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

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dc.coverageDOI: 10.1111/jonm.13134
dc.creatorGaliano, Alejandra
dc.creatorSimonetti, Marta
dc.creatorQuiroga, Natalia
dc.creatorLarrain, Ana
dc.date2020
dc.date.accessioned05-01-2026 18:11
dc.date.available05-01-2026 18:11
dc.description<p>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 &lt;.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.</p>eng
dc.descriptionAims: 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 &lt;.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. © 2020 John Wiley &amp; Sons Ltdspa
dc.identifierhttps://investigadores.uandes.cl/en/publications/9d5abce0-ff01-42b8-9cec-084861d21334
dc.languageeng
dc.rightsinfo:eu-repo/semantics/restrictedAccess
dc.sourcevol.28 (2020) date: 2020-10-01 nr.7 p.1748-1757
dc.subjectChile
dc.subjectevidence-based nursing
dc.subjectevidence-based practice
dc.subjectnursing management
dc.subjectprogramme evaluation
dc.titleDevelopment, implementation and evaluation of an evidence-based practice model in a new hospital in Chileeng
dc.typeArticleeng
dc.typeArtículospa
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