Evidence Into Practice: Integration Within an Organizational Infrastructure

Cullen, Laura; Wagner, Mary Jo; Matthews, Grace; Farrington, Michele

doi:10.1016/j.jopan.2017.02.003

Cited by 9 publications

(5 citation statements)

References 22 publications

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“…A formal introduction to EBP in nurses’ training curricula, as well as the systematic integration of EBP into daily clinical practice, would significantly boost both beliefs about the approach and its implementation (Cullen, Wagner, Matthews, & Farrington, ; Hanrahan et al., ; Schaffer, Sandau, & Diedrick, ; Smith & Donze, ; Warren, Montgomery, & Friedmann, ). Pérez‐Campos, Sánchez‐García, and Pancorbo‐Hidalgo () also stated that nurses who considered and critically appraised at least one scientific article a month increased their ability to implement EBP in their daily clinical practice.…”

Section: Discussionmentioning

confidence: 99%

Beliefs and implementation of evidence‐based practice among community health nurses: A cross‐sectional descriptive study

Pereira

Pellaux

Verloo

2018

Journal of Clinical Nursing

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Section: Discussionmentioning

confidence: 99%

Beliefs and implementation of evidence‐based practice among community health nurses: A cross‐sectional descriptive study

Pereira

Pellaux

Verloo

2018

Journal of Clinical Nursing

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“…This EBP pilot project was reported within the organizational shared governance of the academic medical center to promote its integration and sustain support 35. Nurse executives were interested in the program and a business plan was created for integration and rollout of the yoga sessions.…”

Section: Integrating and Sustaining Yoga Sessionsmentioning

confidence: 99%

“…medical center to promote its integration and sustain support. 35 Nurse executives were interested in the program and a business plan was created for integration and rollout of the yoga sessions. The plan described a schedule and a budget for offering yoga classes on all behavioral health inpatient units, and led to immediate funding of a 50% position for the nurse-yoga instructor to sustain and add sessions.…”

Section: Yesmentioning

confidence: 99%

CE: An Evidence-Based Yoga Practice for Hospitalized Adults on Medical–Psychiatric Units

Dossett

Smith

Gingerich

et al. 2022

AJN, American Journal of Nursing

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Nursing Continuing Professional Development HOURSO n average, 20% of American adults, or roughly 50 million people, experience a mental illness annually. 1,2 For U.S. residents under age 45, mood disorders are the third leading cause of hospitalization (after pregnancy and birth). 3 Psychiatric comorbidities are common and may contribute to increased length of stay and cost. 2,4,5 Patients admitted with psychiatric illness are often placed in highly controlled, locked environments. 6 Whether hospitalized voluntarily or involuntarily, these patients experience stress, anxiety, and frustration due to feelings of confinement, the perceived violation of their personal rights, and rules they often view as unpredictable. 7 Given that these patients require interventions to address both their mental and physical health, 2 there is a clear need to prioritize evidence-based practice (EBP) in attending to their complex needs. Ideally, treatment would involve both psychotherapeutic and psychiatric (medical) interventions, but such services are not consistently available. 2 To date, there is a dearth of literature describing care for hospitalized patients with a combination of acute medical and psychiatric disorders. This arti-cle adds to the understanding of how nurses can use yoga with meditation as a complementary therapy to improve care for these complex patients. BACKGROUNDEvidence synthesis. Working with the health science librarian at our academic medical center, we conducted a comprehensive literature search of the CINAHL, EBSCO, Cochrane, ProQuest Central, and PubMed Central databases, using the search terms mindfulness, yoga, sense of well-being, yoga as therapy, yoga in inpatient psychiatric units, yoga and mental illness, conscious meditation, stress, anxiety, therapeutic yoga, and benefits of yoga. We then reviewed the identified articles for relevance and to guide the design of our proposed EBP practice change and evaluation.Yoga-based treatments are one of a group of complementary or alternative emerging therapies recognized as beneficial for people with various psychiatric disorders, including depression, anxiety, posttraumatic stress disorder (PTSD), and attention deficit-hyperactivity disorder, in addition to schizophrenia and other psychotic disorders. 2, 8-10 Such treatments are recognized by the National Institutes How nurses used complementary therapy to reduce patients' anxiety and distress.

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“…Nursing's shared governance framework provides direct care nurses with the opportunity to be part of the decision-making process in the organisation [28]. Nursing EBP is overseen by the Nursing Research and EBP Committee, which is co-chaired by the Director of the Nursing Research and EBP, and a staff nurse.…”

Section: Contextmentioning

confidence: 99%

Determinants of an evidence-based practice environment: an interpretive description

Duff

Cullen

Hanrahan

et al. 2020

Implement Sci Commun

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Background Despite the available research to inform nursing practice, many patients still fail to receive evidence-based care. Several evidence-based practice (EBP) models have been developed to guide nurses through the steps in the process, yet these models have not been uniformly adopted or consistently used. The original purpose of this research was to gather perspectives and experiences of nurses using the Iowa Model of EBP to help inform its introduction into other practice settings. As a more in-depth understanding was gained, the emphasis of the study shifted towards understanding the determinants of the EBP environment. Method The study was conducted in an 800-bed comprehensive academic medical centre in the USA with a 25-year history of using the Iowa Model of EBP. Semi-structured in-depth interviews were conducted with twelve nurses from various roles to ascertain their perspectives and experiences using the model. The interview transcripts were reviewed alongside relevant published literature and internal documents in a process of synthesising, theorising, and conceptualising. Data were collected during the first half of 2019. Results Four determinants of the local EBP environment were identified from the perspectives and experiences of participants: (1) the importance of a shared model to guide staff through the EBP process; (2) support for EBP in the form of education, hands-on training, and knowledge infrastructure; (3) active team facilitation by direct care nurses, nurse managers, nurse specialists, and nurse scientists; and (4) a culture and leadership that encourages EBP. Conclusion Introducing an EBP model is an essential first step for an organisation to improve consistent and reliable evidence-based care; to be most effective, this should be done in conjunction with efforts to optimise the EBP environment.

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Evidence Into Practice: Integration Within an Organizational Infrastructure

Cited by 9 publications

References 22 publications

Beliefs and implementation of evidence‐based practice among community health nurses: A cross‐sectional descriptive study

Beliefs and implementation of evidence‐based practice among community health nurses: A cross‐sectional descriptive study

CE: An Evidence-Based Yoga Practice for Hospitalized Adults on Medical–Psychiatric Units

Determinants of an evidence-based practice environment: an interpretive description

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