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  • Creating an environment to implement and sustain evidence based practice: A developmental process

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    Author(s)
    Aitken, Leanne M
    Hackwood, Ben
    Crouch, Shannon
    Clayton, Samantha
    West, Nicky
    Carney, Debbie
    Jack, Leanne
    Griffith University Author(s)
    Aitken, Leanne M.
    Year published
    2011
    Metadata
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    Abstract
    Background Elements of evidence based practice (EBP) are well described in the literature and achievement of EBP is frequently being cited as an organisational goal. Despite this, the practical processes and resources for achieving EBP are often not readily apparent, available or successful. Purpose To describe a multi-dimensional EBP program designed to incorporate evidence into practice to lead to sustainable improvement in patient care and ultimately patient outcome. Implementation strategies A multi-dimensional EBP program incorporating EBP champions and mentors, provision of resources, creation of a culture to ...
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    Background Elements of evidence based practice (EBP) are well described in the literature and achievement of EBP is frequently being cited as an organisational goal. Despite this, the practical processes and resources for achieving EBP are often not readily apparent, available or successful. Purpose To describe a multi-dimensional EBP program designed to incorporate evidence into practice to lead to sustainable improvement in patient care and ultimately patient outcome. Implementation strategies A multi-dimensional EBP program incorporating EBP champions and mentors, provision of resources, creation of a culture to foster EBP and use of practical EBP strategies was implemented in a 22-bed intensive care unit (ICU) in a public, tertiary hospital in Brisbane, Australia. The practical EBP strategies included workgroups, journal club and nursing rounds. Achievements The multi-dimensional EBP program has been successfully implemented over the past three years. EBP champions and mentors are now active and two EBP workgroups have investigated specific aspects of practice, with one of these resulting in development of an associated research project. Journal club is a routine component of the education days that all ICU nurses attend. Nursing rounds is now conducted twice a week, with between one and seven short-term issues identified for each patient reviewed in the first 12 months. Conclusions A multi-dimensional program of practice change has been implemented in one setting and is providing a forum for discussion of practice-related issues and improvements. Adaptation of these strategies to multiple different health care settings is possible, with the potential for sustained practice change and improvement.
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    Journal Title
    Australian Critical Care
    Volume
    24
    Issue
    4
    DOI
    https://doi.org/10.1016/j.aucc.2011.01.004
    Copyright Statement
    © 2011 ACCCN. Published by Elsevier. This is the author-manuscript version of this paper. Reproduced in accordance with the copyright policy of the publisher. Please refer to the journal website for access to the definitive, published version.
    Subject
    Clinical Nursing: Secondary (Acute Care)
    Clinical Sciences
    Nursing
    Publication URI
    http://hdl.handle.net/10072/43767
    Collection
    • Journal articles

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