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Creating a Culture of Evidence-Based Practice
An abundance of evidence can be found on almost any medical issue or health topic. Often the availability of information is not the concern but rather nurses struggle with how to convey the evidence to others and change practices to better reflect the evidence. Deep-rooted organizational cultures and policies can make some resistant to change even to changes that can vastly improve the quality effectiveness and efficiency of health care. However there are many strategies that nurses can employ to bring about changes to practice.
In this Discussion you focus on how to create an organizational culture that supports evidence-based practice.
To prepare:
By Day 3
Postan evaluation of your organizations use of EBP and how it is furthered or hindered by organizational culture and policies. Describe how you could disseminate the findings. Propose a strategy for strengthening the culture of EBP within the organization. Discuss a nurses responsibility to further the use of EBP providing a rationale supported by specific information from the Learning Resources.
Required Readings
Polit D. F. & Beck C. T. (2017). Nursing research: Generating and assessing evidence for nursing practice (10th ed.). Philadelphia PA: Wolters Kluwer.
Aitken L. M. Hackwood B Crouch S. Clayton S. West N. Carney D. & Jack L. (2011). Creating an environment to implement and sustain evidence based practice: A developmental process. Australian Critical Care 24(4) 244254.
Retrieved from the Walden Library databases.
This article describes a multi-dimensional EBP program designed to generate sustainable improvement in patient care and patient outcome. The text details the programs strategies for implementation along with achievements and lessons learned.
Barnsteiner J. H. Reeder V. C. Palma W. H. Preston A. M. & Walton M. K. (2010). Promoting evidence-based practice and translational research. Nursing Administration Quarterly 34(3) 217225.
Retrieved from the Walden Library databases.
In this text the authors highlight established systems and structures designed to supply staff with resources to translate research and deliver EBP. Additionally the article explicates a multitude of initiatives designed to disseminate evidence to the point of care.
Cullen L. & Adams S. L. (2012). Planning for implementation of evidence-based practice. Journal of Nursing Administration 42(4) 222230.
Retrieved from the Walden Library databases.
This article provides several models for implementing evidence-based practice within an organization. It introduces four different phases through which an implementation should progress and provides examples of each.
Estrada N. (2009). Exploring perceptions of a learning organization by RNs and relationship to EBP beliefs and implementation in the acute care setting. Worldviews on Evidence-Based Nursing 6(4) 200209.
Retrieved from the Walden Library databases.
In this article the authors detail a survey design study conducted to determine the relationship between a learning organizations characteristics and the beliefs of registered nurses with respect to EBP. In addition the study examines the impact of EBP beliefs on registered nurses implementation of EBP.
Fineout-Overholt E. Williamson K. M. Kent B. & Hutchinson A. M. (2010). Teaching EBP: Strategies for achieving sustainable organizational change toward evidence-based practice. Worldviews on Evidence-Based Nursing 7(1) 5153.
Retrieved from the Walden Library databases.
The authors of this text suggest multiple strategies for integrating the EBP paradigm at the organizational level. The text provides rationale for why educators should also consider change at the individual level as an effective conduit for disseminating the EBP paradigm at the organizational level.
Munten G. van den Bogaard J. Cox K. Garretsen H. & Bongers I. (2010). Implementation of evidence-based practice in nursing using action research: A review. Worldviews on Evidence-Based Nursing 7(3) 135157.
Retrieved from the Walden Library databases.
This text reviews 21 action research studies to determine what is known about using action research to implement evidence-based practice. The authors explicate the promising features and flaws that were common across the action research studies they used.


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