The challenges of delivering practice based on best evidence Andrée le May How to Write Your Nursing Dissertation, First Edition. Alan Glasper and Colin Rees. © 2013 John Wiley & Sons, Ltd. Published 2013 by John Wiley & Sons, Ltd.

Challenges Focus on The way the evidence is presented Locating the best evidence Understanding and critiquing the evidence Implementation within the work environment Attitudes and beliefs of others Culture / context Receptivity to change Organisational issues e.g. lack of time, support Professional relationships and seniority Educational issues Lack of / or inappropriateness of resources

A research based environment can be encouraged by Creating communities of practice Holding targeted educational events Discuss research and its application at patient /client focussed meetings

OK – I’m beginning to understand how some of the challenges of implementing EBP can be overcome!

Remember that practitioners bring together many types of knowledge in order to form a very broad evidence base for high quality care. This amalgam is called “clinical mindlines”. Gabbay and le May (2011)

And I now understand that clinically effective care combines different sorts of knowledge not just research – that had never really been clear in the literature before!

References Gabbay, J. and le May, A. ( 2004 ) Evidence-based guidelines or collectively constructed “mind-lines”? An ethnographic study of knowledge management in primary care. British Medical Journal, 329, 1013–1020.