Empowering Frontline Nurses as Implementation Science Leaders: The EQUIP Model for Evidence-Based Practice Integration and Quality Improvement.

IF 1.2 4区 医学 Q3 NURSING
Modi Al-Moteri
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引用次数: 0

Abstract

Background: Sustaining evidence-based practice (EBP) in nursing faces systemic and workforce barriers. Implementation science (IS) offers structured approaches to support EBP integration. Under Saudi Arabia's Vision 2030, scalable nurse-led models are critical to bridging the research-to-practice gap.

Aim: To evaluate the Evidence-Based Quality Improvement Project (EQUIP), a nurse-led model grounded in IS, by assessing its implementation through frontline implementation lead (IL) nurses.

Methods: A mixed-methods formative evaluation was conducted across multiple healthcare facilities. Two IL nurse-led quality improvement (QI) projects were used as illustrative examples. Data sources included QI documentation, clinical metrics, and researcher field notes.

Results: EQUIP enabled IL nurses to apply EBP in routine care and proved adaptable across diverse settings. However, inconsistent engagement and competing workload demands were the most influential barriers, underscoring the need for structured support.

Conclusion: EQUIP presents a scalable IS-based initiative to embed EBP in nursing. Institutional support is essential for sustained implementation.

授权一线护士作为实施科学领导者:基于证据的实践整合和质量改进的EQUIP模型。
背景:护理中维持循证实践(EBP)面临着系统和劳动力障碍。实现科学(IS)提供了支持EBP集成的结构化方法。根据沙特阿拉伯的《2030年愿景》,可扩展的护士主导模式对于弥合从研究到实践的差距至关重要。目的:通过评估一线实施领导(IL)护士对循证质量改进项目(EQUIP)的实施情况,评估以IS为基础的护士主导模式。方法:在多个医疗机构中进行混合方法形成性评估。以两个IL护士主导的质量改善(QI)项目为例。数据来源包括QI文档、临床指标和研究人员现场记录。结果:EQUIP使IL护士能够在日常护理中应用EBP,并证明其在不同环境下的适应性。然而,不一致的参与和相互竞争的工作量需求是影响最大的障碍,突出表明需要有组织的支助。结论:EQUIP提出了一个可扩展的基于is的倡议,将EBP嵌入护理中。体制支持对于持续执行至关重要。
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来源期刊
CiteScore
2.40
自引率
0.00%
发文量
90
审稿时长
6-12 weeks
期刊介绍: Journal of Nursing Care Quality (JNCQ) is a peer-reviewed journal that provides practicing nurses as well as nurses who have leadership roles in nursing care quality programs with useful information regarding the application of quality principles and concepts in the practice setting. The journal offers a forum for the scholarly discussion of “real world” implementation of quality activities.
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