Paper
Wednesday, July 21, 2004
This presentation is part of : Improving Nursing Practice Through Evidence
Improving Nursing Practice Through Evidence: Implementation Readiness and Educational Interventions
Beth Ann Swan, PhD, CRNP, Office of International Programs & PAHO/WHO Collaborating Center for Nursing Leadership, Office of International Programs & PAHO/WHO Collaborating Center for Nursing Leadership, University of Pennsylvania School of Nursing, Philadelphia, PA, USA
Learning Objective #1: Describe a methodology for assessing implementation readiness
Learning Objective #2: Discuss multiple educational strategies for implementing and sustaining evidence-based nursing practice

BACKGROUND: Many authors have written conceptually about “globalize the evidence, localize the decision,” a phrase made famous by Dr. John Eisenberg. Less is written about efforts to operationalize the phrase. In international health care, nurses are ideally positioned to assume a leadership role in improving health care outcomes by implementing evidence-based practice. There is an urgent need to identify the methodologies for assessing and evaluating global evidence for local use, while recognizing the multi-faceted context of countries and cultures. One of the first steps in this process is reviewing the readiness for implementing evidence-based practice and exploring the educational needs for nurses to employ innovative solutions to establish the “evidence” in evidence-based nursing. Closing the gap between evidence and practice requires a diverse portfolio of strategies. OBJECTIVES: The objectives of the proposed oral presentation are to provide an overview of the dynamics of operationalizing the concept “globalize the evidence, localize the decision;” describe a methodology for assessing implementation readiness; and discuss multiple educational strategies for implementing and sustaining evidence-based nursing practice. CONCLUSION: To strengthen the use of global evidence at local levels throughout the world, nurses need greater and faster access to research. In addition, nurses need culturally sound methodologies to assess and evaluate the research in the context of their practice setting and country.

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Sigma Theta Tau International
July 21, 2004