Abstract
BackgroundAn evidence based practice (EBP) research project was undertaken to implement EBP interventions utilising the Iowa model in order to build the capacity of the nurses in using research evidence to improve decision making and quality care.AimExploring and understanding the experiences of nurse managers and practitioners who participated in the EBP change project.SettingThe study was conducted in the intensive care unit (ICU) of a tertiary hospital in Lilongwe district in Malawi.MethodsA qualitative approach and an exploratory-descriptive design was employed. The ICU was purposively selected as a unit where the EBP change project was implemented. A purposive sample of 10 nurse managers and practitioners was selected. Semi-structured interviews were conducted. All interviews were audio-recorded with a digital recorder and transcribed verbatim. Thematic analysis was applied to the transcripts.ResultsThe participants’ experiences of implementing EBP interventions were underpinned by four themes namely, evidence-based patient management, effective nursing care, competence in delivering EBP, and factors interplaying in EBP. Use of model, protocol and availability of supportive managers and team were major determinants of EBP.ConclusionIt is recommended to continue utilising the Iowa Model to facilitate building the EBP capacities of providers during scale up.ContributionUtilising the Iowa Model facilitates building of the capacity and empowers frontline nurses to effectively develop, implement and evaluate discipline specific EBP changes needed to improve practice and optimum care.
Highlights
Evidence Based Practice (EBP) is an approach for improving quality care (Stetler et al 2007)
An EBP research project was conducted in the intensive care unit (ICU) utilising the Iowa model with the aim of implementing EBP interventions to improve the delivery of quality nursing care
A total of four themes emerged from the data as follows: evidence-based patient care management, provision of effective nursing care, factors interplaying in EBP implementation, and competence in delivering EBP
Summary
Evidence Based Practice (EBP) is an approach for improving quality care (Stetler et al 2007). It is when expert nurses use current research evidence in consideration of patients’ preferences to improve nursing care decisions, quality care, and patient outcomes (Melnyk et al 2014). An EBP research project was conducted in the intensive care unit (ICU) utilising the Iowa model with the aim of implementing EBP interventions to improve the delivery of quality nursing care. An evidence based practice (EBP) research project was undertaken to implement EBP interventions utilising the Iowa model in order to build the capacity of the nurses in using research evidence to improve decision making and quality care
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