SUNY-Downstate Medical Research Library of Brooklyn: Evidence-Based Nursing Practice

PARiHS Framework for Implementing Research into Practice

This model is from Mc Master University  and come from published research by 

A. Kitson, G Harvey, B McCormack

This is how the PARiHS Framework describes itself

The PARiHS (Promoting Action on Research Implementation in Health Services) framework provides a way to implement research into practice. With case studies of teams implementing evidence, it examines the interactions between three key elements for knowledge translation. Three factors determine research use:

1. Evidence (E)

2. Context (C)

3. Facilitation (F)

Significantly, this framework argues that successful implementation (SI) of evidence into practice had as much to do with the context or setting where the new evidence was being introduced and how that new evidence was introduced (facilitated into practice) as it had to do with the quality of the evidence.

Evidently Cochrane is a blog about evidence-based nursing practice that is part of the Cochrane Library. It discusses real experience about  about putting Best Nursing Evidence into practice.  Like the entire Cochrane library, this blog is British based.  Some postings are particular to British nursing.  Most are not. 

Implementing PVC Guidelines were the subject of one posting on Evidently Cochrane.  Nurses discussed  how administrative support influenced adaption (or not) of the latest best practice guidelines.  

A Test of the ARCC© Model Improves Implementation of Evidence‐Based Practice, Healthcare Culture, and Patient Outcomes

This article by Melnyk and others (2016) purports that only her model of evidence based practice has shown that it can be successfully implemented.  

The Relationship among Evidence-Based Practice and Client Dyspnea, Pain, Falls and Pressure Ulcer Outcomes in the Community Setting.

Cochrane Evidence on catheter washouts: from Twitter to the Bedside

Another Evidently Cochrane blog post on using evidence based research to improve nursing practice.

Putting Evidence Into Nursing Practice: Four Traditional Practices Not Supported by the Evidence

This is an article written in 2013, still relevant today.  There are more recent articles on the same topics, but this is the most comprehensive and  comprehensively researched article  aimed at critical care nurses.  

The four practices reviewed include 

Best Method for Measuring Blood Pressure Noninvasively in Children

Use of Oxygen in Patients With COPD

Intravenous Catheter Size and Blood Administration

Infection Control Precautions