The Role of APNs in Developing an EBP Culture: the ARCC Model in Switzerland.

Giuffrida, Silvia and Bernasconi, Stefano and Levati, Sara (2021) The Role of APNs in Developing an EBP Culture: the ARCC Model in Switzerland. In: 11th ICN NP/APN Network Conference, 29 agosto-1 settembre 2021, online.

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Abstract

Background Inadequate and delayed implementation of best scientific evidence into practice contribute to clinical errors, safety issues and patient deaths. Clinical practice based on scientific evidence increases the quality and safety of care and consequently improves patients’ outcomes. Furthermore, nurses working in an organisational environment that promotes and supports evidence-based practice (EBP) are more empowered and satisfied with their work. Despite this, in many contexts the implementation of EBP at the patient’s bedside is not yet a reality. The key solution to the barriers highlighted in the literature is a real cultural change within each individual health institution, with nurse leaders and APNs that are called to promote and implement a EBP culture. Purpose The aim of this study is to implement an EBP model in a cardiology and cardiac surgery acute care hospital in Ticino, Switzerland. The role of APNs in the implementation of an evidence-based culture is also explored. Methods Implementation of an EBP model, the Advancing Research and Clinical practice through close Collaboration (ARCC) model, involves conducting an initial organisational assessment of staff to evaluate the staff beliefs (EBPB scale), implementation (EBPI scale) and organisational and cultural readiness for EBP (OCRSIEP). Findings and potential EBP strategies to be implemented are then explored in a focus group with a sample of nurses. Results The data collection is currently undergoing, however, findings from the initial organisational assessment will facilitate the development of a series of EBP strategies tailored for the specific context of care, including for examples ongoing educational activities (workshops and journal clubs). Conclusion Findings of the study and the role of APNs as EBP mentor are discussed. Significance (impact and reach) Results from this study can inform the implementation of a EBP culture and the leading role of APNs in embracing the EBP paradigm shift.

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