Chiwaula Catherine Haulesi, Jere Diana L
Kamuzu College of Nursing, University of Malawi, Lilongwe, Malawi.
Health SA. 2022 Feb 28;27:1597. doi: 10.4102/hsag.v27i0.1597. eCollection 2022.
An evidence based practice (EBP) research project was undertaken to implement EBP interventions utilising the Iowa model in order to build the capacity of the nurses in using research evidence to improve decision making and quality care.
Exploring and understanding the experiences of nurse managers and practitioners who participated in the EBP change project.
The study was conducted in the intensive care unit (ICU) of a tertiary hospital in Lilongwe district in Malawi.
A qualitative approach and an exploratory-descriptive design was employed. The ICU was purposively selected as a unit where the EBP change project was implemented. A purposive sample of 10 nurse managers and practitioners was selected. Semi-structured interviews were conducted. All interviews were audio-recorded with a digital recorder and transcribed verbatim. Thematic analysis was applied to the transcripts.
The participants' experiences of implementing EBP interventions were underpinned by four themes namely, evidence-based patient management, effective nursing care, competence in delivering EBP, and factors interplaying in EBP. Use of model, protocol and availability of supportive managers and team were major determinants of EBP.
It is recommended to continue utilising the Iowa Model to facilitate building the EBP capacities of providers during scale up.
Utilising the Iowa Model facilitates building of the capacity and empowers frontline nurses to effectively develop, implement and evaluate discipline specific EBP changes needed to improve practice and optimum care.
开展了一项基于证据的实践（EBP）研究项目，以利用爱荷华模式实施EBP干预措施，从而增强护士运用研究证据改善决策和提高护理质量的能力。
探索和了解参与EBP变革项目的护士长和护士的经验。
该研究在马拉维利隆圭区一家三级医院的重症监护病房（ICU）进行。
采用定性研究方法和探索性描述性设计。ICU是经过特意挑选的实施EBP变革项目的科室。选取了10名护士长和护士作为目的抽样样本。进行了半结构式访谈。所有访谈均用数字录音机录音，并逐字转录。对转录本进行了主题分析。
参与者实施EBP干预措施的经验有四个主题作为支撑，即循证患者管理、有效的护理、实施EBP的能力以及EBP中的相互影响因素。模式的使用、方案以及支持性管理人员和团队的可得性是EBP的主要决定因素。
建议在扩大规模期间继续利用爱荷华模式促进培养提供者的EBP能力。
利用爱荷华模式有助于能力建设，并使一线护士有能力有效制定、实施和评估改善实践和优化护理所需的特定学科EBP变革。
