Discuss ways to make evidence-based practice projects sustainable.
NUR699 Evidence Based Practice Project Week 8 Discussion.

DQ1 Discuss ways to make evidence-based practice projects sustainable. Describe the plans to maintain, extend, revise, and discontinue a proposed solution after implementation.

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Dissemination and implementation (D&I) science is an emerging priority in public health and medicine in the United States and globally. There is strong interest from the National Academy of Medicine, National Institutes of Health, and the World Health Organization in narrowing the gap between research (what we know) and practice (what we do). Although numerous evidence-based public health interventions and clinical preventive strategies and treatments are available, it can be challenging to implement and sustain them outside of controlled settings, particularly if they were originally tested in narrow populations or unrepresentative circumstances.

NUR699 Evidence Based Practice Project Week 8 Discussion
NUR699 Evidence Based Practice Project Week 8 Discussion.

As a rapidly growing field, implementation science has focused on understanding factors and strategies that influence the initial adoption and integration of evidence-based interventions (EBIs) in real-world settings. Whereas significant advancements have been made in understanding the adoption and implementation of EBIs across a range of community and health care settings, less is known about their sustainability. Recently, experts have prioritized sustainability as an understudied area, identifying it as “one of the most significant translational research problems of our time” and as a persistent challenge across a range of settings and service delivery sectors, and across health behaviors and outcomes.

Maximizing the public health impact of EBIs will require investing in sustainability research. This research will enable us to better understand what factors and processes influence the sustainability of interventions and how to plan proactively for the continuation of EBIs. Moreover, there has been growing consideration of the policy and ethical implications of developing effective health programs without investing in sustainability. Researchers, health leaders, advocates, policy makers, practitioners, and funders alike have concerns about the long-term impact and value of their investment in discontinued interventions. In addition to lost investments, time, and resources, there are other reasons for which advancing our understanding of the sustainability of EBIs has value. Maintaining effective programs and practices is critical for achieving health benefits, particularly if there is a latency period between implementation and the palpable or full impact of the intervention. Furthermore, discontinuing or abandoning programs in community settings may result in low levels of community support and trust in research and public health/medical institutions.