.
Additional, ongoing support and education are likely necessary to facilitate the complete implementation of EBP initiatives.