Strategies for advancing evidence-based practice in clinical settings.
Evidence-based practice (EBP) is a problem-solving approach that incorporates the best available scientific evidence, clinicians' expertise, and patients' preferences and values. Melnyk and Fineout-Overholt have developed the ARCC (Advancing Research and Clinical practice through close Collaboration) model for the purpose of implementing EBP. A pilot study was conducted to test the ARCC model at two acute-care sites. This article shares information learned from the pilot study about what is necessary for successful implementation of EBP in the acute-care setting. These essentials include identifying EBP champions, redefining nurses' roles to include EBP activities, allocating time and money to the EBP process, and creating an organizational culture that fosters EBP. In addition, practical strategies for implementing EBP are presented to encourage implementation of EBP.
Fineout-Overholt
Ellen
E
Center for the Advancement of Evidence-based Practice at Arizona State University College of Nursing, Tempe, Ariz, USA.
Levin
Rona F
RF
Melnyk
Bernadette Mazurek
BM
D000046:Academic Medical Centers / Q000458:organization & administration; D000208:Acute Disease / Q000451:nursing; D001291:Attitude of Health Personnel; D002983:Clinical Competence / Q000592:standards*; D003299:Cooperative Behavior; D004059:Diffusion of Innovation; D004509:Education, Nursing, Continuing / Q000458:organization & administration; D019317:Evidence-Based Medicine / Q000193:education / Q000458:organization & administration*; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D033181:Information Dissemination; D007373:Interinstitutional Relations; D016294:Models, Nursing; D009518:New York; D024802:Nurse's Role; D015403:Nursing Evaluation Research; D015399:Nursing Research / Q000193:education / Q000458:organization & administration*; D009738:Nursing Service, Hospital / Q000458:organization & administration; D009741:Nursing Staff, Hospital / Q000193:education / Q000458:organization & administration / Q000523:psychology; D015279:Organizational Culture; D010865:Pilot Projects; D011340:Problem Solving; D012579:Schools, Nursing / Q000458:organization & administration; D017748:Time Management