Maintaining Your Momentum: Moving Evidence Into Practice

Makic, Mary Beth Flynn; Rauen, Carol

doi:10.4037/ccn2016568

Cited by 4 publications

(2 citation statements)

References 26 publications

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“…A practice may convert to a TBP if evidence guiding the practice is disputed or no longer relevant. Nurses in all roles are encouraged to question the foundation of individual clinical practices (Makic & Rauen, 2016). Priority should be given to evaluating practices that are the greatest burden, taking into consideration factors such as patient risk and resources used (Prasad & Ioannidis, 2014).…”

Section: Discussionmentioning

confidence: 99%

“…Our study demonstrated an interwoven relationship of TBP and EBP within the more inclusive framework of clinical practices (Figure ). EBP is the gold standard, but the underpinnings of many practices are taken for granted and have yet to be explored (Makic & Rauen, ). A more comprehensive view of evidence suggests that knowledge may be acquired through multiple sources as long as it is found credible through testing.…”

Section: Discussionmentioning

confidence: 99%

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De‐implementation of tradition‐based practices in critical care: A qualitative study

Bourgault

Upvall

2019

Int J of Nursing Practice

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Aim To explore the process of tradition‐based practice (TBP) de‐implementation by critical care nurses. Background Ritualistic and routine practices have been described as sacred cows or TBPs. Many clinical practices have insufficient or no evidence and may lead to poor patient outcomes. De‐implementation (termination) of potentially harmful, ineffective, or non cost‐effective TBP is necessary to facilitate evidence‐based practice (EBP) in the clinical setting. Design Descriptive qualitative inquiry guided this study. Methods Twenty‐two critical care nurses from an acute care hospital in central Florida participated. Individual and focus group interviews were performed March to July 2016 and analysed using thematic analysis. Results Three themes were identified: (a) uncertainty, (b) desire to know, and (c) preparing for practice change. Nurses were uncertain about the scientific underpinnings of everyday clinical practices and had difficulty differentiating TBP from EBP. De‐implementation processes and strategies appeared to replicate implementation processes. Conclusion More research is needed to evaluate de‐implementation processes and strategies used for de‐implementation. An emphasis should be placed on ensuring that nurses are knowledgeable about fundamental EBP skills to encourage assessment of clinical practices for supporting research evidence. Awareness and understanding of TBPs will facilitate a more comprehensive approach towards achieving the gold standard of EBP.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

De‐implementation of tradition‐based practices in critical care: A qualitative study

Bourgault

Upvall

2019

Int J of Nursing Practice

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Perceptions of Rural Magnet Nurses' Comfort and Confidence With Evidence-Based Practice

Weaver¹,

Knox²,

McPherson³

2019

J Contin Educ Nurs

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Background: Evidence-based practice (EBP) is essential for improving outcomes for patients and is an expected competency of nurses. However, current practice finds varying levels of comfort and confidence among nurses regarding EBP implementation. Method: A descriptive study using an online survey was conducted to assess the perceptions of nurses at a rural midwestern Magnet ® hospital on their comfort and confidence regarding EBP and compare the results to the nurses' level of education and years of experience. Results: Although nurses agreed that EBP is important for patient care, nurses with a baccalaureate degree or higher reported increased comfort and confidence with EBP implementation. However, nurses with more years of experience, regardless of education level, reported increased comfort and confidence with EBP, although that finding did not reach significance levels. Conclusion: Creating a culture of EBP is the responsibility of every organization. Administrators and educators must continue to assess the comfort and confidence levels of nurses who work directly at the bedside and provide continuing education and hands-on opportunities to increase nurses' comfort and confidence with implementing EBP. [ J Contin Educ Nurs . 2019;50(11):495–500.]

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Deimplementation in Clinical Practice: What Are We Waiting For?

Makic

Granger

2019

AACN Advanced Critical Care

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Maintaining Your Momentum: Moving Evidence Into Practice

Cited by 4 publications

References 26 publications

De‐implementation of tradition‐based practices in critical care: A qualitative study

De‐implementation of tradition‐based practices in critical care: A qualitative study

Perceptions of Rural Magnet Nurses' Comfort and Confidence With Evidence-Based Practice

Deimplementation in Clinical Practice: What Are We Waiting For?

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