Evidence-Based Practice Models to Maximize Nursing's Contributions to Global Health

Wilson, Lynda; Acharya, Radha; Karki, Sita; Budhwani, Henna; Shrestha, Prajina; Chalise, P; Shrestha, Unisha; Gautam, Kabita

doi:10.5958/2349-2996.2016.00009.4

Cited by 7 publications

(3 citation statements)

References 13 publications

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“…Despite the growth of Magnet ® , a recent survey found a low rate of EBP implementation in several U.S. healthcare settings (Melnyk, Gallagher‐Ford, Zellefrow, Tucker, Van Dromme et al., ) and that nurses were not yet competent in many EBP skills (Melnyk, Gallagher‐Ford, L., Zellefrow, Tucker, Thomas et al., ). This is consistent with Asian studies of nurses which suggested limited exposure to and knowledge of EBP (Wilson et al., ). A limited number of strategies for increasing the use of EBP by hospital‐based nurses have been described in the literature to date.…”

Section: Introductionsupporting

confidence: 90%

Impact of a Hospital Evidence‐Based Practice Center (EPC) on Nursing Policy and Practice

Lavenberg

Cacchione

Jayakumar

et al. 2019

Worldviews Ev Based Nurs

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Background: In 2006, our healthcare system created a hospital Evidence-based Practice Center (EPC) to support the local delivery of high-quality, safe and high value patient care. Since then, the importance of healthcare staff work life has also been highlighted, and together these four elements form the Quadruple Aim framework. Synergistic to this Aim, the Magnet ® program promotes and recognizes organizational nursing excellence.Objective: To examine the EPC's work to inform nursing policy and practice in support of the goals of the Quadruple Aim framework and Magnet ® designation.Methods: Methods used included the following: (1) descriptive analysis of the hospital EPC's database of rapid reviews; and (2) administration of a 40-item electronic questionnaire to nurses who requested an EPC review during fiscal years (FY) 2015 and 2016.Results: Of 308 rapid reviews completed in the EPC's first 10 years, 59 (19%) addressed nursing topics. The proportion of reviews relevant to nursing increased from 5% (2/39) in the center's first 2 years to 44% (25/60) in FY 2015-2016. The majority of nursing reviews (39/59) examined processes of care. Of 23 nurses eligible to participate in the survey, 21 responded (91%). Nurses with administrative or managerial responsibilities requested 70% of reviews; clinical nurse specialists and bedside nurses requested 17% and 9%, respectively. Reviews were used to support clinical program development (48%), provide clinical guidance (33%), update nursing policies or procedures (24%) and develop training and curricula (24%). Nurses were satisfied with the hospital EPC reviews (mean; 4.7/5), and 95% indicated they were likely to request a future review.Linking Evidence to Action: A dedicated hospital EPC in partnership with nursing offers a unique mechanism for promoting a culture of evidence-based practice. Nurses at all organizational levels use the services of a hospital EPC to inform nursing policy and practice and are highly satisfied with the process, supporting the Quadruple Aim and Magnet ® designation.

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Section: Introductionsupporting

confidence: 90%

Impact of a Hospital Evidence‐Based Practice Center (EPC) on Nursing Policy and Practice

Lavenberg

Cacchione

Jayakumar

et al. 2019

Worldviews Ev Based Nurs

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“…Nurses and interprofessional teams must apply evidence to achieve, improve, and sustain optimal patient and work environment–related outcomes. Translation and implementation of nursing research into practice is slow and a challenge worldwide (Li, Jeffs, Barwick, & Stevens, 2018; Shayan, Kiwanuka, & Nakaye, 2019; Warren et al, 2016; Wilson et al, 2016). Implementation is frequently underdeveloped and is a difficult step in the evidence‐based practice (EBP) process (Cullen & Adams, 2012).…”

Section: Background and Significancementioning

confidence: 99%

Use of Evidence‐based Practice Models and Research Findings in Magnet‐Designated Hospitals Across the United States: National Survey Results

Speroni¹,

McLaughlin

Friesen

2020

Worldviews Ev Based Nurs

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Background All nurses have responsibilities to enculturate evidence‐based practice (EBP) and translate and implement research findings into nursing care, practices, and procedures. Aims To report EBP‐related findings from the national Hospital‐Based Nursing Research Characteristics, Care Delivery Outcomes, and Economic Impact Survey questionnaire. Methods In this cross‐sectional survey research study of 181 nursing research leaders, 127 responded to these questions: “Has your hospital adopted or does it use a model of evidence‐based practice?” “If yes, what is the name of the model and how is it used?” “Does your hospital implement (translate) findings from nursing research into clinical practice?” “Describe how your hospital implements these findings and whose responsibility it is.” “What factors do you believe facilitate the implementation of findings from nursing research into clinical practice at your hospital?” Qualitative content analyses were used. Results Over 90% of nursing research leaders specified that their hospital used an EBP model and implements findings into practice. The most frequently reported models were the Iowa Model of Evidence‐Based Practice, Johns Hopkins Nursing Evidence‐Based Practice Model, and Advancing Research and Clinical Practice Through Close Collaboration Model. EBP models were used most frequently for education and training, nurse residency programs, and EBP and research fellowships. Findings were implemented through policy and procedure committee processes, shared governance structures, and EBP processes. Those responsible for implementing findings were project leads, nursing professional practice councils, and clinical nurse specialists and advanced practice nurses. Implementation facilitators were nursing leadership, dissemination of findings, and engaged and educated nurses. Linking Evidence to Action These new findings report >90% EBP model use and implementation. All nurses, especially our leaders, have responsibilities to evaluate EBP and how nursing research findings are implemented (translated) into practice. Ideally, engaged and educated nurses who enculturate, support, and sustain EBP will facilitate advancing nursing practice to improve patient and work environment–related outcomes.

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“…Recent advances in this field of nursing indicate these models are an appropriate response to the demands of the global agenda (6), and to the development of leadership required by the profession (7). They are a way of articulating the practice of nursing with the health system (8), complementing the theoretical development of other levels in the knowledge hierarchy (9,10), and responding to the highest accreditation criteria, while allowing for a link between the academy and assistance (11), generating an impact on nursing practice (12).…”

Section: Introductionmentioning

confidence: 99%

“Nursing Care with a Human Approach”: A Model for Practice with Service Excellence

Hermida

Sánchez–Herrera

2018

Aquichan

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Objective: Develop a model of care for clinical the practice that allows for a continuous improvement in nursing care at the Fundación Santa Fe University Hospital in de Bogotá (FSFB). Materials and methodology: This is a descriptive methodological study developed in sequential phases that included: 1) identification of the need to have a model of care for nursing practice; 2) a characterization of the context and the desired scenario; 3) a literature review; 4) a description of the model; and 5) validation of the theoretical proposal. The study was conducted in 2016. Results: The global trend in the use of nursing models in clinical practice recognizes common aspects and emphasizes relevance, methodologies and different roles in their implementation. The context and projection of excellence for nursing at the FSFB necessitated the evident orientation of a model for the practice that guides care and responds to the vocation of service centered on the experience of human health. Conclusion: The model known as "Nursing Care with a Human Approach" helps to understand and communicate the essential components of nursing at the institutional level. It also develops parameters to measure and qualify nursing practice at the FSFB on a permanent basis. KEYWORDSNursing models; nursing theory; nursing care; nursing methodological research; patient focused care (Source: DeCS).AÑO 18 -VOL. 18 Nº 2 -CHÍA, COLOMBIA -ABRIL 2018 l 149-159The topic: theory based practice Contribution to the discipline: A nursing professional practice model, such as the one developed in this study, allows us to reflect and focus on the practice of nursing, and to generate a collective vision and a common language to communicate developments and significant advances. This model also intends to be understandable and close to daily practice, to build identity, to have bases that allow for the generation of scientific evidence, to mobilize collective leadership by generating conditions of empowerment for nursing, and, thus, to achieve an autonomous practice that cares for the experience of people in whichever health condition they may find themselves. In that sense, this work responds to the most significant global trends in the development of the professional discipline of nursing. Modelo "cuidado de enfermería con enfoque humano" para una práctica con excelencia en el servicio RESUMEN Objetivo: desarrollar un modelo de atención para la práctica clínica que permita una mejora continua en la atención de enfermería en el Hospital Universitario de la Fundación Santa Fe de Bogotá (FSFB). Materiales y metodología: este es un estudio metodológico descriptivo desarrollado en fases secuenciales que incluyó: 1) identificación de la necesidad de tener un modelo de atención para la práctica de la enfermería; 2) una caracterización del contexto y el escenario deseado; 3) una revisión de la literatura; 4) una descripción del modelo; y 5) validación de la propuesta teórica. El estudio se realizó en 2016. Resultados: la tendencia global en el uso de modelos ...

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Evidence-Based Practice Models to Maximize Nursing's Contributions to Global Health

Cited by 7 publications

References 13 publications

Impact of a Hospital Evidence‐Based Practice Center (EPC) on Nursing Policy and Practice

Impact of a Hospital Evidence‐Based Practice Center (EPC) on Nursing Policy and Practice

Use of Evidence‐based Practice Models and Research Findings in Magnet‐Designated Hospitals Across the United States: National Survey Results

“Nursing Care with a Human Approach”: A Model for Practice with Service Excellence

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