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VOLUME 12 , ISSUE 2 ( June, 2008 ) > List of Articles


A process for instituting best practice in the intensive care unit

Elisabeth L. George, Patricia Tuite

Keywords : Evidence based practice, quality, multi-disciplinary teams, critical care nursing

Citation Information : George EL, Tuite P. A process for instituting best practice in the intensive care unit. Indian J Crit Care Med 2008; 12 (2):82-87.

DOI: 10.4103/0972-5229.42562

License: CC BY-ND 3.0

Published Online: 01-10-2011

Copyright Statement:  Copyright © 2008; The Author(s).


Goals of health care are patient safety and quality patient outcomes. Evidence based practice (EBP) is viewed as a tool to achieve these goals. Health care providers strive to base practice on evidence, but the literature identifies numerous challenges to implementing and sustaining EBP in nursing. An initial focus is developing an organizational culture that supports the process for nursing and EBP. An innovative strategy to promote a culture of EBP was implemented in a tertiary center with 152 critical care beds and numerous specialty units with diverse patient populations. A multi-disciplinary committee was developed with the goal to use evidence to improve the care in the critical care population. EBP projects were identified from a literature review. This innovative approach resulted in improved patient outcomes and also provided a method to educate staff on EBP. The committee members have become advocates for EBP and serve as innovators for change to incorporate evidence into decision making for patient care on their units.

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