Flooded with evidence: using a 'spillway' model to improve research implementation in nursing practice
- Publisher:
- AUSTRALIAN NURSING FEDERATION
- Publication Type:
- Journal Article
- Citation:
- Australian Journal of Advanced Nursing, 2016, 34, (1), pp. 23-31
- Issue Date:
- 2016-09-01
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|---|---|---|---|---|---|
| ielapa.576931133293243.pdf | Published version | 453.23 kB |
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Objective To identify barriers to implementing evidence-based practice initiatives in small to medium sub-acute facilities in Queensland. Design The study uses a qualitative methodology in which field observations and convergent interviews were employed to generate data. Setting Four south-east Queensland sub-acute care facilities participated in the study. Observational and interview data were collected. Subjects Field observations were recorded across the sites. Five research fellows collected observational data on evidence-based practice implementation across a period of six months. Nine clinicians participated in in-depth, convergent interviews at the end of the period of observation. Main outcome measures The authors analysed observational and interview data using qualitative thematic analysis. Results Three themes emerged which described the needs of clinicians when evidence-based practice initiatives were being implemented: (1) valuing evidence; (2) risk prioritisation; and (3) controlling the flow of evidence. A ‘Spillway Model’ is proposed as a mechanism for targeting clinical priorities using integrated risk management. Conclusion This study supports the use of integrated risk management as part of a Spillway Model to guide the introduction of evidence-based practice initiatives in the clinical setting.
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