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What strategies can you use to promote evidence-based practice in your workplace?

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Evidence-based practice (EBP) is the use of the best available research, clinical expertise, and patient preferences to guide health care decisions. EBP can improve patient outcomes, reduce costs, and enhance quality and safety. However, implementing EBP in your workplace can be challenging, especially if you face barriers such as lack of time, resources, support, or knowledge. Here are some strategies that can help you promote EBP in your workplace.

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1 Assess the current state

The first step to promote EBP is to assess the current state of your workplace in terms of EBP culture, readiness, and skills. You can use tools such as the Organizational Culture and Readiness for System-Wide Integration of Evidence-Based Practice Survey or the Evidence-Based Practice Beliefs and Implementation Scales to measure these factors. By assessing the current state, you can identify the strengths and weaknesses of your workplace, as well as the gaps and opportunities for improvement.

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Dr. Shane Ryan Apperley ???????? DMS, MSc., PGCert., FRSPH, PA-R

Associate Professor, Franklin Pierce University ? Visiting Professor, University of the West of England (UWE) Bristol ? Physician Associate ? Doctor of Medical Science ? Veteran ? Scholar ? Husband ? Father
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Being willing to implement new EBP is important. We should consider employees ideas as well as those sourced via the tools listed above. It is often very easy to identify the strengths of a workplace - identifying weakness and opportunities less so. Be open and transparent.

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Cate McCarty, PhD

Dementia Care Coach & Subject Matter Expert
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Small inserts of research that is positive either in a quick share at a meeting, a newsletter or team meeting. Careful choices of practices that would enhance both care partners, formal and recipient.

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2 Identify a clinical question

The next step is to identify a clinical question that is relevant, important, and feasible for your workplace. You can use the PICOT format to structure your question, which stands for Population, Intervention, Comparison, Outcome, and Time. For example, you might ask: In adult patients with chronic heart failure, how does a nurse-led self-management program compare with usual care in reducing hospital readmissions within six months? By identifying a clinical question, you can focus your search for evidence and plan your intervention.

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Vanessa Morrone

Enfermeira I Inova??o e Empreendedorismo l Tecnologia I Educa??o I Gest?o em Saúde I Novos Negócios I Conselheira Coren S?o Paulo
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Precisamos no Brasil avan?ar nas Práticas Baseadas em Evidências mas para isso é necessário incluir nos programas de educa??o em Enfermagem e transformar nossos olhares,

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Dr. Shane Ryan Apperley ???????? DMS, MSc., PGCert., FRSPH, PA-R

Associate Professor, Franklin Pierce University ? Visiting Professor, University of the West of England (UWE) Bristol ? Physician Associate ? Doctor of Medical Science ? Veteran ? Scholar ? Husband ? Father
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Try not to make the clinical question too broad - this is a common mistake to make. Be mindful of your finite resources, and be sure of the outcome you are looking for (I.e. what are you trying to prove).

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3 Search and appraise the evidence

The third step is to search and appraise the evidence that answers your clinical question. You can use databases such as PubMed, Cochrane Library, or CINAHL to find relevant articles, reviews, or guidelines. You can also use tools such as the Critical Appraisal Skills Programme or the Appraisal of Guidelines for Research and Evaluation to evaluate the quality, validity, and applicability of the evidence. By searching and appraising the evidence, you can select the best available evidence to support your practice change.

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Dr. Shane Ryan Apperley ???????? DMS, MSc., PGCert., FRSPH, PA-R

Associate Professor, Franklin Pierce University ? Visiting Professor, University of the West of England (UWE) Bristol ? Physician Associate ? Doctor of Medical Science ? Veteran ? Scholar ? Husband ? Father
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In my opinion, this is the most important step in the process. Less people than you think truly know how to effectively search and fairly appraise the literature. One can start by understanding the different types/tiers to peer-review journals.

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4 Implement and evaluate the change

The fourth step is to implement and evaluate the change based on the evidence. You can use models such as the Iowa Model of Evidence-Based Practice or the Promoting Action on Research Implementation in Health Services Framework to guide your implementation process. You can also use tools such as the Plan-Do-Study-Act cycle or the RE-AIM model to monitor and measure the impact of the change. By implementing and evaluating the change, you can ensure that the change is effective, sustainable, and scalable.

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5 Share and disseminate the results

The final step is to share and disseminate the results of your EBP project with your colleagues, managers, patients, and other stakeholders. You can use methods such as presentations, posters, newsletters, or social media to communicate your findings, challenges, and lessons learned. You can also use platforms such as journals, conferences, or networks to publish or present your work to a wider audience. By sharing and disseminating the results, you can increase the awareness, recognition, and adoption of EBP in your workplace.

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Dr. Shane Ryan Apperley ???????? DMS, MSc., PGCert., FRSPH, PA-R

Associate Professor, Franklin Pierce University ? Visiting Professor, University of the West of England (UWE) Bristol ? Physician Associate ? Doctor of Medical Science ? Veteran ? Scholar ? Husband ? Father
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The key to dissemination of information is to do this timely and in the most cost-effective manor possible. All staff have to become familiar with the change(s) in policy/practice as well as help evaluate the success of the process. Sharing new ideas and ways of working via journal articles, conferences talks or poster presentations is key to helping spread best practice.

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6 Here’s what else to consider

This is a space to share examples, stories, or insights that don’t fit into any of the previous sections. What else would you like to add?

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What strategies can you use to promote evidence-based practice in your workplace?

1

2

3

4

5

6

1 Assess the current state

2 Identify a clinical question

3 Search and appraise the evidence

4 Implement and evaluate the change

5 Share and disseminate the results

6 Here’s what else to consider

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