Evidence‐Based Practice Beliefs, Implementation, and Organizational Culture and Readiness for EBP Among Nurses, Midwives, Educators, and Students in the Republic of Ireland

2021 ◽  
Author(s):  
Joanne Cleary‐Holdforth ◽  
Dónal O’Mathúna ◽  
Ellen Fineout‐Overholt
Keyword(s):  
Organizational Culture ◽  
Evidence Based Practice ◽  
Evidence Based ◽  
Republic Of Ireland ◽  
The Republic

scholarly journals Evidence‐based practice among epilepsy specialist nurses in the Republic of Ireland: Findings from the SENsE study

2019 ◽  
Vol 27 (4) ◽  
pp. 840-847 ◽  
Author(s):  
Agnes Higgins ◽  
Carmel Downes ◽  
Jarleth Varley ◽  
Colin P. Doherty ◽  
Cecily Begley ◽  
...  
Keyword(s):  
Evidence Based Practice ◽  
Evidence Based ◽  
Republic Of Ireland ◽  
The Republic ◽  
Specialist Nurses

What Makes or Breaks Evidence-Based Supervision? Staff and Organizational Predictors of Evidence-Based Practice in Probation

2021 ◽  
pp. 0306624X2110491
Author(s):  
Sara Debus-Sherrill ◽  
Alex Breno ◽  
Faye S. Taxman
Keyword(s):  
Organizational Culture ◽  
Survey Data ◽  
Evidence Based Practice ◽  
Organizational Factors ◽  
Evidence Based ◽  
Evidence Based Practices ◽  
Weak Evidence ◽  
The Impact

Research on staff and organizational factors that affect receptivity, adoption, feasibility, and utilization of innovations in justice settings is limited. This study uses survey data from 349 employees in one probation agency to assess how staff and perceived organizational factors influence attitudes related to evidence-based practices (EBPs) and their self-reported use. Staff characteristics, including education and knowledge about EBPs, and perceptions of the organization, including cynicism about the organization’s ability to change, predicted EBP outcomes. Staff age, tenure at the agency, and caseload size affected perceptions of organizational culture, but did not predict attitudes or use of EBPs. There is weak evidence for a relationship between self-reported use of EBPs with attitudinal support for EBPs, prior EBP training, and knowledge of EBPs. This study contributes to an emerging body of literature about the impact of various individual and organizational factors on support for EBPs with important lessons for implementation.

Aligning Organizational Culture and Infrastructure to Support Evidence-Based Practice

2020 ◽  
Vol 40 (3) ◽  
pp. 59-63
Author(s):  
Kristina Ost ◽  
Casey Blalock ◽  
Mary Fagan ◽  
Kathleen M. Sweeney ◽  
Suzan R. Miller-Hoover
Keyword(s):  
Organizational Culture ◽  
Evidence Based Practice ◽  
Standard Of Care ◽  
Outcome Evaluation ◽  
Integrated System ◽  
System Level ◽  
Successful Implementation ◽  
Evidence Based ◽  
Development Education ◽  
Quality Patient Care

Standardized nursing practice based on the foundations of evidence-based practice leads to high-quality patient care and optimal outcomes. Despite knowing the benefits of evidence-based practice, health care organizations do not consistently make it the standard of care; thus, implementation of evidence-based practice at the system level continues to be challenging. This article describes the process adopted by a facility in the Southwest that took on the challenge of changing the organizational culture to incorporate evidence-based practice. The organization met the challenges by identifying perceived and actual barriers to successful implementation of evidence-based practice. The lack of standardized practice was addressed by developing a group of stakeholders including organizational leaders, clinical experts, and bedside providers. Changing the culture required a comprehensive process of document selection and development, education, and outcome evaluation. The ultimate aim was to implement an integrated system to develop practices and documents based on the best evidence to support patient outcomes.

Moving Best Practice to Evidence-Based Practice in Child Welfare

2005 ◽  
Vol 86 (2) ◽  
pp. 244-250 ◽  
Author(s):  
Michelle L. Kessler ◽  
Emmanuelle Gira ◽  
John Poertner
Keyword(s):  
Organizational Culture ◽  
Child Welfare ◽  
Best Practice ◽  
Evidence Based Practice ◽  
Child Welfare System ◽  
Evidence Based ◽  
Advantages And Disadvantages ◽  
Transfer Of Information ◽  
Professional Guidelines ◽  
Abused And Neglected Children

Increased emphasis is being placed on improving outcomes for abused and neglected children served by the child welfare system. To achieve this goal, the notion of “best practice” is widely embraced. Unfortunately, there is no consensus on its definition. Various interpretations include (a) practice wisdom, (b) emulating other systems, (c) expert consultants, (d) professional guidelines, and (e) evidence-based practice. In this article, the authors describe the advantages and disadvantages of each of these definitions. While all of them have a role to play in improving results of child welfare interventions, the authors argue that best practice is optimally defined as evidence-based practice. At the same time, there are many difficulties in employing this form of best practice, including a lack of evidence, the transfer of information, and the organizational culture in which the worker operates. Suggested solutions to these difficulties are discussed.

scholarly journals Motivators and barriers to engagement with evidence-based practice among medical and dental trainees from the UK and Republic of Ireland: a national survey

BMJ Open ◽  
2019 ◽  
Vol 9 (10) ◽  
pp. e031809 ◽  
Author(s):  
Bosun Hong ◽  
Eoin Daniel O'Sullivan ◽  
Christin Henein ◽  
Christopher Mark Jones
Keyword(s):  
Response Rate ◽  
Evidence Based Practice ◽  
Evidence Base ◽  
Management Plan ◽  
Secondary Outcome ◽  
Evidence Based ◽  
Web Based ◽  
Republic Of Ireland ◽  
Mailing Lists ◽  
The Uk

ObjectivesTo explore the extent to which doctors and dentists in training within the UK and Republic of Ireland (RoI) engage in and with evidence-based practice (EBP), and to identify motivators and barriers to them doing so.DesignAn observational, prepiloted web-based survey developed by a trainee-led focus group.SettingThe survey instrument was disseminated to doctors and dentists in training within the UK and RoI during June 2017 via social media and through deaneries, Royal Colleges and specialty-specific mailing lists.ParticipantsData from 243 trainees were analysed; 188 doctors from 31 specialties and 55 dentists from 9 specialties. Responses were received from trainees at all stages of postgraduate training though the overall response rate was low.Primary and secondary outcome measuresThe motivators and barriers to, and the extent of, trainee engagement with EBP.ResultsCronbach’s α was 0.83. Most trainees (87.6% (n=148) of doctors and 75.1% (n=39) of dentists) consulted the evidence base at least monthly, while 23.1% [n=39 doctors, 12 dentists] of both specialties did so daily. The two most commonly cited barriers to engagement with EBP for both doctors and dentists, respectively, were insufficient time (57.6% (n=95) and 45.1% (n=23)) and a tendency to follow departmental practice (40.6% (n=67) and 45.1% (n=23)). Key motivators for EBP included curiosity, following the example set by senior colleagues and a desire to avoid harm. Most trainees reported high levels of confidence interpreting evidence yet for 26.8% (n=45) of doctors and 36.5% (n=19) of dentists, medical hierarchy would impede them querying a colleague’s management plan based on their own reading of the evidence.ConclusionsTime, accepted departmental practice and the behaviour of senior clinicians all highly impact on trainee engagement with EBP. Given the low response rate, the extent to which these data represent the overall population is unclear.

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