Getting evidence into practice: ingredients for change.
Mounting pressure is being exerted to ensure that the delivery of care is evidence-based and clinically effective. However, the challenge this presents to practitioners is complex. The authors propose that successful implementation of evidence into practice is a function of three elements: the nature of the evidence; the context in which the change is to take place; and the way the process is managed. A framework has been developed to represent these factors. For those about to embark on implementation work, this article closes by highlighting a number of key questions for consideration, stimulated by the framework.
Rycroft-Malone
Jo
J
Institute, Radcliffe Infirmary, Oxford. Joanne.rycroft-malone@rcn.org.uk
Harvey
Gill
G
Kitson
Alison
A
McCormack
Brendan
B
Seers
Kate
K
Titchen
Angie
A
D003695:Delivery of Health Care / Q000592:standards*; D019317:Evidence-Based Medicine; D006293:Health Promotion; D006801:Humans; D011785:Quality Assurance, Health Care