Implementing evidence-based practices: considerations for the hospice setting.
With increased regulation and scrutiny of outcomes, hospice programs are being challenged to consider the implementation of evidence-based practices (EBPs). This study reports findings from hospice director interviews and staff focus groups, which occurred following the completion of a multifaceted translating research into practice (TRIP) intervention designed to promote evidence-based pain management practices. The purpose of this article is to provide background on the use of EBPs, to report facilitators and barriers to overall implementation of pain management EBPs in hospice, and to provide recommendations for hospices interested in increasing the use of EBPs. Three areas for evaluation prior to implementing an EBP initiative in hospices were identified: community, agency, and staff cultures. Recommendations for implementation of EBPs in hospices are provided.
Sanders
Sara
S
University of Iowa, School of Social Work, Iowa City, IA 52242, USA. sara-sanders@uiowa.edu
Mackin
Melissa Lehan
ML
Reyes
Jimmy
J
Herr
Keela
K
Titler
Marita
M
Fine
Perry
P
Forcucci
Chris
C
D000328:Adult; D019317:Evidence-Based Medicine; D005260:Female; D017144:Focus Groups; D019983:Guideline Adherence; D006284:Health Plan Implementation / Q000379:methods*; D006302:Health Services Research; D017051:Hospice Care / Q000379:methods*; D006738:Hospices / Q000379:methods*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009369:Neoplasms / Q000628:therapy; D059408:Pain Management; D008486:Physician Executives; D011785:Quality Assurance, Health Care / Q000379:methods*; D014481:United States