4.5 Article

Implementation Science: Application of Evidence-Based Practice Models to Improve Healthcare Quality

期刊

WORLDVIEWS ON EVIDENCE-BASED NURSING
卷 18, 期 2, 页码 76-84

出版社

WILEY
DOI: 10.1111/wvn.12495

关键词

implementation science; evidence‐ based practice; model; framework; implementation strategies; model selection

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Translating research into practice is crucial for high-quality patient care, yet clinicians often lack the knowledge, time, and resources to implement evidence-based practice models effectively. This paper aims to provide clinicians and healthcare professionals with implementation science knowledge, confidence, and models to facilitate evidence-based practice change in their local settings, ultimately improving healthcare quality, safety, and population health outcomes. Implementing knowledge of implementation science can help clinicians adopt high-quality evidence and partner with researchers to bridge the knowledge-to-action gap.
Background Translating research into practice is complex for clinicians, yet essential for high quality patient care. The field of implementation science evolved to address this gap by developing theoretical approaches to guide adoption and sustained implementation of practice changes. Clinicians commonly lack knowledge, time, and resources of how evidence-based practice (EBP) models can guide implementation, contributing to the knowledge-to-practice gap. Aim This paper aimed to equip clinicians and other healthcare professionals with implementation science knowledge, confidence, and models to facilitate EBP change in their local setting and ultimately improve healthcare quality, safety, and population health outcomes. Methods The field of implementation science is introduced, followed by application of three select models. Models are applied to a clinical scenario to emphasize contextual factors, process, implementation strategies, and outcome evaluation. Key attributes, strengths, opportunities, and utilities of each model are presented, along with general resources for selecting and using published criteria to best fit clinical needs. Partnerships between implementation scientists and clinicians are highlighted to facilitate the uptake of evidence into practice. Linking Evidence to Action Knowledge of implementation science can help clinicians adopt high-quality evidence into their practices. Application-oriented approaches can guide clinicians through the EBP processes. Clinicians can partner with researchers in advancing implementation science to continue to accelerate the adoption of evidence and reduce the knowledge-to-action gap.

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