ORIGINAL ARTICLE
Development, implementation and evaluation of an evidence-based practice model in a new hospital in Chile
Alejandra Galiano MPH, RN,
Marta Simonetti PhD, RN,
Natalia Quiroga MSN, RN,
Ana Larrain RN,
Corresponding Author
Alejandra Galiano MPH, RN
Nurse Coordinator of EBP
Clínica Universidad de los Andes, Chile
Correspondence
Alejandra Galiano, Clínica Universidad de los Andes, Chile.
Email: [email protected]
Search for more papers by this authorMarta Simonetti PhD, RN
Professor
Universidad de los Andes Chile Facultad de Enfermería y Obstetricia Escuela de Enfermería.
Search for more papers by this authorNatalia Quiroga MSN, RN
Chief Nurse Officer
Clínica Universidad de los Andes, Chile
Search for more papers by this authorAna Larrain RN
Director of Nursing
Clínica Universidad de los Andes, Chile
Search for more papers by this authorAlejandra Galiano MPH, RN,
Marta Simonetti PhD, RN,
Natalia Quiroga MSN, RN,
Ana Larrain RN,
Corresponding Author
Alejandra Galiano MPH, RN
Nurse Coordinator of EBP
Clínica Universidad de los Andes, Chile
Correspondence
Alejandra Galiano, Clínica Universidad de los Andes, Chile.
Email: [email protected]
Search for more papers by this authorMarta Simonetti PhD, RN
Professor
Universidad de los Andes Chile Facultad de Enfermería y Obstetricia Escuela de Enfermería.
Search for more papers by this authorNatalia Quiroga MSN, RN
Chief Nurse Officer
Clínica Universidad de los Andes, Chile
Search for more papers by this authorAna Larrain RN
Director of Nursing
Clínica Universidad de los Andes, Chile
Search for more papers by this authorAbstract
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.
CONFLICT OF INTERESTS
The authors have no conflict of interest.
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