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KMID : 0614820170230020111
Journal of Korean Academy of Nursing Administration
2017 Volume.23 No. 2 p.111 ~ p.117
Applying Theory Informed Global Trends in a Collaborative Model for Organizational Evidence-based Healthcare
Craig Lockwood

Abstract
Getting evidence in to practice tends to focus on strategies, theories and studies that aim to close the gap between research knowledge and clinical practice. The evidence to practice gap is more about systems than individual clinician decision making. The absence of evidence for administration and management in the organization of healthcare is persistent. Teaching nurses and providing evidence as the solution to evidence-based healthcare is no longer axiomatic.Previous studies have concluded that unit level strategies integrate multi-professional teams with organizational needs and priorities. This ‘best fit’ approach that characterizes how healthcare is structured and delivered. The published literature shows that increased readiness for change is aligned with integrated approaches informed by conceptual models. The Joanna Briggs Collaboration is the largest global collaboration to integrate evidence within a theory informed model that brings together academic centres, hospitals and health systems for evidence synthesis, transfer and implementation. The best approaches to implementation are tailored to local culture and context, benchmark against international evidence, combine a theory informed model and stakeholder perspectives to improve the structure and processes of health care policy and practice.
KEYWORD
Clinical Governance/organization & administration, Evidence-Based Practice, Models, Nursing
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학술진흥재단(KCI) KoreaMed