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Mapping Implementation Strategies and Outcomes When Using Evidence Based Practice Implementation Models in Nursing
Audrey Chays-Amania1, Jocelyn Schwingrouber1, Bernadette Mazurek Melnyk2
1Aix-Marseille Université, Faculté Des Sciences Médicales et Paramédicales, Nursing School, CEReSS, Marseille, France.
Worldviews on Evidence-Based Nursing
|June 26, 2025
Summary
This scoping review mapped evidence-based practice (EBP) implementation models, strategies, and outcomes in nursing. Findings highlight underuse of standardized taxonomies, hindering comprehensive EBP adoption and consistent reporting.
Area of Science:
- Nursing Research
- Healthcare Implementation Science
Background:
- Evidence-based practice (EBP) is crucial for enhancing healthcare quality, safety, and patient outcomes.
- Successful EBP implementation requires skilled nurses and a supportive culture in academic and clinical settings.
- Existing EBP implementation models are used, but their outcomes are not consistently measured.
Purpose of the Study:
- To conduct a scoping review of EBP implementation models.
- To map the strategies and outcomes associated with these EBP implementation models.
Main Methods:
- A systematic scoping review methodology was employed.
- Searched multiple databases (PubMed, CINAHL, EMBASE, etc.) for primary studies on EBP implementation in nursing.
- Included studies using specific EBP models (ARCC, IOWA, Stetler, JHNEBP, PARIHS/i-PARIHS) and adhering to Proctor's taxonomy for outcomes and ERIC for strategies.
Main Results:
- 26 articles were reviewed from 2244 retrieved.
- PARiHS/i-PARIHS was the most frequently used model, followed by IOWA, ARCC, JHNEBP, and Stetler.
- Most studies utilized "Use evaluative and iterative strategies" from the ERIC classification and reported 1-2 outcomes from Proctor's taxonomy.
Conclusions:
- Underutilization of Proctor and ERIC taxonomies limits comprehensive mapping of EBP models.
- Vague terminology and inconsistent descriptions of implementation strategies impede knowledge transfer.
- Standardized reporting of EBP implementation efforts is needed to improve healthcare practices across settings.
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