Document Type

Doctoral Project

Publication Date

2014

Abstract

Inadequate and delayed implementation of current evidence into practice has contributed to medical errors, safety issues and patient deaths. The Institute of Medicine (IOM) has challenged the healthcare profession to achieve 90% of integration of current evidence into practice by 2020. The purpose of this doctoral project was to implement an evidence-based practice (EBP) model in a long-term acute care hospital as they began their journey in pursuit of Magnet recognition. Implementation of an EBP model, the Advancing Research and Clinical practice through close Collaboration (ARCC) model, involved conducting an initial organizational assessment of staff to understand the staff’s beliefs, implementation, and organizational and cultural readiness for EBP. Utilizing the findings of the organizational assessment, an EBP mentor facilitated staff towards meeting the expectations of EBP work for magnet recognition. To understand the impact of the EBP mentor, post measures of the same three measures were taken. The EBP mentor’s work focused on the seven steps of the EBP process imbedded in the ARCC model. The implementation of the ARCC model did not demonstrate a statistically significant impact on staffs’ beliefs about EBP, EBP implementation and organizational readiness for EBP implementation. However, the results indicated staff EBP beliefs’ are high and the organization and culture are ready for system-wide EBP implementation.


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Nursing Commons

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