Implementing evidence-based practice: a mantra for clinical change.
Evidence-based practice (EBP) requires a commitment to adopting innovation to change clinical problems. In perinatal and neonatal care, this commitment involves utilization of current best evidence in decision making about patient care for the benefit of mothers, infants, and their families. Embracing EBP can lead to increased patient and professional outcomes, creating synergy that will be welcomed on all levels. Moving toward EBP in this arena is a challenging goal for perinatal nurses, who may encounter many barriers. This article describes the need for "buy in" from key stakeholders at the bedside and within the infrastructure of the organization. Provided herein are stepwise methods to engage nurses in EBP as well as ideas to promote use of research in a way that every patient receives the right care every time. This article provides an overview of how perinatal and neonatal clinicians can shift their focus to embrace EBP and translate research into practice at the bedside.
Purdy
Isabell B
IB
Division of Neonatology & Developmental Biology, Department of Pediatrics, David Geffen School of Medicine, University of California Los Angeles, CA 90095, USA. ipurdy@mednet.ucla.edu
Melwak
Mary Alice
MA
D001291:Attitude of Health Personnel; D019985:Benchmarking; D015400:Clinical Nursing Research / Q000193:education / Q000458:organization & administration; D004059:Diffusion of Innovation; D004509:Education, Nursing, Continuing; D055318:Evidence-Based Nursing / Q000193:education / Q000458:organization & administration; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D033181:Information Dissemination; D016247:Information Storage and Retrieval; D017283:Neonatal Nursing / Q000193:education / Q000458:organization & administration; D009741:Nursing Staff, Hospital / Q000193:education / Q000458:organization & administration* / Q000523:psychology; D009936:Organizational Innovation; D012107:Research Design; D012196:Review Literature as Topic