Turning Knowledge Into Action at the Point‐of‐Care: The Collective Experience of Nurses Facilitating the Implementation of Evidence‐Based Practice
TLDR
An in-depth analysis of data collected at an interactive knowledge translation symposium that focuses on facilitation as an intervention to enhance evidence uptake, with a greater understanding of factors contributing to successful or unsuccessful facilitation.Abstract:
Background
Facilitation is considered a way of enabling clinicians to implement evidence into practice by problem solving and providing support. Practice development is a well-established movement in the United Kingdom that incorporates the use of facilitators, but in Canada, the role is more obtuse. Few investigations have observed the process of facilitation as described by individuals experienced in guideline implementation in North America.
Aim
To describe the tacit knowledge regarding facilitation embedded in the experiences of nurses implementing evidence into practice.
Methods
Twenty nurses from across Canada were purposively selected to attend an interactive knowledge translation symposium to examine what has worked and what has not in implementing evidence in practice. This study is an additional in-depth analysis of data collected at the symposium that focuses on facilitation as an intervention to enhance evidence uptake. Critical incident technique was used to elicit examples to examine the nurses’ facilitation experiences. Participants shared their experiences with one another and completed initial data analysis and coding collaboratively. The data were further thematically analyzed using the qualitative inductive approach of constant comparison.
Results
A number of factors emerged at various levels associated with the successes and failures of participants’ efforts to facilitate evidence-based practice. Successful implementation related to: (a) focus on a priority issue, (b) relevant evidence, (c) development of strategic partnerships, (d) the use of multiple strategies to effect change, and (e) facilitator characteristics and approach. Negative factors influencing the process were: (a) poor engagement or ownership, (b) resource deficits, (c) conflict, (d) contextual issues, and (e) lack of evaluation and sustainability.
Conclusions
Factors at the individual, environmental, organizational, and cultural level influence facilitation of evidence-based practice in real situations at the point-of-care. With a greater understanding of factors contributing to successful or unsuccessful facilitation, future research should focus on analyzing facilitation interventions tailored to address barriers and enhance facilitators of evidence uptake.read more
Citations
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The Establishment of Evidence-Based Practice Competencies for Practicing Registered Nurses and Advanced Practice Nurses in Real-World Clinical Settings: Proficiencies to Improve Healthcare Quality, Reliability, Patient Outcomes, and Costs
TL;DR: A set of clear EBP competencies for both practicing registered nurses and APNs in clinical settings that can be used by healthcare institutions in their quest to achieve high performing systems that consistently implement and sustain EBP are developed.
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Evidence-Based Practice: The Psychology of EBP Implementation
TL;DR: Critical EBP competencies and the challenges underlying their acquisition are described: foundational competencies of critical thinking and domain knowledge, and functional competencies such as question formulation, evidence search and appraisal, and outcome evaluation.
Journal ArticleDOI
Facilitation roles and characteristics associated with research use by healthcare professionals: a scoping review.
TL;DR: A diverse and broad literature on the concept of facilitation is found that can expand the current thinking about facilitation as an innovation and its potential to support an integrated, collaborative approach to improving healthcare delivery.
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A multi-institutional study of the perceived barriers and facilitators to implementing evidence-based practice.
TL;DR: To examine perceived barriers and facilitators to implementing evidence-based practice among nurses working in psychiatric, geriatric, hospital and community settings in The Bahamas, nurses generally expressed that they required additional training in research and evidence- based practice concepts.
Journal ArticleDOI
The use of the PARIHS framework in implementation research and practice-a citation analysis of the literature.
Anna Bergström,Anna Bergström,Anna Ehrenberg,Anna Ehrenberg,Ann Catrine Eldh,Ann Catrine Eldh,Ian D. Graham,Ian D. Graham,Kazuko Gustafsson,Kazuko Gustafsson,Gillian Harvey,Sarah C. Hunter,Alison Kitson,Alison Kitson,Jo Rycroft-Malone,Lars Wallin,Lars Wallin +16 more
TL;DR: This work proposes the development and adoption of reporting guidelines on how framework(s) are used in implementation studies, with the expectation that this will enhance the maturity of implementation science.
References
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Book
Discovery of Grounded Theory: Strategies for Qualitative Research
TL;DR: The Discovery of Grounded Theory as mentioned in this paper is a book about the discovery of grounded theories from data, both substantive and formal, which is a major task confronting sociologists and is understandable to both experts and laymen.
Journal ArticleDOI
The Discovery of Grounded Theory: Strategies for Qualitative Research.
Journal ArticleDOI
Enabling the implementation of evidence based practice: a conceptual framework.
TL;DR: The paper offers a conceptual framework that considers this imbalance, showing how it might work in clarifying some of the theoretical positions and as a checklist for staff to assess what they need to do to successfully implement research into practice.
Journal ArticleDOI
Evaluating the successful implementation of evidence into practice using the PARIHS framework: theoretical and practical challenges
TL;DR: The paper concludes by suggesting that the future direction of the work on the PARiHS framework is to develop a two-stage diagnostic and evaluative approach, where the intervention is shaped and moulded by the information gathered about the specific situation and from participating stakeholders.
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