Discuss ways to make evidence-based practice projects sustainable.

NUR699 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.

ORDER NOW FOR AN ORIGINAL PAPER ASSIGNMENTNUR699 Discuss ways to make evidence-based practice projects sustainable.
Sustaining the changes that result from evidence-based public health interventions has become a topic of great interest among many researchers, donors, practitioners, and communities [1]. Evidence-based interventions (EBI) are defined as practices by which the provider’s decision is backed by the most appropriate information [2]. EBIs originated from the evidence-based medicine movement. In recent years, additional fields that involve routine intervention and clinical decision making have embraced this movement [3]. This includes a range of EBIs in treatment research, prevention, policy, medicine, community-based public health, and overall healthcare [4,5,6,7]. Although EBIs are conceptually appealing, our understanding of the implementation processes, including sustainment, that are necessary for delivering these practices over time in community-based settings remains unclear [1]. The field of dissemination and implementation (D&I) science has provided definitions for conceptually distinct terms, sustainability, and sustainment. Sustainability is defined as “the extent to which an evidence-based intervention can deliver its intended benefits over an extended period of time after external support… is terminated” [8] (p. 26), whereas sustainment is defined as “creating and supporting the structures and processes that will allow an implemented innovation to be maintained in a system or organization” [9].

NUR699 Discuss ways to make evidence-based practice projects sustainable.
NUR699 Discuss ways to make evidence-based practice projects sustainable.

Research-to-practice gap
The past few decades have marked a significant shift from traditional diffusion of interventions and research outcomes—“passive, untargeted, unplanned, and uncontrolled spread of new interventions” [10]—to a more structured approach of EBI dissemination, implementation, and sustainment in order to reduce the oft-noted research-to-practice gap [11]. Current estimates suggest that it takes about 17 years to implement only 14% of evidence-based research outcomes in real-world settings [12, 13]. This research-to-practice gap often translates to suboptimal care for patients, exposure to potentially avoidable harm, excessive healthcare spending, and other significant opportunity costs [14]. Multiple and mutually interacting factors are believed to contribute to this large research translation gap. Previous studies report that inadequate training, limited time, lack of infrastructure, and lack of feedback and incentives for the utilization of EBIs hinder timely adoption and sustainment of EBIs in real-world settings [15]. Further, of the EBIs that are adopted and implemented, many EBIs are not sustained after a certain amount of time [15].