Evidence‐based practice improves patient outcomes and healthcare system return on investment: Findings from a scoping review

Author:

Connor Linda1ORCID,Dean Jennifer1,McNett Molly1,Tydings Donna M.2,Shrout Amanda3,Gorsuch Penelope F.45,Hole Ashley6,Moore Laura7,Brown Roy8,Melnyk Bernadette Mazurek1ORCID,Gallagher‐Ford Lynn1

Affiliation:

1. Helene Fuld Health Trust National Institute for Evidence‐Based Practice in Nursing & Healthcare, College of Nursing The Ohio State University Columbus Ohio USA

2. St. John Fisher University, Wegmans School of Nursing Rochester New York USA

3. Sinai Hospital Baltimore Maryland USA

4. Summa Health System Akron Ohio USA

5. The Ohio State University, College of Nursing Columbus Ohio USA

6. Memorial Sloan‐Kettering Cancer Center New York New York USA

7. Family CareX Denver Colorado USA

8. Affiliate Faculty, VCU Libraries, Health Sciences Library Virginia Commonwealth University School of Nursing Richmond Virginia USA

Abstract

AbstractBackgroundEvidence‐based practice and decision‐making have been consistently linked to improved quality of care, patient safety, and many positive clinical outcomes in isolated reports throughout the literature. However, a comprehensive summary and review of the extent and type of evidence‐based practices (EBPs) and their associated outcomes across clinical settings are lacking.AimsThe purpose of this scoping review was to provide a thorough summary of published literature on the implementation of EBPs on patient outcomes in healthcare settings.MethodsA comprehensive librarian‐assisted search was done with three databases, and two reviewers independently performed title/abstract and full‐text reviews within a systematic review software system. Extraction was performed by the eight review team members.ResultsOf 8537 articles included in the review, 636 (7.5%) met the inclusion criteria. Most articles (63.3%) were published in the United States, and 90% took place in the acute care setting. There was substantial heterogeneity in project definitions, designs, and outcomes. Various EBPs were implemented, with just over a third including some aspect of infection prevention, and most (91.2%) linked to reimbursement. Only 19% measured return on investment (ROI); 94% showed a positive ROI, and none showed a negative ROI. The two most reported outcomes were length of stay (15%), followed by mortality (12%).Linking Evidence to ActionFindings indicate that EBPs improve patient outcomes and ROI for healthcare systems. Coordinated and consistent use of established nomenclature and methods to evaluate EBP and patient outcomes are needed to effectively increase the growth and impact of EBP across care settings. Leaders, clinicians, publishers, and educators all have a professional responsibility related to improving the current state of EBP. Several key actions are needed to mitigate confusion around EBP and to help clinicians understand the differences between quality improvement, implementation science, EBP, and research.

Publisher

Wiley

Subject

General Medicine,General Nursing

Reference24 articles.

1. American Nurses Association. (2022).Contributing to a quality patient experience: Applying evidence‐based practice to support changes in nursing dress code policies.http://www.nursingworld.org/

2. American Nurses Credentialing Center. (2022).Practice model.http://www.nursecredentialing.org/Magnet.aspx

3. Centers for Disease Control and Prevention. (2021).2021 National and state healthcare‐associated infections progress report.https://www.cdc.gov/hai/data/portal/progress‐report.html

4. Evidence‐Based Practice: A New Dissemination Guide

5. Welcome to Implementation Science

同舟云学术

1.学者识别学者识别

2.学术分析学术分析

3.人才评估人才评估

"同舟云学术"是以全球学者为主线,采集、加工和组织学术论文而形成的新型学术文献查询和分析系统,可以对全球学者进行文献检索和人才价值评估。用户可以通过关注某些学科领域的顶尖人物而持续追踪该领域的学科进展和研究前沿。经过近期的数据扩容,当前同舟云学术共收录了国内外主流学术期刊6万余种,收集的期刊论文及会议论文总量共计约1.5亿篇,并以每天添加12000余篇中外论文的速度递增。我们也可以为用户提供个性化、定制化的学者数据。欢迎来电咨询!咨询电话:010-8811{复制后删除}0370

www.globalauthorid.com

TOP

Copyright © 2019-2024 北京同舟云网络信息技术有限公司
京公网安备11010802033243号  京ICP备18003416号-3