2.50
Hdl Handle:
http://hdl.handle.net/10755/151740
Type:
Presentation
Title:
Implementation Strategy for Evidence-Based Practice
Abstract:
Implementation Strategy for Evidence-Based Practice
Conference Sponsor:Sigma Theta Tau International
Conference Year:2011
Author:Ubbink, Dirk T., MD, PhD
P.I. Institution Name:Academic Medical Center at the University of Amsterdam
Title:Research Physician and Clinical Epidemiologist
Co-Authors:Hester Vermeulen RN, PhD, Senior Research Nurse and Senior Lecturer
Robert Simons RN, Nursing Director
Anouk M. Knops MSc, PhD Student
[22nd International Nursing Research Congress - Evidence-based Practice Presentation] Background Evidence-based practice (EBP) is a means to improve healthcare quality. However, not all healthcare professionals and managers actually apply EBP in daily practice. We investigated EBP attitude, knowledge, barriers and facilitators in a large teaching hospital and merged these with findings in other centers to define a tailor-made clinical EBP implementation strategy.
Methods We surveyed available literature as well as the nurses and doctors from the departments of Internal Medicine, Surgery, Pediatrics, Obstetrics & Gynecology, and Neurology, using the McColl and Barriers questionnaires.
Results Response rates among the 537 nurses and 435 doctors were 74% and 70%, respectively. EBP was welcomed and was thought to improve patient care (means 79 and 74 on a 10-cm VAS, respectively). Regarding EBP knowledge, 6/8 common EBP-terms could be explained by 54% of doctors, but by only 15% of nurses. Most doctors (66%) and nurses (77%) mentioned lack of time. Doctors had difficulties with contradicting results (75%) and flawed methodology (69%), while nurses frequently mentioned unawareness of (75%), or difficulty to read and interpret (70%), research papers. Facilitating factors were availability and accessibility of high-level evidence, EBP training facilities and communication of evidence for clinical decision-making. Both groups desired more managerial support as to EBP motivation and opportunities. The literature also signaled time restraints, knowledge gaps, and poor availability of evidence. Hence, an EBP implementation strategy should comprise at least the availability and accessibility of high-level evidence, EBP training facilities, communication of evidence for clinical decision-making, and more managerial support as to EBP motivation and opportunities.
Conclusions Healthcare professionals have embraced the EBP paradigm as an important means to improve quality of clinical patient care, but its application is still cumbersome. We were able to develop a structural implementation strategy, supported by professional and managerial role-models, to implement and sustain EBP.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleImplementation Strategy for Evidence-Based Practiceen_GB
dc.identifier.urihttp://hdl.handle.net/10755/151740-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Implementation Strategy for Evidence-Based Practice</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2011</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Ubbink, Dirk T., MD, PhD</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Academic Medical Center at the University of Amsterdam</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Research Physician and Clinical Epidemiologist</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">d.ubbink@amc.nl</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Hester Vermeulen RN, PhD, Senior Research Nurse and Senior Lecturer<br/>Robert Simons RN, Nursing Director<br/>Anouk M. Knops MSc, PhD Student</td></tr><tr><td colspan="2" class="item-abstract">[22nd International Nursing Research Congress - Evidence-based Practice Presentation] Background Evidence-based practice (EBP) is a means to improve healthcare quality. However, not all healthcare professionals and managers actually apply EBP in daily practice. We investigated EBP attitude, knowledge, barriers and facilitators in a large teaching hospital and merged these with findings in other centers to define a tailor-made clinical EBP implementation strategy. <br/>Methods We surveyed available literature as well as the&nbsp;nurses and doctors&nbsp;from the departments of Internal Medicine, Surgery, Pediatrics, Obstetrics &amp; Gynecology, and Neurology, using the McColl and Barriers questionnaires. <br/>Results Response rates among the 537 nurses and&nbsp;435 doctors&nbsp;were 74% and 70%, respectively. EBP was welcomed and was thought to improve patient care (means 79 and 74 on a 10-cm VAS, respectively). Regarding EBP knowledge, 6/8 common EBP-terms could be explained by 54% of doctors, but by only 15% of nurses. Most doctors (66%) and nurses (77%) mentioned lack of time. Doctors had difficulties with contradicting results (75%) and flawed methodology (69%), while nurses frequently mentioned unawareness of (75%), or difficulty to read and interpret (70%), research papers. Facilitating factors were availability and accessibility of high-level evidence, EBP training facilities and communication of evidence for clinical decision-making. Both groups desired more managerial support as to EBP motivation and opportunities. The literature also signaled time restraints, knowledge gaps, and poor availability of evidence. Hence, an EBP implementation strategy should comprise at least the availability and accessibility of high-level evidence, EBP training facilities, communication of evidence for clinical decision-making, and more managerial support as to EBP motivation and opportunities. <br/>Conclusions Healthcare professionals have embraced the EBP paradigm as an important means to improve quality of clinical patient care, but its application is still cumbersome. We were able to develop a structural implementation strategy, supported by professional and managerial role-models, to implement and sustain EBP.</td></tr></table>en_GB
dc.date.available2011-10-26T11:12:10Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T11:12:10Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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