Preparing Nursing Contexts for Evidence‐Based Practice Implementation: Where Should We Go From Here?
Background: Context is important to the adoption and sustainability of evidence‐based practices (EBPs). Currently, most published implementation efforts address context in relation to one specific EBP or a bundle of related EBPs. Since EBP and implementation are ongoing and dynamic, more discussion...
| Publicado en: | Worldviews on Evidence-Based Nursing (John Wiley & Sons, Inc.) Vol. 18; no. 2; pp. 102 - 111 |
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| Autores principales: | , , |
| Formato: | pictorial tables/charts Journal Article |
| Publicado: |
John Wiley & Sons, Inc.
Apr2021
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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=149844298&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 149844298 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 17416787 NRNX jtl: Worldviews on Evidence-Based Nursing (John Wiley & Sons, Inc.) issn: 17416787 maglogo: N pubinfo: dt: Apr2021 vid: 18 iid: 2 pid: 52269 pub: John Wiley & Sons, Inc. artinfo: ui: 149844298 149844298 149844298 10.1111/wvn.12487 149844298 ppf: 102 ppct: 9 formats: fmt: – @attributes: type: T – @attributes: type: C – @attributes: type: P tig: atl: Preparing Nursing Contexts for Evidence‐Based Practice Implementation: Where Should We Go From Here? aug: au: Cassidy, Christine E. Flynn, Rachel Shuman, Clayton J. affil: Dalhousie University, Halifax NS,, Canada sug: subj: Nursing Practice, Evidence-Based Implementation Science Nursing Practice Organizational Culture Clinical Competence ab: Background: Context is important to the adoption and sustainability of evidence‐based practices (EBPs). Currently, most published implementation efforts address context in relation to one specific EBP or a bundle of related EBPs. Since EBP and implementation are ongoing and dynamic, more discussion is needed on preparing nursing contexts to be more conducive to implementation generally. Aim: To discuss the need to create contexts that are more adaptable to ongoing change due to the dynamic nature of EBPs and the ever‐changing healthcare environment. Methods: This paper builds on a collection of our previous work, as nursing implementation scientists representing the Canadian and American healthcare contexts, and a literature review of the implementation science, knowledge translation, and sustainability literatures from 2006 to 2019. Results: We argue for a different way of thinking about the influence of context and implementation of EBPs. We contend that nursing contexts must be prepared to be more flexible and conducive to ongoing EBP implementation more generally. Contexts that embrace, facilitate, and have the capacity for change may be more likely to effectively de‐implement ineffective interventions or implement and sustain new EBPs. We outline future directions to build a program of research on preparing the soil for implementation of EBPs, including building capacity among nurses, supporting organizations to embrace change, co‐producing research evidence, and contributing to implementation science. Linking Evidence to Action: Supporting contexts to adopt and sustain evidence in nursing practice is essential for bridging the evidence to practice gap and improving outcomes for patients, clinicians, and the health system. Moving forward, we need to develop a better understanding of how to create contexts that embrace change prior to the implementation of EBPs in order sustain improvements to patient and health system outcomes. pubtype: Academic Journal doctype: pictorial tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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