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Achieving evidence-based nursing practice: impact of the Caledonian Development Model

Authors


Debbie Tolson
School of Nursing
Midwifery and Community Health
Glasgow Caledonian University
Cowcaddens Road
Glasgow G4 OBA
UK
E-mail: d.tolson@gcal.ac.uk

Abstract

Aim  To determine the impact of the Caledonian Development Model, designed to promote evidence-based practice.

Background  The model features practice-development activities, benchmarking, knowledge pooling and translation through membership of a community of practice and a virtual college.

Methods  Twenty-four nurses, from 18 practice sites formed three communities of practice, each selecting evidence-based guidance to implement. A modified group supervision framework empowered nurses to champion local implementation. Outcomes were determined at 6 months.

Results  Eighty per cent of the patient-related criteria and 35% of the facilities criteria were achieved. The Revised Nursing Work Index indicated these nurses experienced greater autonomy (P = 0.019) and increased organizational support (P = 0.037). Focus groups revealed a deepening organizational support for the initiative over time, illuminated work-based learning challenges and overall enthusiasm for the approach.

Conclusion  Implementation of the model effectively promoted evidence-based practice, most notably at the level of the individual patient.

Implications for nursing management  Time and budgetary constraints necessitate smart, value for money approaches to developing evidence-based practice and improved care standards. This work demonstrates an effective model that strikes a balance between individual and group learning, virtual and real-time activities, coupled with resource pooling across organizations and sectors.

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