Google Scholar. Fewer persons participated in decision-making and management in the nurse group. Cummings GG, Olivo SA, Biondo PD, Stiles CR, Yurtseven O, Fainsinger RL, et al. However, translating evidence-based knowledge and implementing this knowledge into practice is recognised as a difficult process due to the complexity of healthcare systems (Greenhalgh & Papoutsi, 2018). The results demonstrated that nurses' attitudes toward evidence-based practice, knowledge and skills relevant to the implementation of evidence-based practice and the educational preparation of the nurses were important factors influencing the effective utilisation and application of research results in practice. While nurses decisions tended to be problem-oriented and managed on a person-driven basis, doctors decisions were consensus-oriented and managed by autonomy. Thoroughly updated and revised, the new edition of this accessible guide aims to outline why there is a gap between research findings and what actually happens in clinical practice. a longitudinal case study in general practice. This book draws together the key issues, with seminal chapters from leading thinkers, including criteria for implementation; evidence based practice for providers; health economics; decision analysis; and closing the gap between research BackgroundIn healthcare research, results diffuse only slowly into clinical practice, and there is a need to bridge the gap between research and practice. In 1981, the results of the -Blocker Heart Attack Trial were reported by way of a clinical alert . Involving stakeholders in a research study is a critical step toward the translation of research . These activities are associated with different stages in the process of implementation, and the main categories are therefore structured around these (Fig. BMC Fam Pract. Background and aim. One or more clinical nurse specialists and a Nursing Head of Unit jointly planned a process to collect research results and design an intervention to change practice. 2014;11(4):21926. In healthcare research, results diffuse only slowly into clinical practice, and there is a need to bridge the gap between research and practice. Consequently, the participants contributed as much detailed information as they wished, and the researchers asked further questions as necessary. 2013;8:117. Scand J Caring Sci. Appraise or synthesize the evidence. Clancy CM, Cronin K. Evidence-Based Decisionmaking: Global Evidence, Local Decicions. The State of Quality Improvement and Implementation Research: Expert Views, Workshop Summary describes and summarizes workshop presentations and discussions. CrossRef external icon PubMed external icon; Kirk MA, Kelley C, Yankey N, Birken SA, Abadie B, Damschroder L. A systematic review of the use of the consolidated framework for implementation research. 1997;20(2):8392. The majority (77%) reported that they were comfortable managing acute pain episodes while 63% expressed comfort with managing chronic pain. J Adv Nurs. Privacy Existing models mostly focus on the barriers to learning and implementing new knowledge. Cont'd. Once a consensus decision had been taken to implement a new result, the collective coordination ceased, and was replaced by a principle of the individual autonomy of each doctor to manage his or her own decisions in practice. 2011;41:915. Therefore, this essay argues that it is not feasible to expect RNs to implement EBP in the clinical setting without training/support. Grimshaw JM, Eccles MP, Lavis JN, Hill SJ, Squires JE. into practice. Armstrong D, Ogden J. Curr Dir Psychol Sci. Once the coding process was complete, the number of categories was reduced by collapsing those that are similar or dissimilar into broader higher-order categories. [34], while maintaining proximity to the text. Background: Evidence-based nursing practice (EBNP) is considered a major and very important global paradigm shift. Praise for Educating Nurses "This book represents a call to arms, a call for nursing educators and programs to step up in our preparation of nurses. This book will incite controversy, wonderful debate, and dialogue among nurses and others. Dissemination and implementation research intends to bridge the gap between research, practice, and policy by building a knowledge base about how health information, effective interventions, and new clinical practices, guidelines and policies are communicated and integrated for public health and health care service use in specific settings. Brown MM, Brown CG, Lieske HB, Lieske PA. Financial return on investment of opthalamic interventions: a new paradigm. Danish research-active clinical nurses overcome barriers in research utilization. One doctor described the uncertainty experienced due to the lack of a more systematic approach to research implementation, and stated that: I think it would be nice to have some kind of system or safety net, so that you dont have to worry about whether something may have slipped through. (Doctor). Am J Prev Med 2012;43(3):337-50. Used effectively, evidence-based nursing methods can be used to dramatically enhance patient care and improve outcomes. Evidence-based Nursing is a practical guide to evidence-based nursing for students and practitioners.
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