Implementation Strategy for Evidence-Based Practice

Dirk T. Ubbink, MD, PhD1 Anouk M. Knops, MSc1 Robert Simons, RN2 Hester Vermeulen, RN, PhD1 1Departments

of Quality Assurance & Process Innovation, and 2Paediatrics, Academic Medical Center at the University of Amsterdam, The Netherlands.

Introduction • Evidence-based practice (EBP) is an acknowledged means to improve healthcare quality..., however: • All know the term • Some know what it is about • Few apply it in daily practice

Aim

• To appreciate what nurses and doctors think and know about EBP. (Ubbink DT et al., Neth J Med. 2011) • To define a structural implementation strategy to implement and sustain EBP at various (managerial) levels.

Methods • Inventory of attitude, knowledge, barriers & facilitators towards EBP among five specialties in a university hospital – – – – –

Surgery Internal Medicine Obstetrics & Gynecology Pediatrics Neurology

• McColl and Barriers questionnaires • Systematic literature review of EBP-inventories worldwide

Results

• 537 nurses and 435 doctors – Response rate: 70% – Similar basic training in EBP since 1990’s – Over 50% of the doctors and about 40% of the nurses had received some training in critical appraisal

• 31 clinical EBP-inventory studies from all continents

Results (attitude)

Doctors scored significantly higher than nurses (p