Exemplars Illustrating De-implementation of Tradition-Based Practices.
Clinical practice must be based on evidence. When evidence suggests that a certain practice may be ineffective or even harmful, that practice should be discontinued. The Choosing Wisely campaign, an initiative of the ABIM (American Board of Internal Medicine) Foundation, is intended to bring attenti...
| Publicado en: | Critical Care Nurse Vol. 39; no. 6; pp. 64 - 70 |
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| Autor principal: | |
| Formato: | CEU tables/charts Journal Article |
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American Association of Critical-Care Nurses
Dec2019
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=140960469&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 140960469 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 02795442 1GD jtl: Critical Care Nurse issn: 02795442 maglogo: N pubinfo: dt: Dec2019 vid: 39 iid: 6 pid: 2559 pub: American Association of Critical-Care Nurses place: Alisa Veijo, California artinfo: ui: 140960469 140960469 140960469 10.4037/ccn2019534 140960469 ppf: 64 ppct: 6 formats: fmt: @attributes: type: P tig: atl: Exemplars Illustrating De-implementation of Tradition-Based Practices. aug: au: Upvall, Michele J. affil: Clinical nurse specialist for critical care, South Seminole Hospital, Longwood, Florida sug: subj: Critical Care Nursing Administration Medical Practice, Evidence-Based Implementation Science Change Management Education, Continuing (Credit) Clinical Exemplars Outdated Practice Bathing and Baths Equipment and Supplies Bacterial Contamination Cross Infection Prevention and Control Strategic Planning Decision Making, Clinical Gastrointestinal Motility Occlusive Dressings Patient Centered Care ab: Clinical practice must be based on evidence. When evidence suggests that a certain practice may be ineffective or even harmful, that practice should be discontinued. The Choosing Wisely campaign, an initiative of the ABIM (American Board of Internal Medicine) Foundation, is intended to bring attention to tradition-based practices, or "sacred cows," which lack evidence to support their ongoing use. The complex process of discontinuing or reducing the use of tradition-based practices is known as "de-implementation." Recognizing the importance of de-implementation is necessary to fully understand evidence-based practice. This article explores the de-implementation process, examining its barriers and facilitators. Three critical care exemplars of tradition-based practices are presented and examined through the lens of de-implementation. Barriers and facilitators related to de-implementing these tradition-based practices are described, with an emphasis on the roles of various stakeholders and the need to overcome cognitive dissonance and psychological bias. pubtype: Academic Journal doctype: CEU tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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