![]() (This is Step #0 in the seven-step evidence-based practice process, which we describe in detail Urinary tract infections (CAUTIs) affect as many as 25% of all hospitalized patients and questioned what evidence exists that could inform a practiceĬhange to reduce these infections in their hospital. Tina Magers (nursing professional development and research coordinator at Mississippi Baptist Health Systems) and her team wondered why catheter-associated Preventive Services Task Force? Have you ever questioned why it often takes decades for the evidence that is generated from research to be translated into the real world to improve healthcare quality and patient outcomes? Have you ever wondered why the United States spends more money on healthcare than any western country, yet it ranks 37th in world health outcomes? Have you ever questioned why patients are awakened every 2 to 4 hours for vital signs in the hospital when they are stable and in desperate need of sleep? Or wondered why nurses work 12-hour shifts when research shows the multiple adverse outcomes of working lengthy hours for both clinicians and patients? Have you ever thought about the millions of healthcare dollars that could be saved if all primary care providers would follow the evidence-based recommendations of the U.S. "To know and not to do is really not to know." This chapter from Implementing the Evidence-Based Practice (EBP) Competencies in Healthcare explains how evidence-based practice improves healthcare quality and patient outcomes while reducing costs and discusses multiple barriers to EBP that persist in healthcare settings.
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