Background: Although findings from studies indicate that evidence-based practice (EBP) results in high-quality care, improved patient outcomes, and lower costs, it is not consistently implemented by healthcare systems across the United States and globe.
Nursing professional development (NPD) practitioners are integral to implementing evidence-based practice (EBP). Research was conducted to describe NPD practitioners' EBP beliefs and competencies, frequency of implementing EBP, and perceptions of organizational culture and readiness for EBP. Relationships among NPD practitioner characteristics and organization outcomes were explored. Findings indicate that NPD practitioners must develop personal competence in EBP, become engaged in shared governance, collaborate with others, and use quality metrics to demonstrate the effectiveness and value of NPD activities.
a b s t r a c tIn the United States there is an urgent need for the development of a healthcare system that addresses the lack of safe, efficient, quality care. Two solutions receiving significant attention include health information technology (HIT) and interprofessional education and collaborative practice (IPECP). To accelerate advancement of HIT-enabled IPECP and improved outcomes, a consortium of more than 346 rural, community and university settings engaged in developing and implementing a framework. This framework bridges the gap between education and practice and leverages intentionally designed automation within multiple HIT systems. The framework, consists of six actionable models that include tools, processes infrastructures, and reflects the intersection of several theories and implementation science. Without intentionally designed HIT and interprofessional approaches to care, automation will have minimal impact on improving health outcomes and perpetuate repetitious care delivery. This paper presents an overview of the framework, replicable, sustainable outcomes and research implications.
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