Evidence-based practice models and frameworks in the healthcare setting: a scoping review.
health services administration & management
organisational development
patient-centered care
protocols & guidelines
quality in health care
Journal
BMJ open
ISSN: 2044-6055
Titre abrégé: BMJ Open
Pays: England
ID NLM: 101552874
Informations de publication
Date de publication:
22 05 2023
22 05 2023
Historique:
medline:
24
5
2023
pubmed:
23
5
2023
entrez:
22
5
2023
Statut:
epublish
Résumé
The aim of this scoping review was to identify and review current evidence-based practice (EBP) models and frameworks. Specifically, how EBP models and frameworks used in healthcare settings align with the original model of (1) asking the question, (2) acquiring the best evidence, (3) appraising the evidence, (4) applying the findings to clinical practice and (5) evaluating the outcomes of change, along with patient values and preferences and clinical skills. A Scoping review. Published articles were identified through searches within electronic databases (MEDLINE, EMBASE, Scopus) from January 1990 to April 2022. The English language EBP models and frameworks included in the review all included the five main steps of EBP. Excluded were models and frameworks focused on one domain or strategy (eg, frameworks focused on applying findings). Of the 20 097 articles found by our search, 19 models and frameworks met our inclusion criteria. The results showed a diverse collection of models and frameworks. Many models and frameworks were well developed and widely used, with supporting validation and updates. Some models and frameworks provided many tools and contextual instruction, while others provided only general process instruction. The models and frameworks reviewed demonstrated that the user must possess EBP expertise and knowledge for the step of assessing evidence. The models and frameworks varied greatly in the level of instruction to assess the evidence. Only seven models and frameworks integrated patient values and preferences into their processes. Many EBP models and frameworks currently exist that provide diverse instructions on the best way to use EBP. However, the inclusion of patient values and preferences needs to be better integrated into EBP models and frameworks. Also, the issues of EBP expertise and knowledge to assess evidence must be considered when choosing a model or framework.
Identifiants
pubmed: 37217268
pii: bmjopen-2022-071188
doi: 10.1136/bmjopen-2022-071188
pmc: PMC10230988
doi:
Types de publication
Review
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
e071188Informations de copyright
© Author(s) (or their employer(s)) 2023. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.
Déclaration de conflit d'intérêts
Competing interests: None declared.
Références
Health Res Policy Syst. 2020 Jan 23;18(1):10
pubmed: 31973712
Image J Nurs Sch. 1999;31(4):317-22
pubmed: 10628096
Psychiatry Res. 2020 Jan;283:112376
pubmed: 31036287
Implement Sci. 2008 Jan 07;3:1
pubmed: 18179688
Nurs Clin North Am. 2009 Mar;44(1):83-91, xi
pubmed: 19167551
Environ Health Perspect. 2014 Nov;122(11):1177-86
pubmed: 25003495
BMC Health Serv Res. 2019 Mar 25;19(1):189
pubmed: 30909897
Virtual Mentor. 2013 Jan 01;15(1):71-6
pubmed: 23356811
Lancet. 2017 Jul 22;390(10092):415-423
pubmed: 28215660
BMC Health Serv Res. 2022 Apr 26;22(1):558
pubmed: 35473632
J Nurs Care Qual. 2020 Apr/Jun;35(2):102-107
pubmed: 31290777
Clin Nurse Spec. 2008 Jul-Aug;22(4):179-83
pubmed: 18596486
ACP J Club. 1997 Nov-Dec;127(3):A16-8
pubmed: 9410455
Front Med (Lausanne). 2021 Oct 27;8:730021
pubmed: 34778291
Nurs Outlook. 2001 Nov-Dec;49(6):272-9
pubmed: 11753294
J Adv Nurs. 2013 May;69(5):1197-209
pubmed: 22882410
Worldviews Evid Based Nurs. 2004;1(1):60-8
pubmed: 17147759
J Nurs Adm. 2010 Dec;40(12):505-8
pubmed: 21084883
Implement Sci. 2015 Apr 21;10:53
pubmed: 25895742
Semin Perinatol. 1997 Feb;21(1):3-5
pubmed: 9190027
Implement Sci. 2010 May 26;5:39
pubmed: 20504357
Trends Amplif. 2011 Mar-Jun;15(1):5-22
pubmed: 22194314
J Clin Oncol. 1995 Feb;13(2):502-12
pubmed: 7844612
Implement Sci. 2020 Feb 14;15(1):11
pubmed: 32059738
Worldviews Evid Based Nurs. 2017 Jun;14(3):175-182
pubmed: 28632931
J Nurs Adm. 2007 Dec;37(12):552-7
pubmed: 18090518
Nurs Adm Q. 2006 Apr-Jun;30(2):123-7
pubmed: 16648724
Nurs Adm Q. 2012 Apr-Jun;36(2):127-35
pubmed: 22407205
Am J Nurs. 2011 Sep;111(9):57-60
pubmed: 21865934
Cent Eur J Public Health. 2019 Sep;27(3):198-203
pubmed: 31580554
Ann Intern Med. 2018 Oct 2;169(7):467-473
pubmed: 30178033
PLoS One. 2019 Dec 5;14(12):e0224899
pubmed: 31805061
Nurs Clin North Am. 2009 Mar;44(1):93-102, xi
pubmed: 19167552
Int J Health Care Qual Assur. 2018 Jun 11;31(5):436-448
pubmed: 29865963
BMJ Open. 2013 Jan 24;3(1):
pubmed: 23355664
JAMA. 2014 Oct 1;312(13):1295-6
pubmed: 25268434
Int J Evid Based Healthc. 2019 Mar;17(1):58-71
pubmed: 30256247