Evaluating the impact of implementing evidence-based practice

This review examines the use of outcome measures of evidence-based practice in guideline implementation studies in Nursing, Allied Health Professions, and Medicine and the need for and concept of sustainability of EBP change.

Abstract

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