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Evidence-based nursing: Delivering on the promise of EBP
Kathleen R. Stevens EdD, RN, ANEF, FAAN

Nursing Management
April 2012 
Volume 43  Number 4
Pages 19 - 21
  PDF Version Available!

Broad demands for improving healthcare quality underscore the importance of evidence-based practice (EBP) as a solution to achieve safe and effective care. New resources are now in place to hasten delivery on the promise of EBP: the ACE Star Model of Knowledge Transformation and the Improvement Science Research Network. Nurse managers must know how to integrate these resources for employing EBP and conducting improvement research in their clinical settings.As we examine whether we're transforming the quality of care, we encounter many indicators showing that we haven't. Errors and ineffective care are still at unacceptable levels. There's broad agreement among clinicians, researchers, health plans, and quality improvement professionals about the urgent need to accelerate the uptake of evidence-based findings and tools into practice. At the same time, there's considerable uncertainty about the most effective mechanisms for doing so. Two key factors can lessen this struggle: (1) transformation of research results to yield "forms" of knowledge specifically designed for clinical application and (2) discovery of "what works" in promoting EBP uptake to speed adoption of improvement changes.Two resources are hastening the uptake of EBP and adding to our knowledge about how this uptake occurs through rigorous study of improvement strategies. The ACE Star Model of Knowledge Transformation addresses the forms of knowledge needed for EPB uptake, and the new Improvement Science Research Network provides a platform for acute care settings to join together to conduct landmark studies evaluating improvement strategies.To engage clinicians and managers in EBP, the nature of knowledge (evidence) must be directly relevant to decision making for their particular practice. Rather than having practitioners submersed in the volume of research, it would be better to provide a summary of all that's known on the topic. Likewise, rather than requiring frontline decision makers to master the

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