Abstract
AIM: To determine the impact of the Caledonian Development Model, designed to promote evidence-based practice.
BACKGROUND: The model features practice-development activities, benchmarking, knowledge pooling and translation through membership of a community of practice and a virtual college.
METHODS: Twenty-four nurses, from 18 practice sites formed three communities of practice, each selecting evidence-based guidance to implement. A modified group supervision framework empowered nurses to champion local implementation. Outcomes were determined at 6 months.
RESULTS: Eighty per cent of the patient-related criteria and 35% of the facilities criteria were achieved. The Revised Nursing Work Index indicated these nurses experienced greater autonomy (P = 0.019) and increased organizational support (P = 0.037). Focus groups revealed a deepening organizational support for the initiative over time, illuminated work-based learning challenges and overall enthusiasm for the approach.
CONCLUSION: Implementation of the model effectively promoted evidence-based practice, most notably at the level of the individual patient.
IMPLICATIONS FOR NURSING MANAGEMENT: Time and budgetary constraints necessitate smart, value for money approaches to developing evidence-based practice and improved care standards. This work demonstrates an effective model that strikes a balance between individual and group learning, virtual and real-time activities, coupled with resource pooling across organizations and sectors.
Original language | English |
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Pages (from-to) | 682-91 |
Number of pages | 10 |
Journal | Journal of Nursing Management |
Volume | 16 |
Issue number | 6 |
DOIs | |
Publication status | Published - Sept 2008 |
Keywords
- Attitude of Health Personnel
- Benchmarking
- Diffusion of Innovation
- Evidence-Based Nursing
- Focus Groups
- Geriatric Nursing
- Health Knowledge, Attitudes, Practice
- Humans
- Models, Nursing
- Nurse's Role
- Nursing Audit
- Nursing Evaluation Research
- Nursing Methodology Research
- Nursing Research
- Nursing Staff
- Professional Autonomy
- Qualitative Research
- Scotland
- Social Support
- Surveys and Questionnaires