Paper: Developing a Guideline Implementation Toolkit to Support Creation of an Evidence-Based Practice Nursing Cultures (Sigma Theta Tau International's 21st International Nursing Research Congress)

Thursday, 15 July 2010

Irmajean Bajnok, RN, MSN, PhD
International Affairs and Best Practice Guidelines Programs, Registered Nurses' Association of Ontario, Toronto, ON, Canada
Barbara Davies, RN, PhD
Faculty of Health Sciences, School of Nursing, University of Ottawa, Ottawa, ON, Canada
Donna Rothwell, RN, BScN, MScN
Nursing, Niagara Health System, St Catharines, ON, Canada
Althea Stewart- Pyne, RN, BScN, MScN
International Affairs and Best Practice Guidleines Program, Registered Nurses' Association of Ontario, Toronto, ON, Canada

Learning Objective 1: 1. Outline processes to develop a practical, evidence based guideline implementation tool kit to support the development and sustainability of evidence based nursing practice cultures.

Learning Objective 2: 2. Delineate the components of a comprehensive guideline implementation toolkit and how it can best be utilized to effectively direct guideline implementation.

In the work of a major professional organization focused on the development, dissemination, implementation, and evaluation of clinical nursing and healthy work environment best practice guidelines, a key resource is the guideline implementation toolkit. In keeping with our mandate to review and revise all best practice guidelines and overall implementation resources, a review and revision of the implementation toolkit was undertaken. Following a comprehensive assessment of current guideline toolkits and based on a consensus approach, the review team selected the “Knowledge to Action Model” as the basis for a framework to direct the systematic approach to guideline implementation.

The BPG implementation toolkit based on modifications to the "Knowledge to Action Model" embodies a process beginning with identification of a clinical problem, through to implementation of a relevant best practice guideline considering the local context and environmental facilitators and barriers. Current research related to steps in the implementation process was identified to provide a strong evidence base to support each of the guideline implementation phases. These phases and related evidence, along with specific stories demonstrating strategies for success in application, provide a user friendly guideline implementation resource. This toolkit will help nurses in all roles take best evidence and integrate it into practice, education and policy using a systematic process consistent with the local context of practice.

This presentation will share the key phases of guideline implementation, incorporating related evidence and practical stories to demonstrate how the tool kit can be used successfully in addressing the key challenges of developing evidence based practice cultures in nursing.

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See more of: Evidence-Based Practice Sessions – Oral Paper & Posters