Implementing Evidence-Based Practice

Abstract

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.

Barriers to Research Utilization among Registered Nurses in Traditional Chinese Medicine Hospitals: A Cross-Sectional Survey in China

“…For example, front-line nurses could propose clinical questions or problems which need to be solved or improved; advanced nurses, nursing researchers, or academic personnel could plan and conduct the research exercise and could provide useful answers. During implementation of the research results, this multilevel team could cooperate and complement each other and could apply some models such as the Stetler model, the Iowa model, or the John Hopkins Evidence-Based Practice Model [ 36 ]. Designing a study to explore the effect of a team including clinical and academic nursing personnel on RU might be a thought for future research.…”

Using Evidence-Based Practice to Guide Caregiving in the Neonatal Intensive Care Unit

“…Evaluation must take into account not only patient outcomes, but also the costs, risks, and benefits of providing the intervention. 4 Understanding the nuances of the practice settings and how the differences in culture and resources affect implementation of any change are also important in evaluation of this process. Integration of evidence practice is not easy, but it must occur to provide excellent care and have the best patient outcomes.…”

La necesidad de certificar las prácticas basadas en evidencias ¿por quién y para qué?

“…Con la EBE se consigue una mejora tanto en los resultados de los pacientes 23 como en los mismos profesionales que la aplican 24 . Las enfermeras son conscientes de la valía e importancia de la EBE, sin embargo una gran parte no incorporan la investigación en su práctica diaria 25 .…”