Putting the evidence into practice: the King Faisal Specialist Hospital and Research Centre experience.
For more than a decade, evidence-based practice has become the desired aim behind organized health care. Although a plethora of reasons exist as to why clinicians are reluctant to adopt research-based findings, the fundamentals relate to management of change and the nature of the individuals involved. Large organizations, with their daily routines and operations, are inherently difficult to change. Hence, one has to use the very structures that drive the organization to effect 'sustained' change. In large tertiary care facilities, such as the King Faisal Specialist Hospital and Research Centre, these structures are policies and procedures. This paper provides details of the process developed by the Nursing Affairs Practice Committee of the King Faisal Specialist Hospital and Research Centre to achieve the committee mandate of: 'Establish and implement an evidence-based process for the systematic review and revision of nursing clinical standards, policies, procedures and protocols'.
Robertson-Malt
Suzi
S
Cardiovascular Nursing, King Faisal Heart Institute, King Faisal Specialist Hospital and Research Centre, Riyadh, Saudi Arabia. srobertson-malt@kfshrc.edu.sa
Chapman
Ysanne
Y
Ingram
Gillian
G
D000047:Academies and Institutes / Q000458:organization & administration*; D001291:Attitude of Health Personnel; D019985:Benchmarking / Q000458:organization & administration; D015400:Clinical Nursing Research / Q000193:education / Q000458:organization & administration*; D002985:Clinical Protocols / Q000592:standards; D019317:Evidence-Based Medicine / Q000193:education / Q000458:organization & administration*; D006782:Hospitals, Special / Q000458:organization & administration*; D006801:Humans; D009741:Nursing Staff, Hospital / Q000193:education / Q000458:organization & administration / Q000523:psychology; D009936:Organizational Innovation; D009937:Organizational Objectives; D016134:Organizational Policy; D010043:Outcome and Process Assessment, Health Care / Q000458:organization & administration; D017712:Peer Review, Research / Q000379:methods*; D017410:Practice Guidelines as Topic / Q000592:standards; D011367:Professional Staff Committees / Q000458:organization & administration*; D016730:Program Development; D012107:Research Design; D012529:Saudi Arabia