Creating a Culture of Evidence-Based Practice

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Creatinga Culture of Evidence-Based Practice

Creatinga Culture of Evidence-Based Practice

Evidence-basedpractice is integrating clinical expertise, research evidence, andcustomer values in the process of making decisions for patient careclinical expertise is the accumulated knowledge gained throughresearch, experience, clinical skills, and education. The client’sinvolvement is to bring their expectations, values, preferences, andunique concerns. The best research is derived from clinicallypertinent research done using reliable methodology (Poit &amp Beck2011). The evidence does not wholly make the decisions but enhancesthe ill person support process. Incorporating the three steps inhealth care improves the opportunity to give the best health care andupgrade the quality of life. The paper focuses on how to cultivate aculture of evidence-based practice by identifying models that workfor my organization the paper further examines the hindrances toevidence-based practice, its significance, and the role of nurses inpromoting it.

Myorganization has been trying to adopt the evidence-based practiceusing the poster method. The idea is to make the staff members createposters showing patient care, based on the best practice. Theseposters could be placed in an area where all nurses can get access tothem this ensures that they all benefit from the information. Theorganization has also taken an initiative to include the managers andadministrators by letting them judge the posters this ensures thateverybody knows the importance of evidence-based practice. A culturethat is resistant to change is one of the big hindrances to theimplementation of evidence-based practice. Most people are used tothe old models of clinical practice, thus introducing new methodsmakes the staff members to perceive that they might not be able toadapt to the new changes. Nurses in my organization had lessconfidence in their ability to make a change in the practice lack oftime is another problem that prevents change. Organizationalinformation in form of policy and audit reports is given firstpriority as compared to research findings (Steuer, 2010). For anorganization to embrace evidence-based practice, the staff membersneed to be encouraged. The nursing management may choose to include apractice based on evidence concept in nursing job descriptions andperformance appraisals the inclusion of knowledge on evidence-basedpractice concept as a requirement for promotion and hiring ensuresthat all nurses at every level will be conversant with the practice(Barnsteiner et al., 2016).

Thereare various models used to introduce the evidence-based practice toan organization it will choose a model according to the suitabilityof use (Satterfield et al., 2009). Advancing Research and ClinicalPractice through Close Collaboration (ARCC) model focuses on guidingclinicians to behavioral change towards adopting the evidence-basedpractice. The model assesses organizational culture and readiness forimplementation (Munten et al., 2010). It identifies mentors withinthe organization to mentor direct care staff, implements evidenceinto practice, and evaluates income. The John Hopkins NursingEvidence-Based Practice Model (JHNEBP) is a guide used to pick outthe best evidence for care decisions it provides tools for critiqueincluding research and non-research evidence appraisal, questiondevelopment, and evidence rating scale (Whitock, 2009). PromotingAction on Research Implementation in Health Services Framework(PARIHS) is a model that can evaluate the progress in implementingchange and predicts the success of elements (Cullen &ampAdams 2012).The ACE star Model of Knowledge and Transformation focuses on findingnursing evidence for the practice, which includes qualitativeevidence it also addresses factors that influence adoption of theinnovation. The ARRC model is the best fit for my organization sinceit takes into account organizational culture and readiness itaddresses the issue of implementation. The model also identifiesmentors to encourage the direct care staff this is a good aspect formy organization since the lack of confidence among the nurses is aproblem.

Evidence-basedpractice ensures that clinicians are able to take responsibility forthe decisions they make while caring for ill persons (Estrada, 2009).The patients get the optimal care since it is based on the bestpractices. Quality health care focuses on three aspects desiredhealth outcomes, services, and consistency with current knowledgeevidence-based practice covers the three aspects. Evidence-basedpractice provides a chance for customer care to be moreindividualized and effective (Atken et al., 2011). Nurses have aprofessional responsibility to utilize all the research materialsavailable when administering care, they should be confident in theirability to change the practice. Dissemination of information issignificant to implementing the practice nurses can distribute theinformation through brochures, social networks, emails, and textmessages (Fineout-Overhault et al., 2010). The method will ensurebroader reach across many settings according to Laureate EducationProducers (2012) video, the learning resources are made available tothe nurses to read in their break room and afterwards they discussthe various information they got from the resources this is evidenceof how nurses can disseminate findings on evidence based practice.

Insummation, the evidence-based practice involves the integration ofclinical expertise, research evidence, and patient values in theprocess of making decisions for customer care. Clinical expertise isacquired through experience, clinical skills, and education. Myorganization has tried to introduce the evidence-based practice byusing posters to create awareness. However, the efforts haveexperienced some hindrances such as resistance to change and lack ofconfidence by the staff. The measures put in place to help are toencourage the staff members to participate in the practice andincluding the evidence-based concept as a precondition for promotionsand hire of nurses.


Aitken,L. M., Hackwood, B, Crouch, S., Clayton, S., West, N., Carney, D., &ampJack, L. (2011). Creating an environment to implement and sustainevidence-based practice: A developmental process. AustralianCritical Care, 24(4), p.244-254.

Barnsteiner,J. H., Reeder, V. C., Palma, W. H., Preston, A. M., &amp Walton, M.K. (2010). Promoting evidence-based practice and translationalresearch. Nursing Administration Quarterly, 34(3), p.217-225.

Cullen,L., &amp Adams, S. L. (2012).Planning for implementation ofevidence-based practice. Journal of Nursing Administration, 42(4),p.222-230.

Estrada,N. (2009). Exploring perceptions of a learning organization by RNsand relationship to EBP beliefs and implementation in the acute caresetting. Worldviews on Evidence- Based Nursing, 6(4), 200-209.

Fineout-Overholt,E., Williamson, K. M., Kent, B., &amp Hutchinson, A. M.(2010).Teaching EBP: Strategies for achieving sustainableorganizational change toward evidence-based practice. Worldviews onEvidence-Based Nursing, 7(1), p.51-53

LaureateEducation (Producer). (2012). Translating evidence into practice.Baltimore, MD: Author.

Munten,G. van den Bogaard, J., Cox, K., Garretsen, H., &ampBongers, I.(2010).Implementation of evidence-based practice in nursing usingaction research: A review. Worldviews on Evidence- Based Nursing,7(3), p.135-157

Polit,D. F., &amp Beck, C. T. (2011). Nursing research: Generating andassessing evidence for nursing practice (10th ed.). Philadelphia,PA: Wolters Kluwer

Satterfield,J. M., Spring, B., Brownson, R. C., Mullen, E. J., Newhouse, R. P.,Walker, B. B., &amp Whitlock, E. P. (2009). Toward atransdisciplinary model of evidence-based practice. The MilbankQuarterly, 87(2), p.368-390

Steurer,L. M.(2010). An evidence-based practice scholars program: Oneinstitution’s journey toward excellence.Journal of ContinuingEducation in Nursing, 41(3), p.139- 143.

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