Development, implementation and evaluation of an evidence-based practice model in a new hospital in Chile

Aims: To describe an implementation programme for an evidence-based practice (EBP) model in a new Chilean hospital and to analyse the programme evaluation results. Background: Evidence-based practice is key to professional nursing for improving health care safety and quality. Methods: First, a literature review was performed to develop an institutional EBP model. Second, internal and external analyses contributed to assessing facilitators for and barriers to implementation. Third, a multi-stage implementation plan was conducted. Fourth, process and outcome indicators were evaluated. Results: The model considered the basic elements of EBP and outlined different decision-making levels in clinical practice. Several facilitators for implementation were identified. Each implementation stage included activities addressing EBP knowledge, attitude and skills. Outcome indicators showed significant improvement regarding knowledge (p =.038). Providers with formal EBP training, compared with providers without training, showed a significant difference of 8.6% (0.6 points) in the average CPBE-19 score in knowledge, attitude and application in the last evaluation (p <.01). Conclusion: Having an EBP programme with ongoing implementation strategies improves knowledge over time, and formal training enhances positive results. Implications for nursing management: Nurse managers can build an institutional research culture to improve the quality of care using an EBP programme that fits organisational needs.