Evidence-based practice: a practical approach to implementation.
Organizations often do not have processes in place to support nurses through a systematic approach for developing and evaluating nursing interventions, protocols, critical pathways, and policies that are derived from scientific evidence. The development of a framework to guide inquiry will have a positive impact on patients. This process may foster a higher level of professional engagement by nurses that may, in the long-term, help improve nurse retention and recruitment. The authors discuss a nursing evidence-based practice model and guidelines that were developed by a team of hospital and academic nurse leaders and is practical and easy to use. This model has been successfully implemented across the department of nursing as a strategic initiative. Results of the implementation have shown that staff nurses can effectively use this model with the help of knowledgeable mentors.
Newhouse
Robin
R
Johns Hopkins University School of Nursing, 525 N. Wolfe Street, Baltimore, MD 21205, USA.
Dearholt
Sandra
S
Poe
Stephanie
S
Pugh
Linda C
LC
White
Kathleen M
KM
D001291:Attitude of Health Personnel; D015142:Baltimore; D002983:Clinical Competence / Q000592:standards; D002985:Clinical Protocols / Q000592:standards; D019091:Critical Pathways / Q000592:standards; D003479:Curriculum / Q000592:standards; D004509:Education, Nursing, Continuing / Q000458:organization & administration; D019317:Evidence-Based Medicine / Q000193:education / Q000458:organization & administration; D006785:Hospitals, University; D006801:Humans; D007318:Inservice Training / Q000458:organization & administration; D007857:Leadership; D008370:Manuals as Topic / Q000592:standards; D008611:Mentors; D016294:Models, Nursing; D015402:Nursing Education Research; D015399:Nursing Research / Q000193:education / Q000458:organization & administration; D009741:Nursing Staff, Hospital / Q000193:education* / Q000458:organization & administration / Q000523:psychology; D010865:Pilot Projects; D017410:Practice Guidelines as Topic / Q000592:standards; D011367:Professional Staff Committees / Q000458:organization & administration; D016730:Program Development / Q000379:methods; D015397:Program Evaluation