Date of Submission

Winter 12-15-2020

Document Type

Manuscript

Degree Name

Doctor of Nursing Practice (DNP)

Department

Nursing

First Advisor

Elena Capella, EdD MSN/MPA CNL CPHQ LNCC

Second Advisor

Priscilla Javed, DNP, RN, FACHE

Abstract

Background: In 2008, The Institute of Medicine (IOM) set a goal that by 2020, 90% of healthcare decisions would originate from the best evidence available. This goal remains intangible for many organizations. Despite reporting quality and safety as a top organizational priority, a survey of 276 Chief Nurse Executives (CNEs) found that only roughly 50% of the CNEs said that EBP was practiced in their hospitals only “somewhat” or “not at all” (Melnyk, Gallagher‐Ford, Thomas, Troseth, Wyngarden, Kzalacha, 2016). Many organizations struggle to systematically integrate EBP into practice (Melnyk et al., 2018; Warren et al., 2016a). The Advancing Research and Clinical Practice Through Close Collaboration (ARCC) Model presents a framework to promote the systematic integration of EBP using EBP mentors (Melnyk, 2017).

Aim: To evaluate the research findings related to EBP mentor development programs, to identify effective practices, and to assess the outcomes associated with EBP mentor programs.

Methods: A comprehensive review of the literature was conducted to retrieve studies from CINHAL, PubMed, and Scopus, using keywords and subject headers related to EBP mentorship and quality and safety outcomes. Studies were appraised and reviewed to compare mentor program composition and examine clinician, organizational, and patient outcomes.

Findings: Fifteen studies met inclusion criteria: one randomized control trial (RCT), one literature review, eleven descriptive studies, and two case reviews. Most programs included didactic content, an EBP project with coaching, and resources to support learning. The studies found that these programs led to improvements in clinicians’ EBP beliefs, practices, and abilities, and the organization’s readiness for EBP, and improving patient safety.

Implications to Practice: There is solid justification for healthcare organizations to invest in an EBP mentor development program

Available for download on Wednesday, December 15, 2021

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