Evidence-based practice and clinical work assessment.
Despite the growing emphasis for evidence-based practice, there are barriers to adopting this paradigm. These include (1) the lack of consistent method to measure clinical work, (2) task orientation in current measurement methods, and (3) a lack of awareness among staff nurses about evidence-based practice. In addition, clinical unit cultures are perceived as barriers and often described as cultures of "habit and opinion." Three conceptual models are discussed as a method to assist clinicians in conducting an evidenced-based clinical work assessment to advance evidence-based practice.
Sams
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Arlington Hospital, Arlington, VA, USA.
Gannon
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ME
D001291:Attitude of Health Personnel; D019317:Evidence-Based Medicine; D006801:Humans; D009732:Nursing Care / Q000458:organization & administration*; D011785:Quality Assurance, Health Care