Evidence‐based practice models for organizational change: overview and practical applications

Abstract

The Johns Hopkins Model and the Academic Center for Evidence-Based Practice Star Model emphasize the processes of finding and evaluating evidence that is likely to appeal to nursing educators. Organizations may prefer the Promoting Action on Research Implementation in Health Services Framework, Advancing Research and Clinical Practice Through Close Collaboration, or Iowa models for their emphasis on team decision-making. An evidence-based practice model that is clear to the clinician and fits the organization will guide a systematic approach to evidence review and practice change.

Avaliação de intervenção para difusão da enfermagem baseada em evidências em hospital de ensino

“…This action can also benefit the nurses working at teaching hospitals since the best scientific evidence could help them create and choose products, processes and interventions. Consequently, hospitals would optimise costs and obtain more effective results for the health of the population (1)(2)(3)(4)(5)(6) . It should be noted that a characteristic of nursing is contact with the human condition, which includes culture, subjectivities, communication, and other human healthcare needs.…”

“…However, this expansion will have little impact if the knowledge is restricted to researchers. It is becoming increasingly necessary to invest in strategies that draw the production of scientific evidence closer to care, considering that the research results must compose the repertoire of those who are directly linked to the care practice (2)(3)(4)(5)(6) . In the scenario of university teaching hospitals, where nurses and managerial staff actively participate in a variety of shared academic activities, it is crucial to promote the approximation of scientific research and the use of its results (6) .…”

“…The integration of quality scientific evidence with healthcare practice, and associating evidence with professional expertise and the preferences of users, their families, and communities, is a complex issue for Contemporary Nursing, and represents a cornerstone for the practice of Evidence-Based Nursing (EBN) (1)(2)(3) . EBN presents itself as an opportunity to enhance the scientific production of nursing and legitimise the profession.…”

“…Considering that nursing research has its own theories -which are broad -interdisciplinary methods, and designs that are not merely experimental, such as qualitative research or a social approach in health, the translation of research findings into practice becomes a complex challenge (2) . Several international models have been delineated to support the implementation of scientific evidence in the context of the nursing practice and individual change in healthcare teams and organisations (1)(2)(3) . A review of literature on international models usually undertaken in hospitals for the achievement of EBN among nurses concluded that although these models support organisational change and individual skills, research is still needed to assess the results and the sustainability of their application in the care scenarios (3) .…”

“…However, this framework should be expanded by means of scientific research using methods that provide insight into how technological advances and sociocultural networks affect care and respond to the everyday demands of care (2)(3)(4) . At the same time, nursing research potentially strengthens the ethical commitment and humanistic work of this profession, and its results may support the range of collaborative relationships between members of the nursing staff and favour the establishment of a supportive organizational environment (1)(2)(3)(4) . However, this expansion will have little impact if the knowledge is restricted to researchers.…”