People, Practices, and Places: Realities That Influence Evidence‐Based Practice Uptake

Tucker, Sharon

doi:10.1111/wvn.12216

Cited by 4 publications

(4 citation statements)

References 24 publications

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“…The PARiHS model presents the “environment” or context element, where changes occur, as an important facilitator of evidence implementation, with a structure divided into three large blocks showing a plethora of defining characteristics of the “work context” construct in three interrelated spheres: culture, leadership, and measurement/evaluation (Rycroft-Malone, 2004). Other researchers studying the work context have grouped their categories around the previous general categories offered by the PARiHS model, resulting in factors that positively influence the implementation of evidence in nursing practice: leadership, culture, staff training, IT as a support resource, time to assimilate and implement change, mechanisms for interdisciplinary participation, relationships with other organizations, professional development opportunities, reminder systems, feedback audits, training, role models, organization, priorities, and strategic plans (Dogherty et al, 2010; Tucker, 2017)…”

Section: Discussionmentioning

confidence: 99%

Context as a Facilitator of the Implementation of Evidence-based Nursing: A Meta-synthesis

et al. 2020

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Nurses have numerous difficulties in implementing science due to obstacles related to the work context. The aim is to explore the work-context-related facilitators of the application of evidence in clinical practice by nursing professionals. Qualitative meta-synthesis of primary studies on nurses’ experiences of work-context-related facilitators, as defined by the Promoting Action on Research Implementation in Health Services model. Using the Qualitative Appraisal and Review Instrument of the Joanna Briggs Institute. Of the total 57 primary research articles included, an explanatory model of the facilitating factors related to the work context was generated on the basis of four general categories: institutional support (leadership), multidisciplinary support (teamwork and communication), culture of improving quality of care (nursing professionals’ attitudes towards change) and use of research (valuing research). Action can be taken on the facilitating factors of the evidence-based practice application in nursing clinical environments, providing resources and motivation from the organization.

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Section: Discussionmentioning

confidence: 99%

Context as a Facilitator of the Implementation of Evidence-based Nursing: A Meta-synthesis

et al. 2020

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“…For example, about one out of every 10 patients acquire a potentially preventable condition during hospitalisation (National Patient Safety Foundation (NPSF), 2015); an outcome that could have been prevented with evidence-based practices. Evidencebased practice improves the quality of care, patient outcomes and decreases healthcare costs (Balakas et al, 2013;Melnyk et al, 2012); therefore, around the world it is the expectation for care delivery for both hospitals and nurses (Renolen et al, 2018;Tucker, 2017;Wilson et al, 2015). While there has been an international effort for nurses to employ evidence-based practices, multiple authors indicate that nurses, among other healthcare disciplines, do not consistently provide care that is evidence-based (Melnyk, Gallagher-Ford, Zellefrow, Tucker, Van Dromme, et al, 2018;Renolen et al, 2018;Tucker, 2017).…”

Section: Backg Rou N Dmentioning

confidence: 99%

“…Evidencebased practice improves the quality of care, patient outcomes and decreases healthcare costs (Balakas et al, 2013;Melnyk et al, 2012); therefore, around the world it is the expectation for care delivery for both hospitals and nurses (Renolen et al, 2018;Tucker, 2017;Wilson et al, 2015). While there has been an international effort for nurses to employ evidence-based practices, multiple authors indicate that nurses, among other healthcare disciplines, do not consistently provide care that is evidence-based (Melnyk, Gallagher-Ford, Zellefrow, Tucker, Van Dromme, et al, 2018;Renolen et al, 2018;Tucker, 2017). With an eye towards improving patient care and outcomes, the perceptions of nurses who are asked to change their practice should be explored in order to support practice change in their daily work.…”

Section: Backg Rou N Dmentioning

confidence: 99%

The realities of practice change: Nurses' perceptions

Knudsen

King

Steege

2021

Journal of Clinical Nursing

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Aims and Objectives: To explore registered nurses' perceptions of practice change and describe factors that influence the adoption of practice changes.Background: Nurses play a critical role in optimising patient outcomes. Healthcare organisations and nurses must do their part to achieve the Quadruple Aim, which requires nurses to change their practice. Nurses are ideally positioned to improve patient outcomes by changing their practice to align it with research evidence and organisational initiatives; however, this experience of practice change by nurses is grossly under-studied.Design: A qualitative design, inductive content analysis, was used to understand nurses' perceptions of practice change.Methods: Eleven registered nurses, who worked in one hospital system, participated in one-on-one semi-structured interviews. The Consolidated Criteria for Reporting Qualitative Studies (COREQ) were followed. Findings: The 11 participants described 63 distinct experiences with practice changes. Their experiences with and perceptions of practice change are categorised as (1) There is A History; (2) It's A Lot of Work; (3) It Happens to Nurses; and (4) Doing Right for the Patient. Conclusion: Nurses experience practice change as a central part of the work they do; it occurs frequently and multiple practice changes may co-occur. Nurses identify strategies, such as thoughtful planning, engaging nurses, and communicating the rationale for and the outcomes of the practice change, to facilitate changing practice.

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“…The gap represents not only the delayed transfer of evidence into clinical contexts, but also the gap between knowledge producers and knowledge users (Rycroft‐Malone et al, ). A number of remedial approaches have been proposed to address this phenomenon in recent years, which are largely conceived from the fields of psychology and Implementation Science (IS) (Gagliardi, Berta, Kothari, Boyko, & Urquhart, ; Graham, Kothari, & McCutcheon, ; Tucker, ). However, there remains limited research on the use of evidence‐based information by midwives in maternity contexts.…”

Section: Introductionmentioning

confidence: 99%

Midwives' use of best available evidence in practice: An integrative review

Leo

Bayes

Geraghty

et al. 2019

Journal of Clinical Nursing

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Aims and objectives To synthesise international research that relates to midwives' use of best available evidence in practice settings and identify key issues relating to the translation of latest evidence into everyday maternity care. Background Midwifery is a research‐informed profession. However, a gap persists in the translation of best available evidence into practice settings, compromising gold standard maternity care and delaying the translation of new knowledge into everyday practice. Design A five‐step integrative review approach, based on a series of articles published by the Joanna Briggs Institute (JBI) for conducting systematic reviews, was used to facilitate development of a search strategy, selection criteria and quality appraisal process, and the extraction and synthesis of data to inform an integrative review. Methods The databases CINAHL, MEDLINE, Web of Science, Implementation Science Journal and Scopus were searched for relevant articles. The screening and quality appraisal process complied with the PRISMA 2009 checklist. Narrative analysis was used to develop sub‐categories and dimensions from the data, which were then synthesised to form two major categories that together answer the review question. Results The six articles reviewed report on midwives' use of best available evidence in Australia, the UK and Asia. Two major categories emerged that confirm that although midwifery values evidence‐based practice (EBP), evidence‐informed maternity care is not always employed in clinical settings. Additionally, closure of the evidence‐to‐practice gap in maternity care requires a multidimensional approach. Conclusion Collaborative partnerships between midwives and researchers are necessary to initiate strategies that support midwives' efforts to facilitate the timely movement of best available evidence into practice. Relevance to clinical practice Understanding midwives' use of best available evidence in practice will direct future efforts towards the development of mechanisms that facilitate the timely uptake of latest evidence by all maternity care providers working in clinical settings.

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People, Practices, and Places: Realities That Influence Evidence‐Based Practice Uptake

Cited by 4 publications

References 24 publications

Context as a Facilitator of the Implementation of Evidence-based Nursing: A Meta-synthesis

Context as a Facilitator of the Implementation of Evidence-based Nursing: A Meta-synthesis

The realities of practice change: Nurses' perceptions

Midwives' use of best available evidence in practice: An integrative review

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