Implementing Evidence-Based Practice: Effectiveness of a Structured Multifaceted Mentorship Programme

Running head: NURSING
Nursing
Name of student:
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Introduction
Evidence based practice (EBP) as applicable to the nursing domain is denoted as the
problem-solving approach for proper clinical decision-making in a healthcare setting. It
considers integration of best available evidences within the research area for enhanced nursing
practice. EBP takes into consideration external and internal influences on clinical practice and is
in support of translation of evidences into practice (LoBiondo-Wood & Haber, 2017). The
present paper aims to guide EBP on the basis of the research article titled “Implementing
evidence-based practice: effectiveness of a structured multifaceted mentorship programme” by
Wallen et al., (2010).
Summary of the article
The paper by Wallen et al., (2010) aimed at understanding the efficiency and usefulness
of a structured multifaceted mentorship program whose designing was done for implementation
of evidence-based practice in a clinical research intensive environment. The authors gave the
background of the study as the known challenges in implementation of evidence-based practice.
It was highlighted that a rich pool of literature point out the barriers faced while considering
implementation of reformed practices. It is known that evidence-based practice leads to better
patient health outcomes through improved quality of care. Nevertheless, the applicability of
evidence based practice in real life clinical settings is incoherent. The researchers carried out a
quasi-experimental mixed methods study. The study considered carrying out three focused
discussions for collecting data from nursing leadership and shared governance staff. In addition,
pre- and post-intervention questionnaires were used for data collection between the time frame of

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June 2006 and February 2007. These were distributed online and encompassed measures of
evidence-based practice beliefs, organizational readiness, job satisfaction, group cohesion
evidence-based practice implementation, and intent to leave nursing and the current job. Those
who took part in the evidence-based practice mentorship program indicated that there was an
increase in readiness to embrace evidence-based practice and perceive organizational culture in a
more positive manner. Further, they indicated better scores for evidence based practice belief.
Qualitative research analysis found out that engagement of staffs at all clinical levels need
leadership for supporting evidence based practice culture. Leadership is also required for striving
for sustainable resources. The findings of the study was in alignment with previous literature
highlighting that there exists a correlation between beliefs of nurses regarding the applicability of
evidence based practice and implementation of evidence based practice. Mentors are required to
strongly believe in evidence based practice and lead to more group cohesion between nurses.
Steps for development and implementation of an EBP
When evidence based practice is delivered in a supportive care organization by skilled
workers, highest quality care provision is achieved. In addition, enhanced staff satisfaction and
reduced healthcare costs can also be achieved. The seven steps of evidence based practice had
been highlighted by (Nieswiadomy & Bailey, 2017). As a preparation of the process, healthcare
professional needs to engage in the cultivation of a spirit of inquiry. The first step of the process
would then be to come up with clinical questions in a PICOT format. This is followed by
searching for evidences and consequently critically appraising the evidences gathered. Searching
for relevant evidence for informing clinical practice needs to be streamlined and an extensive
research is to be carried out with the help of diverse sources. Critical appraisal of the evidence is