In this four-year program of research, we studied the emergence and spread of evidence-informed models of nursing across the healthcare system. We defined these evidence-informed models as transformative models for health services delivery, primarily delivered by or involving the work of nurses. Introducing these models, which can cross sectors, takes multiple strategies with support from decision-makers at organizational, regional and system levels. Promoting rapid uptake of evidence-based practices by practitioners and organizations entails focused implementation strategies within and between organizations.
Our objectives were to understand how evidence-based best practices are developed and diffused across the healthcare system; what cost drivers and benefit levers accompany the development, diffusion and spread of a best practice; and what factors support, sustain or impede intra-and inter-organizational system change. We took a whole-systems change perspective in our work, envisioning the innovations as multi-level, non-linear and multi-directional, with sustainable system adaptations.
NEL Module:
NEL Resource Subject: