Evaluating Factors of Implementation and Sustainability within an Evidence-Based Practice Fellowship Program
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Date
2021-05
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The Ohio State University
Abstract
This project aimed to examine the long term outcomes of an evidence-based practice (EBP) fellowship
program at one institution, and to explore the facilitators and barriers of each of the fellow-led initiatives. The
evaluation of implementation science factors included the longitudinal effects of patient and process
outcomes through original project data collected and from quality databases over the entire period of the
fellowship program (a span of 10 years). There was a total of 18 EBP initiatives that have attempted to
implement a practice change. The factors that influenced implementation and sustainability of the
practice changes was performed through retrospective review using the Consolidated Framework for
Implementation Research (CFIR) guiding framework, which analyzed the EBP initiatives to determine
which implementation factors contributed to its success or failure. Some of the project details that were
analyzed included infrastructure, training, marketing, key stakeholder involvement, specific
implementation strategies, and processes that were utilized to implement the practice change. Thirteen of
the 18 projects were full implemented and sustained over a period of at least two years, with 100% of
those projects' practice changes still practiced currently on the unit. An average of 88% of the CFIR
implementation factors were present for all 18 projects. Out of the 15 selected characteristics that were
evaluated, nine of the implementation factors were present at least 90% of time. This shows the
importance of implementation science factors as a facilitator to promote the uptake of evidence-based
practice changes in the clinical setting.
Description
Keywords
evidence-based practice, fellowship program, implementation science, sustainability