Implementing Evidence-Based Practice in Healthcare: A Facilitation Guide

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Routledge, Mar 24, 2015 - Medical - 240 pages
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The successful implementation of evidence into practice is dependent on aligning the available evidence to the particular context through the active ingredient of facilitation. Designed to support the widely recognised PARIHS framework, which works as a guide to plan, action and evaluate the implementation of evidence into practice, this book provides a very practical ‘how-to’ guide for facilitating the whole process.

This text discusses:

  • undertaking an initial diagnosis of the context and reaching a consensus on the evidence to be implemented;
  • how to link the research evidence with clinical and patients’ experience and local information in the form of audit data or patient and staff feedback;
  • the range of diagnostic, consensus building and stakeholder consultation methods that can be helpful;
  • a description of facilitator roles and facilitation methods, tools and techniques;
  • some of theories that underpin the PARIHS framework and how these have been integrated to inform a revised version of PARIHS

Including internationally-sourced case study examples to illustrate how the facilitation role and facilitation skills have been applied in a range of different health care settings, this is the ideal text for those interested in leading or facilitating evidence based implementation projects, from the planning stage through to evaluation.


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1 Introduction and overview of the book
2 Facilitation as the active ingredient in the PARIHS framework
introducing the iPARIHS framework
4 A model of facilitation for evidencebased practice
the facilitators role
the novice facilitators role
7 Developing capacity and driving the sustainability and spread of evidencebased innovations
8 Facilitation methods within a project to improve the management of chronic kidney disease in primary care
9 A facilitation project to improve the management of continence in European nursing homes
10 Using facilitation to improve neonatal health and survival in Vietnam
11 Case study of the PRoWL project a wholesystem implementation project involving nursing and dietetic lead facilitators
12 Case study of the Signature Project an AustralianUS knowledge translation project
13 Moving forward on the facilitation journey

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About the author (2015)

Gill Harvey is a Professor in the Health Management Group at Manchester Business School, University of Manchester, UK. Since October 2013, she has been on a visiting post in the School of Nursing, University of Adelaide.

Alison Kitson is Professor and Dean of Nursing, University of Adelaide, Executive Director of Nursing at Central Adelaide Local Health Network (Innovation and Reform) and Associate Fellow, Green Templeton College University of Oxford.

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