Change within Complex Healthcare Systems and Mentors for Ebp
نویسندگان
چکیده
Recently, both healthcare organizations and academic settings have been challenged to develop new models of collaboration that facilitate use of existing evidence to improve patient outcomes (McBride, 2005; Melnyk & Fineout-Overholt, 2002). Several models now exist in the literature to guide the increased use of evidence-based practice (EBP) (Ciliska, DiCenso, Melynk, & Stetler, 2005; Haynes, 1993; Melnyk et al., 2004; Titler et al., 2001). The use of mentors has been identified in these models as an important facilitator for increasing use of EBP within healthcare organizations (Haynes, 1993; Melnyk et al., 2004; Rycroft-Malone, Bucknall, & Melynk, 2005; Titler et al., 2001). This article outlines the experiences of nursing faculty from diverse academic settings working part time within a large Midwestern teaching hospital to mentor staff in the use of EBP. The challenges and lessons learned and the successes realized through the collaborative efforts of clinical and academic partners are presented and explored from the context of implementing change within complex healthcare systems.
منابع مشابه
The Paradox of Intervening in Complex Adaptive Systems; Comment on “Using Complexity and Network Concepts to Inform Healthcare Knowledge Translation”
This commentary addresses two points raised by Kitson and colleagues’ article. First, increasing interest in applying the Complexity Theory lens in healthcare needs further systematic work to create some commonality between concepts used. Second, our need to adopt a better understanding of how these systems organise so we can change the systems overall behaviour, creates a paradox. We seek to m...
متن کاملConnections, Communication and Collaboration in Healthcare’s Complex Adaptive Systems; Comment on “Using Complexity and Network Concepts to Inform Healthcare Knowledge Translation”
A more sophisticated understanding of the unpredictable, disorderly and unstable aspects of healthcare organisations is developing in the knowledge translation (KT) literature. In an article published in this journal, Kitson et al introduced a new model for KT in healthcare based on complexity theory. The Knowledge Translation Complexity Network Model (KTCNM) provides a fresh perspective by mak...
متن کاملCan a Healthcare “Lean Sweep” Deliver on What Matters to Patients?; Comment on “Improving Wait Times to Care for Individuals with Multimorbidities and Complex Conditions Using Value Stream Mapping”
Disconnects and defects in care – such as duplication, poor integration between services or avoidable adverse events – are costly to the health system and potentially harmful to patients and families. For patients living with multiple chronic conditions, such disconnects can be particularly detrimental. Lean is an approach to optimizing value by reducing waste (eg, duplication and defects) and ...
متن کاملFramework of policy recommendations for implementation of evidence-based practice: a systematic scoping review
OBJECTIVES Evidence-based practice (EBP) may help improve healthcare quality. However, not all healthcare professionals and managers use EBP in their daily practice. We systematically reviewed the literature to summarise self-reported appreciation of EBP and organisational infrastructure solutions proposed to promote EBP. DESIGN Systematic review. Two investigators independently performed the...
متن کاملImproving the Implementation of Evidence-Based Practice and Information Systems in Healthcare: A Social Network Approach
In healthcare, evidence-based practice (EBP) integrates clinical expertise with the best available external evidence from systematic research. Yet even with the aid of technology, implementation of EBP in many settings remains a challenge due in part to the complexity of the healthcare system and the lack of a strong theoretical and analytical foundation to guide implementation efforts. This pa...
متن کامل