Research Article

Facilitating Evidence-Based Practice among Nurses in a Tertiary General Hospital: A Six-Year Practice of an Implementation Strategy Informed by the i-PARIHS Framework

Table 2

Identification of core elements in the EBP-facilitating strategy.

Core elementStrategy

InnovationEnhance the evidence-based practice skills of nurses
Promote the application of research evidence to inform the innovation

RecipientsEBP groups formation process:
(a) The core team developed the recruitment criteria
Recruitment criteria: committed to EBP; have skills related to EBP; encourage master’s degree and head nurses to participate
(b) Nurses submitted the application to nursing department
(c) The core team assessed the applicants and set up EBP groups. Principles: each group had nurses from the same or related specialties and comprised nurses in a leadership position (head nurse/supervisor/vice director) and who had a master’s degree

ContextLocal level
 Same or related specialties had a similar setting and environment, which ensured the same interest in choosing EBP questions and enabled the implementation of research evidence
Organization level
 Hospital and nursing department supported and provided training, multidiscipline collaboration, and necessary facilities
External healthcare system level
 The priority was to narrow the gap between evidence and practice and improve patients’ outcomes; this was hampered, however, by a lack of EBP skills

FacilitationFacilitators
 Internal facilitator: the core team of nursing department; one member was assigned as the coordinator of this project
 External facilitator: three members of the Fudan University JBI Evidence-based Nursing Cooperation Center
Facilitation strategies
 The core team organized a two-month intermittent training of EBP guided by a well-educated EBP team
 Each EBP group was required to conduct one EBP project per year. Regular meetings were held for audits of the projects
 The coordinator tracked the process of each EBP project and provided regular feedback
 The coordinator reviewed and updated the members of EBP groups annually
 An external facilitator navigated the implementation of evidence in projects