Institutionalizing evidence-based practice: an organizational case study using a model of strategic change.

Implementation Science : IS
Cheryl B StetlerMartin Charns

Abstract

There is a general expectation within healthcare that organizations should use evidence-based practice (EBP) as an approach to improving the quality of care. However, challenges exist regarding how to make EBP a reality, particularly at an organizational level and as a routine, sustained aspect of professional practice. A mixed method explanatory case study was conducted to study context; i.e., in terms of the presence or absence of multiple, inter-related contextual elements and associated strategic approaches required for integrated, routine use of EBP ('institutionalization'). The Pettigrew et al. Content, Context, and Process model was used as the theoretical framework. Two sites in the US were purposively sampled to provide contrasting cases: i.e., a 'role model' site, widely recognized as demonstrating capacity to successfully implement and sustain EBP to a greater degree than others; and a 'beginner' site, self-perceived as early in the journey towards institutionalization. The two sites were clearly different in terms of their organizational context, level of EBP activity, and degree of institutionalization. For example, the role model site had a pervasive, integrated presence of EBP versus a sporadic, isolated presence...Continue Reading

References

May 27, 1999·Research in Nursing & Health·C A Estabrooks
Mar 16, 2002·Journal of Advanced Nursing·Brendan McCormackKate Seers
Mar 21, 2002·Journal of Clinical Nursing·Olli OrantaMaija Hupli
Jun 21, 2002·Journal of Advanced Nursing·Dorothy McCaughanDavid R Thompson
Nov 27, 2002·Quality & Safety in Health Care·J Rycroft-MaloneC Estabrooks
Dec 24, 2002·Clinical Child and Family Psychology Review·Charles Glisson
Aug 5, 2003·Quality & Safety in Health Care·P BowerB Sibbald
Jan 14, 2004·Nursing Leadership·Ann E TourangeauChris Alksnis
Mar 11, 2004·Journal of Nursing Management·Kate Gerrish, Jane Clayton
May 3, 2005·Critical Care Nursing Clinics of North America·Laura CullenLynn Comried
Aug 4, 2005·The Journal of Nursing Administration·Shannon Scott-Findlay, Karen Golden-Biddle
Sep 17, 2005·Journal of Clinical Nursing·Nicola RingAndrew Watterson
Nov 22, 2005·American Journal of Industrial Medicine·Gerry J M Eijkemans, Jukka Takala
Dec 27, 2005·Journal of Health Organization and Management·John Ovretveit
Jan 28, 2006·Nursing Research·Eileen T Lake, Christopher R Friese
Dec 21, 2006·Worldviews on Evidence-based Nursing·Lars WallinBengt B Arnetz
Feb 3, 2007·Nursing Leadership·Wendy A GiffordIan D Graham
Feb 27, 2007·The Milbank Quarterly·Richard P T M GrolMichel Wensing
Mar 16, 2007·Worldviews on Evidence-based Nursing·Robin P Newhouse
Apr 7, 2007·Nursing Administration Quarterly·Amy Vratny, Deb Shriver
Aug 11, 2007·Nursing Research·Greta G CummingsLeslie Hayduk
Sep 14, 2007·Worldviews on Evidence-based Nursing·Wendy GiffordVanessa Lybanon
Dec 14, 2007·Health Care Management Review·Carol VanDeusen LukasMartin P Charns
Mar 8, 2008·Journal of Nursing Management·Caroline Marchionni, Judith Ritchie
Jun 4, 2008·Implementation Science : IS·Carole A EstabrooksJack Williams
Dec 17, 2008·Worldviews on Evidence-based Nursing·Wendy A Gifford, Barbara Davies
Dec 24, 2008·Health Care Management Review·Michael I Harrison, James Kimani
Jul 22, 2009·CMAJ : Canadian Medical Association Journal = Journal De L'Association Medicale Canadienne·Sharon E StrausIan Graham
Apr 26, 2012·Implementation Science : IS·Bev HolmesMegan Schellenberg

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Citations

Mar 24, 2011·BMC Health Services Research·Kristina EdvardssonMonica E Nyström
May 28, 2010·Implementation Science : IS·Jo Rycroft-MaloneKate Seers
Sep 1, 2011·Implementation Science : IS·Cheryl B StetlerHildi J Hagedorn
Jan 5, 2013·Implementation Science : IS·Justin K BenzerJames F Burgess
Sep 24, 2011·American Journal of Public Health·Mary Ann Scheirer, James W Dearing
Jun 5, 2013·International Journal of Health Care Quality Assurance·Nicola Burgess, Zoe Radnor
Jan 1, 2010·Healthcare Management Forum·Lynda AtackMalcolm Anderson
Feb 10, 2016·Australian Occupational Therapy Journal·Sally BennettRuth Cox
Aug 16, 2013·Journal of Psychosocial Nursing and Mental Health Services·Peggy El-MallakhSarah Adkins
May 15, 2013·Research in Gerontological Nursing·Valerie Lander McCarthyRobert M Carini
Jun 13, 2013·Research in Gerontological Nursing·Elizabeth CapezutiMichelle Secic
Nov 4, 2015·Seminars in Oncology Nursing·Jeannine M Brant
Dec 8, 2010·Worldviews on Evidence-based Nursing·Colleen J GoodeLisa K Traditi
Nov 6, 2012·Journal of Nursing Scholarship : an Official Publication of Sigma Theta Tau International Honor Society of Nursing·Mélanie Lavoie-TremblayMichel Vézina
Jan 24, 2013·Journal of Nursing Management·Mary Jane Linton, Marilyn A Prasun
Nov 3, 2010·Worldviews on Evidence-based Nursing·Jo Rycroft-Malone
Aug 2, 2012·Worldviews on Evidence-based Nursing·Jo Rycroft-Malone
Jul 6, 2014·Worldviews on Evidence-based Nursing·Cheryl B StetlerMartin P Charns
Mar 13, 2014·Journal of Advanced Nursing·Jane ZapkaMelissa Batchelor-Aselage
Sep 22, 2015·Leadership in Health Services·Ursula ReichenpfaderPer Nilsen
Feb 25, 2015·Journal of Advanced Nursing·Andrea R FleiszerJean-Louis Denis
Apr 17, 2016·Journal of the Academy of Nutrition and Dietetics·Evelyn B EnrioneEsther F Myers
Apr 24, 2015·Implementation Science : IS·Milisa ManojlovichIan D Graham
Jul 19, 2014·BMC Public Health·Jennifer YostLori Greco
Dec 8, 2015·Implementation Science : IS·Amanda L BrewsterElizabeth H Bradley
Oct 30, 2013·Journal of Health Services Research & Policy·Jo Rycroft-MaloneSophie Staniszewska
Mar 7, 2017·Journal of Health Organization and Management·Mandus FrykmanPamela Mazzocato
Apr 4, 2015·Healthcare Management Forum·Rebecca O BarnesM C J Wale
Oct 20, 2010·Western Journal of Nursing Research·Linda Q Everett, Mary Cathryn Sitterding
Apr 5, 2013·Health Services Management Research : an Official Journal of the Association of University Programs in Health Administration·Graham P MartinRuth McDonald
Jan 13, 2018·Annual Review of Public Health·Rachel C SheltonShannon Wiltsey Stirman
Aug 3, 2017·International nursing review·L ChengY Hu
Sep 11, 2018·American Journal of Medical Quality : the Official Journal of the American College of Medical Quality·Courtney R LylesUrmimala Sarkar

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Methods Mentioned

BETA
environmental pressure

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