How organizational infrastructure hinders the implementation of EBP.
Define evidence-based practice, research utilization, best practice, clinical practice guideline, systematic review, translational research, implementation science, reinfusion, organizational context, academic detailing/educational outreach, opinion leaders, and performance gap assessment.
Identify how organizational infrastructure can help or hinder the implementation of evidence-based practices.
How can a documentation system serve as a “trigger” to assess important risk factors, patient conditions, and outcomes of care?
Evidence–based practice (EBP) is an approach to care that integrates the best available research evidence with clinical expertise and patient values.1
It involves translating evidence into practice, also known as knowledge translation, and ensuring that ‘stakeholders (health practitioners, patients, family and carers) are aware of and use research evidence to inform their health and healthcare decision-making’.2
Implementing clinical knowledge, and introducing new interventions and therapies, is an important way to minimise functional decline in older people.
Implementing evidence-based practice is a key part of improving outcomes for older people in hospital. When considering current best practice in the areas of nutrition, cognition, continence, medication, skin integrity, and mobility and self-care, a good first reference is the Older people in hospital website.
The National Safety and Quality Health Service Standards outlines the standards for providing best evidence care for older people in hospital.
The ‘how to’ guide: turning knowledge into practice in the care of older people identifies a five-stage process to implementing change, which can be applied to translate evidence into practice.