Translating the evidence-based NICU COPE program for parents of premature infants into clinical practice: impact on nurses' evidence-based practice and lessons learned.
OBJECTIVE
Many interventions that have been supported as efficacious through research never make it to clinical practice to improve care and patient outcomes. Therefore, the purposes of this dissemination-implementation study were to determine (a) the impact of translating the evidence-based Creating Opportunities for Personal Empowerment (COPE) program for parents of premature infants into clinical practice on nurses' EBP (evidence-based practice) beliefs and implementation; (b) the best strategy for disseminating COPE into the neonatal intensive care unit (NICU), including evaluating the use of a COPE EBP mentor; and (c) barriers and facilitators to successful implementation of the COPE program.


METHODS
The subjects for this study were 81 (45%) out of 180 nurses from a 55-bed NICU of a large children's hospital located in the Southwest region of the United States. The nurses completed the EBP beliefs and EBP implementation scales at baseline and 6 months after a full-day workshop on COPE and EBP and introduction of the COPE program into the unit. Evaluations from the nurses assisted in the identification of barriers and facilitators that fostered implementation of COPE in the NICU.


CONCLUSIONS
Nurses in the 2 pods in which COPE was being implemented reported higher EBP beliefs and greater EBP implementation than did nurses in the non-COPE pods. The EBP mentor was instrumental in routine delivery of COPE to the parents. Strategies to accelerate the translation of efficacious interventions into clinical practice and to create cultures to support evidence-based care in healthcare systems are urgently needed.
Arizona State University College of Nursing & Healthcare Innovation, Phoenix Children's Hospital, Phoenix, Arizona 85004, USA.
Bernadette Mazurek
BM
Melnyk
Tracey
T
Bullock
Jacqueline
J
McGrath
Diana
D
Jacobson
Stephanie
S
Kelly
Lisa
L
Baba
D000328:Adult; D000368:Aged; D001130:Arizona; D001291:Attitude of Health Personnel; D004059:Diffusion of Innovation; D004509:Education, Nursing, Continuing / Q000458:organization & administration*; D055317:Evidence-Based Practice / Q000193:education / Q000458:organization & administration; D005163:Factor Analysis, Statistical; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006776:Hospitals, Pediatric; D006801:Humans; D007231:Infant, Newborn; D015931:Intensive Care, Neonatal / Q000458:organization & administration* / Q000523:psychology; D008297:Male; D008875:Middle Aged; D017283:Neonatal Nursing / Q000193:education / Q000458:organization & administration; D009741:Nursing Staff, Hospital / Q000193:education / Q000458:organization & administration / Q000523:psychology; D010290:Parents / Q000193:education / Q000523:psychology; D011209:Power, Psychological; D011368:Professional-Family Relations; D015397:Program Evaluation