Evidence-based practice integration in hospital wards-The complexities and challenges in achieving evidence-based practice in clinical nursing

Nursing Open
Åste RenolenMarit Kirkevold

Abstract

Exploring the processes involved in two different strategies to integrate evidence-based practice into nursing practice. Classical grounded theory methodology was used. Data were collected through 90 hr of observation and 4 focus groups among clinical nurses in two different hospital wards. We identified a multidimensional evidence-based practice integration framework that illuminates the complexities involved in the integration process. The dimensions were approaches to evidence-based practice, positions of evidence-based practice and levels of evidence-based practice. The interactions between the dimensions gave five combinations; an explicit evidence-based practice performed as a parallel to daily work at the systems level, an implicit evidence-based practice integrated into daily work at the systems level, an explicit evidence-based practice integrated into daily work at the individual level, an explicit evidence-based practice integrated into daily work at the systems level and an implicit evidence-based practice integrated into daily work at the individual level.

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Citations

Nov 26, 2019·International nursing review·I ChoY H Kim
Aug 18, 2020·International Journal of Nursing Education Scholarship·Samson WakibiSara Belton
Dec 4, 2020·Journal of Perianesthesia Nursing : Official Journal of the American Society of PeriAnesthesia Nurses·Donna Dolezal, Laura Cullen

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