Creating a Culture of Evidence-Based Practice
Creating a Culture of Evidence-Based Practice
There is a lot of health information found in any health topic or medical issue. However, nursing practitioners have found it difficult to express the information to others and transform practices to reflect the evidence. Strong organizational cultures and regulations are not open to culture transformation even in the likelihood of the change improving the efficiency of their healthcare (Fineout-Overholt et al., 2010).
I find that my organization lacks the resources for implementation of evidence based practice. There is lack of support for nurses who would like to conduct research. This hinders the process of evidence based practice. There are several barriers that stand in the way of evidence based practice (Steurer, 2010). The organization lacks a world class library for enhancing research, there is no nursing research mentorship program, evidence based practice committee or nursing orientation to issues of evidence based practice. In addition, the organization lacks a strong commitment to evidence based practice. This undermines the process, and nurses find it difficult to realize the concept of EBP (Aitken et al., 2011).
The models that suggestions that can improve evidence based practice include the creation of an environment to improve and sustain evidence based practice, development of evidence based champions, and provision of time and money for EBP. In addition, an organization can use of EBP workgroups, a journal club for EBP and nursing rounds.
The models and suggestions that could work well for my organization include having a sustainable system to realize evidence based practice. This system should be in the form of an evidence based practice culture that appreciates the role of evidence based practice in promoting the quality of healthcare. I propose that the organization should grant maximum support to nurses who wish to conduct research to unravel new facts to inform practice (Cullen & Adams, 2012). There should be the inclusion of evidence based practice mentors and champions in the process of implementation of evidence based practice. This can facilitate the implementation of evidence based practice. There should be partnerships between clinical environments and academic settings (Munten et al., 2010). This can provide a link to promote evidence based practice. In addition, the exercise should also link local opinion leaders, disciplinary committees and provision of sufficient time and resources to promote the implementation process (Barnsteiner et al., 2010).
Evidence based practice is essential in informing health practitioners on emerging facts to improve the quality of patient care. The nurse’s responsibility in furthering the use of evidence based practice should be steering research activities to unravel new facts that can inform practice, and development of a framework for evidence review and practical change (Estrada, 2009). The rationale for this is to ensure nurses increase the awareness of the potential contribution of evidence on healthcare to organizations, and drive practical transformations in health organizations units. They should build knowledge and commitment, promote action and adoption and pursue integration of sustainable use of evidence based practice (Satterfield et al., 2009).
In conclusion, nurses can employ several strategies to initiate change in practice. It is essential for nurses to have an organizational culture that supports evidence based practice. Therefore, realizing evidence based practice will need a paradigm shift in the culture of health organizations.
Aitken, L. M., Hackwood, B, Crouch, S., West, N., Carney, D., & Jack, L. (2011). Making an atmosphere to implement and sustain EBP: A developmental procedure. Australian Critical Care, 24(4), 244–254.
Barnsteiner, J. H., Reeder, V. C., Palma, W. H., & Walton, M. K. (2010). Helping EBP and Translational study. Nursing Management Quarterly, 34(3), 217–225.
Cullen, L., & Adams, S. L. (2012). Preparation for execution of EBP.Journal of Nursing Administration, 42(4), 222–230.
Estrada, N. (2009). Discovering insights of a learning society by RNs and association To Evidence Based Practice opinions and application in the acute care situation.Worldviews on Evidence- Based Nursing, 6(4), 200–209.
Fineout-Overholt, E., Hutchinson, A. M. & Kent, B., (2010). Training Evidence Based Practice Plans for attaining sustainable administrative transformation toward EBP.Worldviews on Evidence-Based Nursing, 7(1), 51–53.
Munten, G., Cox, K., Garretsen, H., & Bongers, I. (2010). Execution of EBP in nursing using action exploration: A review. Worldviews on EBN, 7(3), 135–157.
Satterfield, J. M., Brownson, R. C., Mullen, E. J., Walker, B. B., & Whitlock, E. P. (2009). To a trans-disciplinary prototypical of EBP. The Milbank Quarterly, 87(2), 368–390.
Steurer, L. M. (2010). An EBP researcher’s package: One institution’s expedition to distinction.Journal of Continuing Education in Nursing, 41(3), 139–143.