2.50
Hdl Handle:
http://hdl.handle.net/10755/157923
Type:
Presentation
Title:
Does Facilitation Facilitate the Uptake of Evidence-Based Practice?
Abstract:
Does Facilitation Facilitate the Uptake of Evidence-Based Practice?
Conference Sponsor:Western Institute of Nursing
Conference Year:2009
Author:Brown, Susan J., RN, MSN, CNAA
P.I. Institution Name:University of Arizona, College of Nursing
Title:Doctoral Student
Contact Address:1305 N. Martin, P.O. Box 210203, Tucson, AZ, 85721, USA
Contact Telephone:480-323-1251
Co-Authors:Deborah Vincent, PhD, APRN, FAANP, Associate Professor
Purpose: The purpose of this research study is to describe and quantify the aspects of facilitation necessary for the successful implementation of Evidence-Based Practice (EBP) and to explore the relationships among the level of facilitation, context and implementation of Evidence-Based Practice. Specific Aims: 1: To describe the relationship between the level of facilitation and implementation of EBP; 2: To describe the relationships among facilitation, context and implementation. 3: To develop and test a measure of facilitation. Background: In spite of the demand for efficient, effective and safe healthcare and the increase in the quantity and quality of evidence, studies have shown that many patients do not receive treatments of established effectiveness and/or get treatments that are not needed or are potentially harmful.  Research is currently in progress that investigates the best strategies for the successful utilization of research findings and implementation of evidence. Most EBP implementation models suggest use of some sort of facilitation but none adequately define the concept or the amount and kind of facilitation necessary to successfully implement EBP. Conceptual Framework: The Promoting Action on Research Implementation in Health Services (PARIHS) framework suggests that successful implementation of EBP is a function of the relationship between three specific factors or concepts: evidence, context, and facilitation. The framework recognizes that these concepts have a dynamic, simultaneous relationship and that each concept, at any given point in time, is positioned on a continuum of high to low. To date, there are few definitive descriptions of, or studies on, the concept of facilitation. Sample: The sample will be drawn from The Oncology Nursing Society (ONS) membership list. The sample will include oncology staff nurses working in inpatient settings and it is anticipated that a sufficient sample will be obtained to begin psychometric testing of the facilitation scale. Measures: Implementation outcomes will be measured using the Nursing Practice questionnaire (NPQ) adapted to the ONS Putting Evidence into Practice (PEP) cards. Facilitation will be measured using the investigator developed EBP Facilitation Scale currently being tested for content validity. Context will be determined through a proxy measure utilizing Magnet status (Magnet, Magnet-Aspiring, Non-Magnet). Results: Preliminary results will be presented. Implications: Results of this study may support the conceptual framework's assertion of the dynamic relationship between context, evidence and facilitation. In addition, it may provide a measure of facilitation that becomes useful in determining the "dose" of facilitation necessary in varying contexts in order to achieve successful implementation of EBP.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Western Institute of Nursing

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleDoes Facilitation Facilitate the Uptake of Evidence-Based Practice?en_GB
dc.identifier.urihttp://hdl.handle.net/10755/157923-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Does Facilitation Facilitate the Uptake of Evidence-Based Practice?</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Western Institute of Nursing</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2009</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Brown, Susan J., RN, MSN, CNAA</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">University of Arizona, College of Nursing</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Doctoral Student</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">1305 N. Martin, P.O. Box 210203, Tucson, AZ, 85721, USA</td></tr><tr class="item-phone"><td class="label">Contact Telephone:</td><td class="value">480-323-1251</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">sbrown@nursing.arizona.edu, sbrown@shc.org</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Deborah Vincent, PhD, APRN, FAANP, Associate Professor</td></tr><tr><td colspan="2" class="item-abstract">Purpose: The purpose of this research study is to describe and quantify the aspects of facilitation necessary for the successful implementation of Evidence-Based Practice (EBP) and to explore the relationships among the level of facilitation, context and implementation of Evidence-Based Practice. Specific Aims: 1: To describe the relationship between the level of facilitation and implementation of EBP; 2: To describe the relationships among facilitation, context and implementation. 3: To develop and test a measure of facilitation. Background: In spite of the demand for efficient, effective and safe healthcare and the increase in the quantity and quality of evidence, studies have shown that many patients do not receive treatments of established effectiveness and/or get treatments that are not needed or are potentially harmful.&nbsp; Research is currently in progress that investigates the best strategies for the successful utilization of research findings and implementation of evidence. Most EBP implementation models suggest use of some sort of facilitation but none adequately define the concept or the amount and kind of facilitation necessary to successfully implement EBP. Conceptual Framework: The Promoting Action on Research Implementation in Health Services (PARIHS) framework suggests that successful implementation of EBP is a function of the relationship between three specific factors or concepts: evidence, context, and facilitation. The framework recognizes that these concepts have a dynamic, simultaneous relationship and that each concept, at any given point in time, is positioned on a continuum of high to low. To date, there are few definitive descriptions of, or studies on, the concept of facilitation. Sample: The sample will be drawn from The Oncology Nursing Society (ONS) membership list. The sample will include oncology staff nurses working in inpatient settings and it is anticipated that a sufficient sample will be obtained to begin psychometric testing of the facilitation scale. Measures: Implementation outcomes will be measured using the Nursing Practice questionnaire (NPQ) adapted to the ONS Putting Evidence into Practice (PEP) cards. Facilitation will be measured using the investigator developed EBP Facilitation Scale currently being tested for content validity. Context will be determined through a proxy measure utilizing Magnet status (Magnet, Magnet-Aspiring, Non-Magnet). Results: Preliminary results will be presented. Implications: Results of this study may support the conceptual framework's assertion of the dynamic relationship between context, evidence and facilitation. In addition, it may provide a measure of facilitation that becomes useful in determining the &quot;dose&quot; of facilitation necessary in varying contexts in order to achieve successful implementation of EBP.</td></tr></table>en_GB
dc.date.available2011-10-26T20:20:07Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T20:20:07Z-
dc.description.sponsorshipWestern Institute of Nursingen_GB
All Items in this repository are protected by copyright, with all rights reserved, unless otherwise indicated.