Advertisment

The Role of Nurse Managers in Implementing Evidence-Based Practice: Insights from Japan

author-image
Anthony Raphael
New Update
NULL

The Role of Nurse Managers in Implementing Evidence-Based Practice: Insights from Japan

Advertisment

Understanding the Importance of Evidence-Based Practice in Nursing

Advertisment

Evidence-based practice (EBP) in nursing is a critical approach that combines the best available evidence, clinician's knowledge and skills, and patient's wants and needs. It holds paramount importance in delivering high-quality care and improving patient outcomes. One significant aspect of EBP is the seven-step process that provides the nurses with the knowledge and skills to implement EBP consistently. These steps include asking clinical questions, finding the evidence, appraising the evidence, following the evidence, implementing the evidence, and evaluating and disseminating the outcomes.

An Overview of the Implementation Leadership Scale (ILS)

The Implementation Leadership Scale (ILS) is a tool used to assess strategic leadership in EBP implementation. Recently, a Japanese version of the ILS has been developed and validated by Professor Ikuko Sakai and her team of researchers. This new development will enable international comparative studies and further the development of educational programs for EBP implementation in Japan.

Advertisment

The Role of Nurse Managers in EBP Implementation

In the healthcare setting, nurse managers play a critical role in influencing team members to adopt EBP and in creating a supportive workplace environment. Their leadership is pivotal in fostering a culture of decision-making based on the best available evidence. For instance, in a secondary teaching hospital in São Paulo, Brazil, the introduction of EBP was facilitated through the creation of the Evidence-Based Nursing Nucleus (NUEBE). This initiative stimulated and supported EBP protocols and interventions within the nursing process, promoting better patient outcomes.

Furthering EBP Through Education and Experience

Advertisment

The study conducted by Professor Sakai and her team revealed that nurse managers with advanced education and experience in EBP have higher ILS scores. This finding indicates the validity and reliability of the Japanese ILS, suggesting that enhancing EBP education and experience can boost leadership performance in EBP implementation. This evidence complements the existing resources and guides that focus on enhancing evidence-based nursing practice, such as the 6S pyramid from McMaster University, Dartmouth, and Yale's Evidence-Based Medicine (EBM) Pyramid, and Melnyck’s and Fineout-Overholt's PICO formulation.

Embracing Evidence-Based Clinical Care

Modern healthcare is shifting towards a more data-driven approach, known as evidence-based clinical care. This holistic approach integrates the latest scientific evidence from research studies with clinical expertise while considering each patient's needs and unique preferences. The three pillars of evidence-based practice: research evidence, professional expertise, and patient preferences, are at the heart of this shift. This transition underlines the benefits of evidence-based practice, including improved patient outcomes, enhanced healthcare quality, and optimized use of resources.

Conclusion

In conclusion, the development and validation of the Japanese ILS is a significant step forward in promoting evidence-based practice in nursing. It highlights the integral role of nurse managers in implementing EBP and the importance of their advanced education and experience. As healthcare continues to evolve towards a more data-driven approach, incorporating EBP in clinical care will remain crucial in achieving optimal patient outcomes and improving healthcare quality.

Advertisment
Chat with Dr. Medriva !