Evidence-based Practice: An Implementation Guide for Healthcare Organizations

TITLE......Page 2
COPYRIGHT......Page 3
CONTENTS......Page 4
PREFACE......Page 10
CONTRIBUTORS......Page 12
WHAT IS EVIDENC E-BASED PRACTICE?......Page 14
STRATEGIES FOR IMPLEMENTING EVIDENCE-BASED PRACTICE......Page 24
EBP AND PROFESSIONAL PRACTICE......Page 26
REFERENCES......Page 30
INTRODUCTION......Page 34
IDENTIFYING THE FORUM AND THE MESSAGE......Page 37
HOW TO TALK WITH GROUPS ABOUT EBP......Page 41
REFERENCES......Page 47
EBP IN CLINICAL PRACTICE: A HISTORY......Page 50
CREATING THE CONTEXT—SYSTEM DEVELOPMENT......Page 54
THE EVIDENCE BASE—WHAT DOES THE RESEARCH TELL US?......Page 55
INFLUENCE OF EXTERNAL FORCES......Page 57
SUSTAINABILITY......Page 59
REFERENCES......Page 65
NEW EMPLOYEE ORIENTATION......Page 68
EDUCATIONAL STRATEGIES AND RESOURCES......Page 69
READING AND APPRAISING RESEARCH FOR EVIDENCE-BASED PRACTICE......Page 71
ADVANCED EBP CONTENT......Page 72
RESEARCH CONTENT......Page 75
INTRODUCING THE GRADUATE NURSE TO EVIDENCE-BASED PRACTICE......Page 76
MAINTAINING AND UPDATING KNOWLEDGE AND SKILLS......Page 80
PROFESSIONAL RECOGNITION FOR EBP......Page 82
REFERENCES......Page 83
EBP OR RESEARCH COUNCIL......Page 86
COUNCIL COMPOSITION AND MEMBERS......Page 88
MEMBERSHIP TERMS......Page 89
COUNCIL CHARTER......Page 90
STEERING COMMITTEE......Page 92
RELATIONSHIP OF EBP COUNCIL WITH NURSING UNITS......Page 93
SUMMARY......Page 94
REFERENCES......Page 95
DEFINING EVIDENCE-BASED PRACTICE FOR AN ORGANIZATION......Page 96
WRITING A MISSION STATEMENT FOR EBP......Page 97
IDENTIFYING OBJECTIVES FOR EVIDENCE-BASED PRACTICE......Page 99
SELECTING AN ORGANIZATIONAL EVIDENCE-BASED PRACTICE MODEL......Page 101
REFERENCES......Page 120
ASSESSING ORGANIZATIONAL READINESS......Page 124
THE CRITICAL FOUNDATION: LEADERSHIP SUPPORT......Page 127
STAFF DEVELOPMENT RESOURCES......Page 128
REAL-TIME RESOURCES......Page 129
RESOURCES FOR SEARCHING FOR EVIDENCE......Page 130
SUMMARY......Page 135
REFERENCES......Page 136
INTRODUCTION......Page 138
COMMUNICATION PROCESSES WITHIN THE ORGANIZATION......Page 139
LINKAGES WITH OTHER ORGANIZATIONAL DEPARTMENTS AND GROUPS......Page 140
PROCESSES FOR HELPING CLINICIANS RECOGNIZE OPPORTUNITIES......Page 144
TOOLS FOR PRIORITIZING EBP OPPORTUNITIES......Page 148
REFERENCES......Page 151
INTRODUCTION......Page 152
REVIEW OF LEVELING MODELS......Page 153
FINDING THE EVIDENCE......Page 159
REFERENCES......Page 162
CONDUCTING SYSTEMATIC REVIEWS......Page 164
DESIGN OF CLINICAL SCIENCE PROJECTS......Page 180
DESIGN OF CLINICAL RESEARCH......Page 181
REFERENCES......Page 185
ASKING AN ANSWERABLE QUESTION......Page 188
CREATING A SEARCH STRATEGY......Page 190
KNOWING WHERE TO LOOK......Page 191
FREE ACCESS SOURCES FOR RESEARCH RESULTS......Page 196
REFERENCES......Page 198
MENTORING......Page 200
CHAMPIONS OF CHANGE......Page 203
HOW TO USE EBP MODELS TO GUIDE PRACTICE CHANGE......Page 207
JOURNAL CLUBS......Page 209
INTEGRATING EVIDENCE INTO POLICIES AND PROCEDURES......Page 217
TRANSLATING RESEARCH INTO PRACTICE (TRIP)......Page 219
NATIONAL RESOURCES......Page 222
DISSEMINATING THE EVIDENCE......Page 224
REFERENCES......Page 225
APPROPRIATE AUDIENCE......Page 228
WRITING AN ABSTRACT......Page 229
CREATING A POSTER PRESENTATION......Page 231
EFFECTIVE PODIUM PRESENTATIONS......Page 235
WRITING FOR PUBLICATION......Page 239
REFERENCES......Page 242
INTEGRATING EVIDENCE IN AN ORGANIZATION'S CARE DELIVERY MODEL......Page 244
INTEGRATING EVIDENCE IN AN ORGANIZATION'S PROFESSIONAL PRACTICE MODEL......Page 246
CLINICAL QUALITY......Page 251
INTEGRATION OF EVIDENCE-BASED PRACTICE INTO QUALITY IMPROVEMENT......Page 252
REFERENCES......Page 259
APPENDIX A: MOCK SURVEY QUESTIONS FOR THE NEW KNOWLEDGE, INNOVATIONS AND IMPROVEMENTS COMPONENT OF THE MAGNET SITE SURVEY......Page 262
APPENDIX B: MATERIALS TO HAVE AVAILABLE FOR MAGNET SITE VISITORS......Page 264
APPENDIX C: CHECKLIST FOR EVALUATING A RESEARCH STUDY......Page 266
APPENDIX D: ASSESSMENT OF INTERNAL RESOURCES FOR EBP/RESEARCH SYSTEMS......Page 268
APPENDIX E: PRIORITIZATION MATRIX......Page 270
APPENDIX F: WORKSHEET FOR APPRAISING A PRACTICE GUIDELINE......Page 272
APPENDIX G: WORKSHEET FOR RATING THE STRENGTH OF A BODY OF LITERATURE......Page 274
APPENDIX H: WORKSHEET FOR PLANNING AN EVIDENCE-BASED PRACTICE REVIEW......Page 276
APPENDIX I: PLANNING A FOCUSED RESEARCH STUDY......Page 280
APPENDIX J: THE LINK BETWEEN EVIDENCE AND RECOMMENDATIONS FOR PRACTICE......Page 282
INDEX......Page 284