There has been a lack of clarity about EBP expectations and specific EBP competencies that nurses and APNs who practice in real world healthcare settings should meet in healthcare organizations. This uncertainty has impeded institutions from attaining high-value, low cost evidence-based healthcare. The development of clearly articulated EBP competencies that align with the EBP process are a valuable contribution that healthcare organizations can integrate support an environment where EBP is the measurable expectation and practice for all.
Engagement with a variety of healthcare organizations to pilot the integration of EBP competencies into programs and processes was undertaken. The intent of the pilots was to evaluate the barriers, facilitators, and outcomes of these projects. The healthcare organizations are piloting the integration of the EBP competencies in unique ways such as: integration into job descriptions and performance appraisals; integration into a Nurse Practitioner Fellowship onboarding program; integration across the membership of an interdisciplinary policy and procedure committee.
The pilot projects are providing valuable information about the integration experience and strategies for success in implementing the EBP competencies. The projects are very diverse and create a rich assortment of information and guidance that will serve healthcare organizations undertaking these activities in the future. A range of pilot project activities and experiences that have been systematically collected will be presented. The unique barriers and challenges as well as unexpected champions that emerged will be highlighted.
Clearly articulated EBP competencies are a valuable new resource that will help healthcare organizations achieve high value healthcare. Implementing new innovations is always a challenge and having real world exemplars to guide these endeavors is tremendously helpful in terms of effectiveness and efficiency. Key findings from EBP competency implementation pilot projects as well as effective strategies discovered will be presented.