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
Contributors' information Foreword
Preface
1 The importance of addressing outcomes of evidence-based practice (Debra Bick and Ian D. Graham)
Introduction
Why are outcomes of EBP important?
The development of EBP
What is evidence?
Models and frameworks to support research use
Why is it important to measure/evaluate the impact of EBP?
Why do interventions of unproven benefit continue to be
implemented?
The importance of outcomes in policy and politics
Conclusion
References
2 Measuring outcomes of evidence-based practice: Distinguishing between knowledge use and its impact (Ian D. Graham, Debra Bick, Jacqueline Tetroe, Sharon E. Straus, and Margaret B. Harrison)
Introduction
Knowledge use
Measurement considerations
Measuring knowledge use
Evaluating the impact of knowledge use
Measuring outcomes of EBP and return on investment
Conclusion
References
3 Models and approaches to inform the impacts of implementation of evidence-based practice (Joyce Wilkinson, Neil Johnson, and Peter Wimpenny)
Introduction
A model typology
Conclusion
Acknowledgment
References
4 An outcomes framework for knowledge translation (Diane M. Doran)
Introduction
Purpose of the framework
The focus on outcomes
Practice reflection based on outcomes
Outcomes feedback
Patient preferences for care
Facilitation to support change
Related theoretical models
Conclusion
References
5 Outcomes of evidence-based practice: practice to policy perspectives (Margaret B. Harrison)
Introduction
Background
Building the case for change for EBP
Understanding the environment and current care
Measuring the impact of EBP/care
Limitations of different approaches
Choose outcomes wisely
Conclusion
References
6 Implementing and sustaining evidence in nursing care of cardiovascular disease (Anne Sales)
Introduction
A brief history of the evolution of cardiology in practice
System approaches to changing delivery of cardiovascular care
Outcomes and their impact
Nursing-focused evidence-informed care for patients
with cardiovascular health problems
Conclusion
References
7 Outcomes of implementation that matter to health service users (Debra Bick and Ian D. Graham)
Introduction
Enhancing the contribution of service users to health service policy and research
Defining EBP priorities and outcomes from a service user perspective
Patient-reported outcome measures
Addressing the challenges and developing the evidence base
Acknowledgments
References
8 Evaluating the impact of implementation on economic outcomes (Lisa Gold)
Introduction
Economics
Economic evaluation of EBP
Barriers to economic evaluation-ethics and research efficiency
Conclusion
References
9 Sustaining evidence-based practice systems and measuring the impacts (Barbara Davies, Dominique Tremblay, and Nancy Edwards)
Introduction
The need for and concept of "sustainability" of EBP change
Maintaining the integrity of EBP
Sustainability models
Strategies for more sustainable EBP
A suggested development process for indicators that
will be sustainable
Criteria for selecting sustainability indicators
Exemplars and issues around the sustainability of
EBP systems
Conclusion
References
10 A review of the use of outcome measures of evidence-based practice in guideline implementation studies in Nursing, Allied Health Professions, and Medicine (Christina M. Godfrey, Margaret B. Harrison, and Ian D. Graham)
Method and background on the reviews
Discussion
Conclusion
References
Appendix
Index
