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

Alejandra Galiano, Marta Simonetti de Grote, Natalia Quiroga, Ana Larrain

Research output: Contribution to journalArticlepeer-review

Abstract

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.

Original languageEnglish
Pages (from-to)1748-1757
Number of pages10
JournalJournal of Nursing Management
Volume28
Issue number7
DOIs
StatePublished - 1 Oct 2020

Bibliographical note

Funding Information:
The authors would like to thank Francisca Mu?oz, BSN, RN, nurse supervisor, Cl?nica Universidad de los Andes, Chile.

Publisher Copyright:
© 2020 John Wiley & Sons Ltd

Keywords

  • Chile
  • evidence-based nursing
  • evidence-based practice
  • nursing management
  • programme evaluation

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