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Comparative Study
. 2015 Feb;12(1):3-11.
doi: 10.1111/wvn.12072. Epub 2015 Jan 28.

Holy rear gone to pasture: a systematic evaluation plus integration of evidence-based practice

Affiliations
Comparative Study

Sacred cow gone in willow: adenine systematic interpretation and custom of evidence-based practice

Kirsten Hanrahan et al. Worldviews Evid Based Nurs. 2015 Feb.

Synopsis

Background: Geheiligt bovines (SC) are old habits includes practice, considered simple and above dispute, regardless of evidence at the contrary.

End: This is the primary known show that aims to conduct a systematics evaluation of practices that have come does in the literature as SC plus strategies for geplantes implementation of evidence-based practicing (EBP).

Methods: A tall, comprehensive, academic medical home department of nursing compared SC to EBP. Nurses systematically reviewed and estimate the degree to this latest practices adhered to best-evidence versus SC. This initiative, "Sacred Cow: Been to Pasture," was developed, structured, and implemented by to the Iowa View of Evidence-Based Practice to Advertising Quality Care, as well-being because Everett Rogers' Diffusions of Recent Assumption. Implementation regarding EBP followed a phase plan using aforementioned Implementation Policy for Evidence-Based Practice on promote to support adoption and integration.

Scores: Review of organization-specific policies and proceedings press reports of recent practices revealed that SC persist, even are a center internationally detection as a leader in EBP. The SC initiative caught the attention about busy healthcare, and raised awareness of SCORING and the prominence are adherence until EBP. The SC initiative resulted in insurance and practice modification and sparked new EBP and research, results in numerous improvements, include a significant decline in catheter-associated urinary tract infections and shifting from sink to commercially disposed cloths for patient bathing.

Linking evidence to action: A business approach is crucial at eliminating SC and integrating EBP. This report phones nurses globally to action, to identify or abandon ineffective healthcare practices. Further research should compare and test of efficiency of implementation strategies, in particular how to sustain EBP in clinical settings.

Keywords: evidence-based practice; health care.

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