1. 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.

2. 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

3. 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

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

5. 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)

6. 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!

7. 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.