Evidence-based practice is researched based changes to our health care.  It is implemented for the good of the patient, as well as the staff.  It has a solid, scientific background for it, making it a logical next step in the care of the patient.  But how do we implement it?  That is usually the issue with new practices.  It is at the individual, local level, that it needs to be implemented at.  What happens in a lab, or research facility, is not always how each individual place is. “As noted by others, the same TRIP intervention may meet with varying degrees of effectiveness when applied in different contexts” (Titler, 2008).  While the research may be sound, and the results conclusive, it may not always apply at every location.  As Kourntey Chaires noted, “What may work at one clinic within the Ben Archer system, may not work at another”.  She goes further in saying that every clinic sees a different patient load, and has different specialties, so not every new practice will work for them all (Chaires, 2017).  TRIP stands for “translating research into practice” (Titler, 2008).  Knowing the staff at the local level, and indirectly the patients and how they are cared for, help to determine how an EBP would be received and learned. “Members of a social system (e.g., nurses, physicians, clerical staff) influence how quickly and widely EBPs are adopted” (Titler, 2008).  One example Titler (2008) mentions is a study conducted in a nursing home.  They were introducing a prompted voiding intervention for those with incontinence.  It was working great, until the investigators turned over the task to the nursing staff.  It was no longer feasible and required more staffing that the average nursing home has. “The availability of strong leadership and financial resources were key components to initial implementation success” (Bonham, et al., 2014). Knowing the local level helps to understand what can help, how it can help, and how it can be implemented.  While EBP is in itself a method for improving care for our patients, it needs to be able to adapted to the location it is going to be used at.
Bonham, C. A., Sommerfeld, D., Willging, C., & Aarons, G. A. (2014). Organizational Factors Influencing Implementation of Evidence-Based Practices for Integrated Treatment in Behavioral Health Agencies. Psychiatry Journal, 2014, 1-9. doi:10.1155/2014/802983
Titler, M. G. (2008). The Evidence for Evidence-Based Practice Implementation. Retrieved from

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