Flooded with evidence: using a 'spillway' model to improve research implementation in nursing practice

Moloney, Clint and Ralph, Nicholas and Taylor, Melissa (2016) Flooded with evidence: using a 'spillway' model to improve research implementation in nursing practice. Australian Journal of Advanced Nursing, 34 (1). pp. 23-31. ISSN 0813-0531


Objective: To identify barriers to implementing evidence‑based practice initiatives in small to medium sub‑acute facilities in Queensland.

Design: The study uses a qualitative methodology in which field observations and convergent interviews were employed to generate data.

Setting: Four south‑east Queensland sub‑acute care facilities participated in the study. Observational and interview data were collected.

Subjects: Field observations were recorded across the sites. Five research fellows collected observational data on evidence‑ based practice implementation across a period of six months. Nine clinicians participated in in‑depth, convergent interviews at the end of the period of observation.

Main outcome measures: The authors analysed observational and interview data using qualitative thematic analysis.

Results: Three themes emerged which described the needs of clinicians when evidence‑based practice initiatives were being implemented: (1) valuing evidence; (2) risk prioritisation; and (3) controlling the flow of evidence. A ‘Spillway Model’ is proposed as a mechanism for targeting clinical priorities using integrated risk management.

Conclusion: This study supports the use of integrated risk management as part of a Spillway Model to guide the introduction of evidence‑based practice initiatives in the clinical setting.

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Item Type: Article (Commonwealth Reporting Category C)
Refereed: Yes
Item Status: Live Archive
Additional Information: Files associated with this item cannot be displayed due to copyright restrictions.
Faculty/School / Institute/Centre: Current - Faculty of Health, Engineering and Sciences - School of Nursing and Midwifery
Date Deposited: 13 Sep 2016 06:02
Last Modified: 24 Jan 2018 02:01
Uncontrolled Keywords: evidence based practice, nursing, risk, clinical audit, research
Fields of Research : 11 Medical and Health Sciences > 1110 Nursing > 111003 Clinical Nursing: Secondary (Acute Care)
Socio-Economic Objective: E Expanding Knowledge > 97 Expanding Knowledge > 970111 Expanding Knowledge in the Medical and Health Sciences
URI: http://eprints.usq.edu.au/id/eprint/29670

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