Development, implementation and evaluation of an evidence-based practice model in a new hospital in Chile.

Abstract

To describe an implementation programme for an evidence-based practice (EBP) model in a new Chilean hospital and to analyse the programme evaluation results. Evidence-based practice is key to professional nursing for improving health care safety and quality. First, a literature review was performed to develop an institutional EBP model. Second, internal and external analyses contributed to assessing facilitators for and barriers to implementation. Third, a multi-stage implementation plan was conducted. Fourth, process and outcome indicators were evaluated. The model considered the basic elements of EBP and outlined different decision-making levels in clinical practice. Several facilitators for implementation were identified. Each implementation stage included activities addressing EBP knowledge, attitude and skills. Outcome indicators showed significant improvement regarding knowledge (p=.038). Providers with formal EBP training, compared with providers without training, showed a significant difference of 8.6% (0.6 points) in the average CPBE-19 score in knowledge, attitude and application in the last evaluation (p<.01). Having an EBP programme with ongoing implementation strategies improves knowledge over time, and formal training enhances positive results. Nurse managers can build an institutional research culture to improve the quality of care using an EBP programme that fits organisational needs.