Organizations often do not have processes in place to support nurses through a systematic approach for developing and evaluating nursing interventions, protocols, critical pathways, and policies that are derived from scientific evidence. The development of a framework to guide inquiry will have a positive impact on patients. This process may foster a higher level of professional engagement by nurses that may, in the long-term, help improve nurse retention and recruitment. The authors discuss a nursing evidence-based practice model and guidelines that were developed by a team of hospital and academic nurse leaders and is practical and easy to use. This model has been successfully implemented across the department of nursing as a strategic initiative. Results of the implementation have shown that staff nurses can effectively use this model with the help of knowledgeable mentors.

Attitude of Health Personnel↗

PubMed2005

Best-practice protocols: preventing central line infection.

Compliance with venous access best practices at Johns Hopkins Hospital hinged on nursing and physician management, and quality improvement programs.

Academies and Institutes↗

PubMed1986

Child abuse and pediatric social illness: an epidemiological analysis and ecological reformulation.

Children under four years of age hospitalized for child abuse, domestic accidents, failure to thrive, and ingestions were matched with controls admitted for comparably acute medical conditions. A structured parental interview yielded significant case-control differences. Discriminant analysis suggested interrelationships among the case groups and cluster analysis identified three cohesive groups in terms of severity of symptoms. This reformulation provides a matrix for organizing data and an alternative to the present manifestational classification system.

Accidents, Home↗

PubMedDate not supplied

Nurse-supported breastfeeding promotion: a framework for economic evaluation.

Increasingly, economic evaluation results are considered by policymakers, although few nurse-led interventions have undergone such an evaluation. Nurse-supported breastfeeding promotion is used as an exemplar to illustrate economic evaluation. Past work is critiqued and lessons learned are described.

Attitude to Health↗