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Clinical Context for Evidence-based Nursing Practice

Bridie Kent (Editor), Brendan McCormack (Editor)
ISBN: 978-1-4051-8433-5
232 pages
September 2010, Wiley-Blackwell
Clinical Context for Evidence-based Nursing Practice (1405184337) cover image
The Evidence-Based Nursing Series is co-published with Sigma Theta Tau International (STTI). The series focuses on implementing evidence-based practice in nursing and midwifery and mirrors the remit of Worldviews on Evidence-Based Nursing, encompassing clinical practice, administration, research and public policy.

Clinical Context for Evidence-Based Practice provides insights into the key contextual issues to be considered in the implementation and assessment of evidence-based practice. Increasingly, implementation research is demonstrating that for evidence to be successfully implemented into practice, the context of practice needs to be considered.

Clinical Context for Evidence-Based Practice addresses professional, educational, and organizational contextual issues that impact on the implementation of evidence into practice and the bringing about of practice change. Practical strategies that have been used effectively to overcome these contextual issues in a range of healthcare settings are identified. Specific contextual issues in different care settings are also addressed e.g. acute care, primary health care, peri-operative settings, paediatrics, aged care, mental health, midwifery.

Each chapter is written by an internationally known and respected author, with experience of developing or reviewing contextual strategies that have an impact on the implementation and utilisation of research in practice. They explore how gaining a better understanding of context made a difference to the implementation process or outcome and address the potential to transfer different approaches to a range of healthcare settings.

  • An informative, practical resource for nurses and other health care professionals
  • Explores context-related models and approaches to implementation
  • Informs implementation and enables effective decision making
  • Critically appraises contextual factors across the spectrum of care
  • Explores future directions and implications
  • Includes case examples
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Foreword.

Cover Image.

Notes on Contributors.

1 Introduction (Bridie Kent and Brendan McCormack).

References.

2 Context: overview and application (Bridie Kent and Brendan McCormack ).

Introduction.

Defi ning context.

Models and frameworks.

Context Assessment Index.

The Ottawa Model of Research Use.

Mode 2 thinking and context for evidence-based practice.

Global factors.

Conclusion.

References.

3 Making context work in primary health care (John Rosenberg and Debbie Kralik).

Introduction.

What is primary health care?

PHC as a set of strategies.

Assessing community need.

Engaging community.

Conclusion.

References.

4 Making context work in acute care (Alison Hutchinson and Tracey Bucknall).

Introduction.

The acute care context in relation to use of evidence in practice.

Characteristics of acute care contexts.

Evidence of the influence of acute care context on the use of research in practice.

Interventions and strategies to implement interventions.

Application of research evidence in the acute care context—a case example.

Conclusion.

References.

5 Making context work in pediatrics (Valerie Wilson).

Introduction

Medication safety.

Evidence from practice.

Overcoming the barriers to implementing evidence into practice.

Empowering families

Changing practice.

Conclusion.

References.

6 Making context work in the perioperative setting (Victoria M. Steelman).

Introduction.

Meta-analyses.

Randomized clinical trials.

Non-experimental studies.

Other sources of evidence.

Clinical practice guidelines and perioperative standards.

Summary.

Additional resources.

References.

7 Midwifery in the context of new and developing technologies (Marlene Sinclair).

Introduction.

Defi ning healthcare technology.

Defi ning birth technologies.

Understanding the complexity of technology and its relevance to midwifery.

Philosophical perspectives on birth technology.

Midwives and birth technology: major theoretical positions.

Birth technology competence.

Pregnant women’s use of the Internet in pregnancy.

Current context of midwifery care.

The midwifery model of care.

International definition of the midwife.

Global health: The World Health Organization.

Global statistics on Internet usage.

Inappropriate use of technology.

Use of technology during pregnancy and childbirth.

Conclusion: the Instantaneous Age and the role of modern technology in childbirth.

References.

8 Making context work in mental health (Dawn Freshwater and Jane Cahill).

Introduction.

Contextualizing mental health care.

The practice of reviewing: the evolution of scientific literature.

Interpreting the evidence.

Implications of “context” for practice: effect of peer review on practice.

Benchmarking practice: its place in the hierarchy of evidence.

Interpreting the evidence.

Implications of benchmarking practice for mental health practice.

Summary of how the different contexts of reviewing and benchmarking practices impact on mental health and practice environments.

Concluding comments.

References.

9 Making context work in aged care (Nadine Janes).

Introduction.

Aged care settings and providers.

Best practice in aged care.

A program of research on evidence-based aged care.

Infl uences on evidence-based aged care.

Summary: maximize relationships, minimize stress.

References.

10 Enabling context with policy (Gill Harvey).

Introduction

Evidence and policy making.

The policy-making process.

The place of evidence in the policy process.

From policy to practice.

Taking account of policy in implementation strategies.

Bridging the gaps between practice, policy, and research.

Summary.

References.

11 Context in context (Bridie Kent and Brendan McCormack).

Introduction.

Considering these individual contexts—context within contexts.

The impact of the changing world on contextual.

factors for evidence-based healthcare?

Way forward.

References.

Index.

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The Editors of the proposed book are nationally and internationally acknowledged experts in their fields, with successful track records in relation to practice change and the implementation of evidence based practice. Bridie Kent is chair of Nursing, Eastern Health/Deakin University, Faculty of Health, Medicine, Nursing and Behavioural Sciences. Brendan McCormack is Professor of Nursing Research and Head of The Person-centred Practice Research Centre, Institute of Nursing Research/School of Nursing, University of Ulster
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  • An informative, practical international resource for nurses and other health care professionals

  • Critically appraises contextual issues in relation to evidence based practice.

  • Addresses the need to consider contextual factors across the spectrum of care

  • Explores context-related models and approaches to support and assess evidence implementation

  • Includes case examples from a range of healthcare settings worldwide.

  • Informs implementation of best practice

  • Enables effective decision making in person-centred care

  • Explores future directions and implications
See More
"This is an important area for nurses and an appreciation of the application of research is needed by all. A book such as this covering contextual issues of evidence-based practice should be available to all nurses, and this volume in particular is recommended." (Journal of Renal Nursing, 6 November 2011)

"The editors of this book, both heads of nursing research centers, gather international contributors to explore the professional, educational, and organizational context issues that influence how evidence is implemented in clinical practice. Each chapter considers a specific context, such as primary care, acute care, perioperative settings, aged care, pediatrics, mental health, and midwifery. Final chapters examine the place of evidence in policy making. Case examples detail implementation approaches. The book's audience includes nurses and other health care professionals." (Reference and Research Book News, February 2011)

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