Evaluating the Impact of Implementing Evidence-Based Practice

by Bick, Debra; Graham, Ian D.

• ISBN13: 9781405183840
• ISBN10: 1405183845
• Edition: 1st
• Format: Paperback
• Copyright: 2010-05-17
• Publisher: Wiley-Blackwell

Summary

The Evidence-Based Nursing Series is co-published with Sigma Theta Tau International (STTI). The series focuses on implementing evidence-based practice in nursing and midwifery and mirrors the remit of Worldviews on Evidence-Based Nursing, encompassing clinical practice, administration, research and public policy. Evaluating the Impact of Implementing Evidence-Based Practice considers the importance of approaches to evaluate the implementation of evidence-based practice. Outcomes of evidence-based practice can be wide ranging and sometimes unexpected. It is therefore important to evaluate the success of any implementation in terms of clinical outcomes, influence on health status, service users and health policy and long-term sustainability, as well as economic impacts. This, the third and final book in the series, looks at how best to identify, evaluate and assess the outcomes of implementation , reflecting a wide range of issues to consider and address when planning and measuring outcomes. An informative, practical resource for an international readership Providing critical evaluation of models and approaches to measuring outcomes Explores the importance of measuring successful implementation Examines outcomes in terms of long-term sustainability Addresses economic impacts and influence on health policy Provides practice-based examples Written by a team of internationally respected authors

Author Biography

Debra Bick is Professor of Evidence-Based Midwifery Practice, Florence Nightingale School of Nursing and Midwifery, King's College London, and Editor in Chief of Midwifery: An International Journal.
Ian D. Graham is Vise President for Knowledge Translation, Canadian Institutes of Health Research; Associate Professor, School of Nursing, University of Ottawa, and Affiliate Senior Social Scientist, Clinical Epidemiology Program, Ottawa Hospital Research Institute.

Table of Contents

Contributors' information	p. viii
Foreword	p. xiii
Preface	p. xv
The importance of addressing outcomes of evidence-based practice	p. 1
Introduction	p. 2
Why are outcomes of EBP important?	p. 2
The development of EBP	p. 3
Whatis evidence?	p. 5
Models and frameworks to support research use	p. 7
Why is it important to measure/evaluate the impact of EBP	p. 8
Why do interventions of unproven benefit continue to be implemented?	p. 10
The importance of outcomes in policy and politics	p. 13
Conclusion	p. 14
References	p. 14
Measuring outcomes of evidence-based practice: Distinguishing between knowledge use and its impact	p. 18
Introduction	p. 19
Knowledge use	p. 19
Measurementconsiderations	p. 24
Measuring knowledge use	p. 25
Evaluating the impact of knowledge use	p. 28
Measuring outcomes of EBP and return on investment	p. 30
Conclusion	p. 33
References	p. 34
Models and approaches to inform the impacts of implementation of evidence-based practice	p. 38
Introduction	p. 38
A model typology	p. 40
Conclusion	p. 60
Acknowledgment	p. 61
References	p. 62
An outcomes framework for knowledge translation	p. 67
Introduction	p. 68
Purpose of the framework	p. 69
The focus on outcomes	p. 69
Practice reflection based on outcomes	p. 71
Outcomes feedback	p. 72
Patientpreferences for care	p. 74
Facilitation to supportchange	p. 76
Related theoretical models	p. 77
Conclusion	p. 81
References	p. 82
Outcomes of evidence-based practice: practice to policy perspectives	p. 86
Introduction	p. 86
Background	p. 87
Building the case for change for EBP	p. 88
Understanding the environment and currentcare	p. 90
Measuring the impact of EBP/care	p. 91
Limitations of differentapproaches	p. 94
Choose outcomes wisely	p. 96
Conclusion	p. 97
References	p. 97
Implementing and sustaining evidence in nursing care of cardiovascular disease	p. 100
Introduction	p. 101
A brief history of the evolution of cardiology in practice	p. 102
System approaches to changing delivery of cardiovascular care	p. 103
Outcomes and their impact	p. 105
Nursing-focused evidence-informed care for patients with cardiovascular health problems	p. 106
Conclusion	p. 114
References	p. 116
Outcomes of implementation that matter to health service users	p. 124
Introduction	p. 125
Enhancing the contribution of service users to health service policy and research	p. 126
Denning EBP priorities and outcomes from a service user perspective	p. 129
Patient-reported outcome measures	p. 132
Addressing the challenges and developing the evidence base	p. 141
Acknowledgments	p. 143
References	p. 143
Evaluating the impact of implementation on economic outcomes	p. 147
Introduction	p. 147
Economics	p. 148
Economic evaluation of EBP	p. 152
Barriers to economic evaluation-ethics and research efficiency	p. 161
Conclusion	p. 163
References	p. 164
Sustaining evidence-based practice systems and measuring the impacts	p. 166
Introduction	p. 166
The need for and concept of ôsustainabilityö of EBP change	p. 167
Maintaining the integrity of EBP	p. 167
Sustainability models	p. 169
Strategies for more sustainable EBP	p. 174
A suggested development process for indicators that will be sustainable	p. 177
Criteria for selecting sustainability indicators	p. 178
Exemplars and issues around the sustainability of EBP systems	p. 179
Conclusion	p. 183
References	p. 183
A review of the use of outcome measures of evidence-based practice in guideline implementation studies in Nursing, Allied Health Professions, and Medicine	p. 189
Method and background on the reviews	p. 190
Discussion	p. 198
Conclusion	p. 200
References	p. 200
Appendix	p. 201
Index	p. 205
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