Nurses reclaiming ownership of their practice: implementation of an evidence-based practice model and process.
This article describes a new model and process to implement evidence-based practice. This model builds on concepts from the Iowa Model of Evidence-Based Practice, the Stetler model, and Rosswurm and Larrabee's model. The new model focuses on the centrality and involvement of staff nurses in making evidence-based practice clinical changes. Two figures illustrate the model and the implementation process. A detailed case study based on the model is included. Barriers identified in the literature review are addressed in the case study. Implementation of this model creates opportunities for staff nurses to recognize ownership of their practice and their role in changing the practice setting to a culture of evidence-based practice.
Reavy
Kathy
K
Boise State University, Department of Nursing, Boise, Idaho 83725-1840, USA.
Tavernier
Susan
S
D001291:Attitude of Health Personnel; D001458:Bandages; D019985:Benchmarking; D015400:Clinical Nursing Research / Q000458:organization & administration*; D004059:Diffusion of Innovation; D019317:Evidence-Based Medicine / Q000458:organization & administration*; D006801:Humans; D016294:Models, Nursing; D009503:Neutropenia / Q000209:etiology / Q000451:nursing; D009720:Nurse Clinicians / Q000458:organization & administration / Q000523:psychology; D024802:Nurse's Role / Q000523:psychology; D009736:Nursing Process / Q000458:organization & administration; D009741:Nursing Staff, Hospital / Q000458:organization & administration / Q000523:psychology; D009859:Oncology Nursing / Q000458:organization & administration; D015279:Organizational Culture; D017009:Professional Autonomy; D012107:Research Design