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Promoting the Implementation of Evidence-Based Practice: A Literature Review Focusing on the Role of Nursing Leadership.

Sandströma, Boel; Borglin, Gunilla; Nilsson, Roland and Willman, Ania LU (2011) In Worldviews on Evidence-Based Nursing 8(4). p.212-223
Abstract
Objectives: Despite a growing interest in evidence-based practice (EBP), the implementation into clinical practice of knowledge derived from research has proved to be a cumbersome process. Additionally, the literature seems to present a fragmented picture with research mainly focusing on a few factors of possible importance, among which leadership appears to be one of the more important. Thus, this study aimed to systematically review the literature regarding leadership and its possible influence on the process of implementing EBP. Approach: A literature review was conducted. Electronic database searches were conducted to identify studies on leadership, administrators, managers, implementation, evidence-based and nursing. The search... (More)
Objectives: Despite a growing interest in evidence-based practice (EBP), the implementation into clinical practice of knowledge derived from research has proved to be a cumbersome process. Additionally, the literature seems to present a fragmented picture with research mainly focusing on a few factors of possible importance, among which leadership appears to be one of the more important. Thus, this study aimed to systematically review the literature regarding leadership and its possible influence on the process of implementing EBP. Approach: A literature review was conducted. Electronic database searches were conducted to identify studies on leadership, administrators, managers, implementation, evidence-based and nursing. The search identified 43 potentially relevant papers, of which 36 were excluded after an appraisal was performed by two independent reviewers. Results were extracted and synthesised into a narrative text. Findings: Seven papers were included in the literature review. The findings can be divided into three major areas: (1) characteristics of the leader, (2) characteristics of the organisation and (3) characteristics of the culture. Our findings indicate that leadership is vital for the process of implementing EBP in nursing and also highlights the possible importance of the organisation and the culture in which the leader operates. These factors together with their characteristics were interpreted to be intrinsic in the creation of a nursing milieu that is open and responsive to the implementation of EBP. Conclusions: Although there seems to be scholarly agreement that leadership is a vital part of the process of implementing EBP, more rigorous research is needed concerning the possible role of the leader. Our findings also indicate that leadership cannot be studied in isolation or without being clearly defined. (Less)
Please use this url to cite or link to this publication:
author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
implementation, evidence-based practice, leadership, nurse, administrator, nurse managers, research use, staff nurse
in
Worldviews on Evidence-Based Nursing
volume
8
issue
4
pages
212 - 223
publisher
Wiley-Blackwell
external identifiers
  • wos:000298260700004
  • pmid:21401858
  • scopus:83655190511
ISSN
1741-6787
DOI
10.1111/j.1741-6787.2011.00216.x
language
English
LU publication?
yes
id
3a1a5ed1-10fc-492c-8778-e37ca8b0e77f (old id 1883985)
alternative location
http://www.ncbi.nlm.nih.gov/pubmed/21401858?dopt=Abstract
date added to LUP
2011-04-01 15:46:25
date last changed
2017-09-24 03:13:00
@article{3a1a5ed1-10fc-492c-8778-e37ca8b0e77f,
  abstract     = {Objectives: Despite a growing interest in evidence-based practice (EBP), the implementation into clinical practice of knowledge derived from research has proved to be a cumbersome process. Additionally, the literature seems to present a fragmented picture with research mainly focusing on a few factors of possible importance, among which leadership appears to be one of the more important. Thus, this study aimed to systematically review the literature regarding leadership and its possible influence on the process of implementing EBP. Approach: A literature review was conducted. Electronic database searches were conducted to identify studies on leadership, administrators, managers, implementation, evidence-based and nursing. The search identified 43 potentially relevant papers, of which 36 were excluded after an appraisal was performed by two independent reviewers. Results were extracted and synthesised into a narrative text. Findings: Seven papers were included in the literature review. The findings can be divided into three major areas: (1) characteristics of the leader, (2) characteristics of the organisation and (3) characteristics of the culture. Our findings indicate that leadership is vital for the process of implementing EBP in nursing and also highlights the possible importance of the organisation and the culture in which the leader operates. These factors together with their characteristics were interpreted to be intrinsic in the creation of a nursing milieu that is open and responsive to the implementation of EBP. Conclusions: Although there seems to be scholarly agreement that leadership is a vital part of the process of implementing EBP, more rigorous research is needed concerning the possible role of the leader. Our findings also indicate that leadership cannot be studied in isolation or without being clearly defined.},
  author       = {Sandströma, Boel and Borglin, Gunilla and Nilsson, Roland and Willman, Ania},
  issn         = {1741-6787},
  keyword      = {implementation,evidence-based practice,leadership,nurse,administrator,nurse managers,research use,staff nurse},
  language     = {eng},
  number       = {4},
  pages        = {212--223},
  publisher    = {Wiley-Blackwell},
  series       = {Worldviews on Evidence-Based Nursing},
  title        = {Promoting the Implementation of Evidence-Based Practice: A Literature Review Focusing on the Role of Nursing Leadership.},
  url          = {http://dx.doi.org/10.1111/j.1741-6787.2011.00216.x},
  volume       = {8},
  year         = {2011},
}