2.50
Hdl Handle:
http://hdl.handle.net/10755/163822
Category:
Abstract
Type:
Presentation
Title:
Challenges And Opportunities In The Use Of Research For Evidence Based Practice
Author(s):
Barnsteiner, Jane H.
Author Details:
Jane Barnsteiner, PhD, Professor, University of Pennsylvania, School of Nursing, Philadelphia, Pennsylvania, USA, email: barnstnr@nursing.upenn.edu
Abstract:
Integrating evidence-based practice into today's health care organizations is made complex and occasionally impossible, due to institutional factors and regulatory requirements. The reality is that the chaotic state of most health care systems, functioning within tight cost containment and regulatory environments, allows few institutions to put into place the systems and structures necessary to implement evidence-based practice. Barriers to movement in this direction include: physician, nurses and other professionals agreeing on approaches to care; the lack of collaborative relationships; and the difficulty in implementing relevant standing orders and protocols once they are developed. A further problem is the variation among institutions in documentation systems, procedures for standards development, and interdisciplinary collaborative relationships. All of these issues promote the continual reinvention and promulgation of standards by clinical agencies. Meeting these challenges requires organizational systems and structures, designated time and resources, and organizational expectations of participation by all associated professionals This paper will discuss the organizational components which must be in place to institute and support evidence based practice standards. These include: 1. Mechanisms for completing comprehensive syntheses of the research and related clinical literature. 2. Opportunities for profession-specific and interdisciplinary discussion of and agreement about studies, and their implications for clinical practice. 3. The subsequent development of the organization's evidence-based practice standards, arising from the research and multidisciplinary discussions. 4. The establishment of organizational systems and structures to implement evidence based standards of practice. 5. Strategies to evaluate outcomes of practitioners based on data related to cost and quality outcomes. 6. Strategies for fostering multi-institutional research utilization studies and projects.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2001
Conference Name:
ENRS 13th Annual Scientific Sessions
Conference Host:
Eastern Nursing Research Society
Conference Location:
Atlantic City, New Jersey, USA
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titleChallenges And Opportunities In The Use Of Research For Evidence Based Practiceen_GB
dc.contributor.authorBarnsteiner, Jane H.en_US
dc.author.detailsJane Barnsteiner, PhD, Professor, University of Pennsylvania, School of Nursing, Philadelphia, Pennsylvania, USA, email: barnstnr@nursing.upenn.eduen_US
dc.identifier.urihttp://hdl.handle.net/10755/163822-
dc.description.abstractIntegrating evidence-based practice into today's health care organizations is made complex and occasionally impossible, due to institutional factors and regulatory requirements. The reality is that the chaotic state of most health care systems, functioning within tight cost containment and regulatory environments, allows few institutions to put into place the systems and structures necessary to implement evidence-based practice. Barriers to movement in this direction include: physician, nurses and other professionals agreeing on approaches to care; the lack of collaborative relationships; and the difficulty in implementing relevant standing orders and protocols once they are developed. A further problem is the variation among institutions in documentation systems, procedures for standards development, and interdisciplinary collaborative relationships. All of these issues promote the continual reinvention and promulgation of standards by clinical agencies. Meeting these challenges requires organizational systems and structures, designated time and resources, and organizational expectations of participation by all associated professionals This paper will discuss the organizational components which must be in place to institute and support evidence based practice standards. These include: 1. Mechanisms for completing comprehensive syntheses of the research and related clinical literature. 2. Opportunities for profession-specific and interdisciplinary discussion of and agreement about studies, and their implications for clinical practice. 3. The subsequent development of the organization's evidence-based practice standards, arising from the research and multidisciplinary discussions. 4. The establishment of organizational systems and structures to implement evidence based standards of practice. 5. Strategies to evaluate outcomes of practitioners based on data related to cost and quality outcomes. 6. Strategies for fostering multi-institutional research utilization studies and projects.en_GB
dc.date.available2011-10-27T11:14:27Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T11:14:27Z-
dc.conference.date2001en_US
dc.conference.nameENRS 13th Annual Scientific Sessionsen_US
dc.conference.hostEastern Nursing Research Societyen_US
dc.conference.locationAtlantic City, New Jersey, USAen_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.-
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