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Preparing Nursing Contexts for Evidence‐Based Practice Implementation: Where Should We Go From Here?
dc.contributor.authorCassidy, Christine E.
dc.contributor.authorFlynn, Rachel
dc.contributor.authorShuman, Clayton J.
dc.date.accessioned2021-05-12T17:24:48Z
dc.date.available2022-05-12 13:24:47en
dc.date.available2021-05-12T17:24:48Z
dc.date.issued2021-04
dc.identifier.citationCassidy, Christine E.; Flynn, Rachel; Shuman, Clayton J. (2021). "Preparing Nursing Contexts for Evidence‐Based Practice Implementation: Where Should We Go From Here?." Worldviews on Evidence‐Based Nursing 18(2): 102-110.
dc.identifier.issn1545-102X
dc.identifier.issn1741-6787
dc.identifier.urihttps://hdl.handle.net/2027.42/167493
dc.description.abstractBackgroundContext is important to the adoption and sustainability of evidence‐based practices (EBPs). Currently, most published implementation efforts address context in relation to one specific EBP or a bundle of related EBPs. Since EBP and implementation are ongoing and dynamic, more discussion is needed on preparing nursing contexts to be more conducive to implementation generally.AimTo discuss the need to create contexts that are more adaptable to ongoing change due to the dynamic nature of EBPs and the ever‐changing healthcare environment.MethodsThis paper builds on a collection of our previous work, as nursing implementation scientists representing the Canadian and American healthcare contexts, and a literature review of the implementation science, knowledge translation, and sustainability literatures from 2006 to 2019.ResultsWe argue for a different way of thinking about the influence of context and implementation of EBPs. We contend that nursing contexts must be prepared to be more flexible and conducive to ongoing EBP implementation more generally. Contexts that embrace, facilitate, and have the capacity for change may be more likely to effectively de‐implement ineffective interventions or implement and sustain new EBPs. We outline future directions to build a program of research on preparing the soil for implementation of EBPs, including building capacity among nurses, supporting organizations to embrace change, co‐producing research evidence, and contributing to implementation science.Linking Evidence to ActionSupporting contexts to adopt and sustain evidence in nursing practice is essential for bridging the evidence to practice gap and improving outcomes for patients, clinicians, and the health system. Moving forward, we need to develop a better understanding of how to create contexts that embrace change prior to the implementation of EBPs in order sustain improvements to patient and health system outcomes.
dc.publisherAuthor
dc.publisherWiley Periodicals, Inc.
dc.subject.othernursing
dc.subject.otherimplementation science
dc.subject.otherevidence‐based practice
dc.subject.othercontext
dc.subject.otherimplementation
dc.titlePreparing Nursing Contexts for Evidence‐Based Practice Implementation: Where Should We Go From Here?
dc.typeArticle
dc.rights.robotsIndexNoFollow
dc.subject.hlbsecondlevelNursing
dc.subject.hlbtoplevelHealth Sciences
dc.description.peerreviewedPeer Reviewed
dc.description.bitstreamurlhttp://deepblue.lib.umich.edu/bitstream/2027.42/167493/1/wvn12487_am.pdf
dc.description.bitstreamurlhttp://deepblue.lib.umich.edu/bitstream/2027.42/167493/2/wvn12487.pdf
dc.identifier.doi10.1111/wvn.12487
dc.identifier.sourceWorldviews on Evidence‐Based Nursing
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dc.owningcollnameInterdisciplinary and Peer-Reviewed


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