Improving the Quality of Care through Routine, Successful Implementation of Evidence-Based Practice

2.50
Hdl Handle:
http://hdl.handle.net/10755/151997
Type:
Presentation
Title:
Improving the Quality of Care through Routine, Successful Implementation of Evidence-Based Practice
Abstract:
Improving the Quality of Care through Routine, Successful Implementation of Evidence-Based Practice
Conference Sponsor:Sigma Theta Tau International
Conference Year:2008
Author:Rycroft-Malone, Jo, PhD, MSc, BSc, RN
P.I. Institution Name:University of Wales, Bangor
Title:Reader in Health Services Research
Co-Authors:Cheryl Stetler, PhD, RN; Judith Ritchie, RN, PhD; Alyce A. Schultz, PhD, RN, FAAN; Martin Charns, MBA, DBA
[Research Paper or Poster Presentation] Background: It is now an expectation that health care organisations use evidence-based practice (EBP) as an approach to improving the quality of patient care and service delivery. However challenges exist about how to make evidence-based practice a reality, particularly at an organisational level and on a sustained basis. Purpose: The overall purpose of this research study was to explore nursing organizations that seem able to find and use evidence at multiple levels in an on-going, integrated fashion in contrast to those that do not. Theoretical framework The study was theoretically underpinned by Pettigrew and Whipp's Content, Context, and Process model of Strategic Change and Pettigrew et al's signs and symptoms of contextual receptivity to change. Approach: A multiple method case study was conducted following the approach of Yin (1993 & 1994). Two sites were purposively sampled to provide contrasting cases; a ærole model' site for the normalization of evidence-based practice, and a matched æbeginning' case that self-identified as early in the journey to EBP normalization. Data collection methods in both sites included: a multi-tool survey; key informant interviews; focus groups; focused observations, and document review. Findings: Findings show a difference between the ærole' and æbeginner' sites in the extent and pervasiveness of EBP. The role site demonstrated integrated and widespread EBP activity driven by hospital, external priorities and local nursing practice problems. In contrast, the beginner site was mainly engaged in individual projects primarily motivated by external, hospital, regulatory and physician-driven priorities. Key contextual elements that facilitated the use of EBP included; key people leading change at multiple levels of the organisation, development of a supportive organisational context and culture that embedded EBP into the organisation's day-to-day processes and infrastructures, and co-operative inter-organisational relations. Discussion: These, and other findings will be considered in the context of their implications for normalising EBP within healthcare organisations.
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.titleImproving the Quality of Care through Routine, Successful Implementation of Evidence-Based Practiceen_GB
dc.identifier.urihttp://hdl.handle.net/10755/151997-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Improving the Quality of Care through Routine, Successful Implementation of 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">2008</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Rycroft-Malone, Jo, PhD, MSc, BSc, RN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">University of Wales, Bangor</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Reader in Health Services Research</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">J.Rycroft-Malone@bangor.ac.uk</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Cheryl Stetler, PhD, RN; Judith Ritchie, RN, PhD; Alyce A. Schultz, PhD, RN, FAAN; Martin Charns, MBA, DBA</td></tr><tr><td colspan="2" class="item-abstract">[Research Paper or Poster Presentation] Background: It is now an expectation that health care organisations use evidence-based practice (EBP) as an approach to improving the quality of patient care and service delivery. However challenges exist about how to make evidence-based practice a reality, particularly at an organisational level and on a sustained basis. Purpose: The overall purpose of this research study was to explore nursing organizations that seem able to find and use evidence at multiple levels in an on-going, integrated fashion in contrast to those that do not. Theoretical framework The study was theoretically underpinned by Pettigrew and Whipp's Content, Context, and Process model of Strategic Change and Pettigrew et al's signs and symptoms of contextual receptivity to change. Approach: A multiple method case study was conducted following the approach of Yin (1993 &amp; 1994). Two sites were purposively sampled to provide contrasting cases; a &aelig;role model' site for the normalization of evidence-based practice, and a matched &aelig;beginning' case that self-identified as early in the journey to EBP normalization. Data collection methods in both sites included: a multi-tool survey; key informant interviews; focus groups; focused observations, and document review. Findings: Findings show a difference between the &aelig;role' and &aelig;beginner' sites in the extent and pervasiveness of EBP. The role site demonstrated integrated and widespread EBP activity driven by hospital, external priorities and local nursing practice problems. In contrast, the beginner site was mainly engaged in individual projects primarily motivated by external, hospital, regulatory and physician-driven priorities. Key contextual elements that facilitated the use of EBP included; key people leading change at multiple levels of the organisation, development of a supportive organisational context and culture that embedded EBP into the organisation's day-to-day processes and infrastructures, and co-operative inter-organisational relations. Discussion: These, and other findings will be considered in the context of their implications for normalising EBP within healthcare organisations.</td></tr></table>en_GB
dc.date.available2011-10-26T11:20:40Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T11:20:40Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
All Items in this repository are protected by copyright, with all rights reserved, unless otherwise indicated.