<clinical_study>
  <!-- This xml conforms to an XML Schema at:
    https://clinicaltrials.gov/ct2/html/images/info/public.xsd -->
  <required_header>
    <download_date>ClinicalTrials.gov processed this data on September 20, 2023</download_date>
    <link_text>Link to the current ClinicalTrials.gov record.</link_text>
    <url>https://clinicaltrials.gov/ct2/show/NCT03269331</url>
  </required_header>
  <id_info>
    <org_study_id>FDG#20160029E</org_study_id>
    <nct_id>NCT03269331</nct_id>
  </id_info>
  <brief_title>Feasibility and Effectiveness of the Advancing Research and Clinical Practice Through Close Collaboration (ARCC)</brief_title>
  <acronym>ARCC</acronym>
  <official_title>Feasibility and Effectiveness of the Advancing Research and Clinical Practice Through Close Collaboration (ARCC) Model for Military Treatment Facility (MTF) Implementation of Nursing Evidence-Based Practice (EBP)</official_title>
  <sponsors>
    <lead_sponsor>
      <agency>David Grant U.S. Air Force Medical Center</agency>
      <agency_class>U.S. Fed</agency_class>
    </lead_sponsor>
    <collaborator>
      <agency>Ohio State University</agency>
      <agency_class>Other</agency_class>
    </collaborator>
  </sponsors>
  <source>David Grant U.S. Air Force Medical Center</source>
  <oversight_info>
    <has_dmc>No</has_dmc>
    <is_fda_regulated_drug>No</is_fda_regulated_drug>
    <is_fda_regulated_device>No</is_fda_regulated_device>
  </oversight_info>
  <brief_summary>
    <textblock>
      The Institute of Medicine's (IOM) ambitious goal for at least 90% of clinical decisions to be&#xD;
      evidence-based includes nursing interventions and practice. Models and frameworks have been&#xD;
      developed to meet the demand for practice transformation. While magnet facilities require a&#xD;
      commitment to evidence-based nursing practice, military facilities currently lack such a&#xD;
      requirement but are instituting evidence-based practice (EBP) initiatives in a purposeful&#xD;
      path toward developing high-reliability organizations. Currently, little is known regarding&#xD;
      the effectiveness of specific EBP models and frameworks within the military culture. The&#xD;
      purpose of this investigation is to determine the effectiveness of the Advancing Research and&#xD;
      Clinical Practice through Close Collaboration (ARCC) model in an Air Force Medical Treatment&#xD;
      Facility (MTF) beginning with nursing services.&#xD;
&#xD;
      Research questions:&#xD;
&#xD;
        1. What is the current state of organizational culture and readiness for EBP within the&#xD;
           MTF's nursing services?&#xD;
&#xD;
        2. Will utilization of the ARCC model significantly improve EBP beliefs, knowledge, and&#xD;
           practice in MTF nurses over a two-year period?&#xD;
&#xD;
        3. Is the ARCC model feasible for implementation in Air Force MTF's?&#xD;
&#xD;
      This study includes an intervention group (n=70) of active duty nurses and technicians who&#xD;
      attend an intensive 5-day EBP Immersion Workshop and a control group (n=70) who do not. The&#xD;
      intervention group will have access to specialized resources such as: a) Center for&#xD;
      Transdisciplinary Evidence-Based Practice (CTEP) expert EBP mentors, b) EBP toolkit and&#xD;
      resources, c) one year of free access to the Ohio State University (OSU) virtual library.&#xD;
      Control group participants will have standard MTF education opportunities. Established valid&#xD;
      and reliable survey measures (EBP attitudes, knowledge, beliefs) will be hosted&#xD;
      electronically by CTEP at baseline, three, and twelve months. Online measures include&#xD;
      institutional and nursing process measures (EBP implementation, policy changes, and&#xD;
      publications) over the two-year study period. De-identified data from the anonymous survey&#xD;
      measures will be shared by CTEP with this study team. Data analysis will include Student's&#xD;
      t-tests to explore differences between groups. Repeated measures ANOVA or the nonparametric&#xD;
      equivalent (Friedman's test or Skillings-Mack test) will be used to compare three time points&#xD;
      within groups. Feasibility metrics and demographics will be reported with descriptive&#xD;
      statistics.&#xD;
    </textblock>
  </brief_summary>
  <detailed_description>
    <textblock>
      Further study details as provided by David Grant Medical Center, Travis Air Force Base,&#xD;
      California&#xD;
    </textblock>
  </detailed_description>
  <overall_status>Completed</overall_status>
  <start_date type="Actual">September 15, 2017</start_date>
  <completion_date type="Actual">December 31, 2019</completion_date>
  <primary_completion_date type="Actual">December 31, 2019</primary_completion_date>
  <study_type>Observational</study_type>
  <has_expanded_access>No</has_expanded_access>
  <study_design_info>
    <observational_model>Cohort</observational_model>
    <time_perspective>Prospective</time_perspective>
  </study_design_info>
  <primary_outcome>
    <measure>Organizational Culture &amp; Readiness for System-Wide Implementation of EBP Scale (OCRSIEP) changes over time</measure>
    <time_frame>baseline, month 3, month 12</time_frame>
    <description>25-item assessment of organizational readiness and perceived strengths and barriers for EBP implementation. A 5-point Likert scale with, 1 (not at all) through 5 (very much) measures item response to questions focused on the extent that EBP is included in current organizational culture. For example, &quot;To what extend do you believe that EBP is practiced in your organization?&quot; Overall, the instrument measures the relationship between cultural factors and the organization's implementation of EBP over a 6-month time frame. Validity is reported with content and face validity and internal consistency reliabilities greater than 0.85</description>
  </primary_outcome>
  <primary_outcome>
    <measure>Evidence-Based Practice Beliefs (EBPB) Scale changes over time</measure>
    <time_frame>baseline, month 3, month 12</time_frame>
    <description>16-item assessment of an individual's beliefs regarding the value of EBP and capability for EBP implementation in clinical nursing practice. A 5-point Likert scale with, 1 (strongly disagree) through 5 (strongly agree) measures item response to statements about EBP, such as: &quot;I believe EBP takes too much time&quot;… &quot;I am clear about the steps of EBP.&quot; It is anticipated, based on the results of several studies, that higher scores on the EBPB scale are associated with greater implementation of EBP and better healthcare outcomes. Validity is reported with content and face validity as well as internal consistency reliabilities greater than 0.85.</description>
  </primary_outcome>
  <primary_outcome>
    <measure>Evidence-Based Practice Implementation (EBPI) Scale changes over time</measure>
    <time_frame>baseline, month 3, month 12</time_frame>
    <description>18-item instrument to measure the extent to which healthcare workers integrate scientific evidence in their clinical practice. A 5-point ordinal scale with frequencies listed from 0 times (0 pt.), 1-3 times (1 pt.), 4-5 times (2 pt.), 6-7 times (3 pt.) and &gt; 8 times (4 pt.) is used to assess how often each item has applied over the past 8 weeks. For example, how often have you: &quot;Used evidence to change my clinical practice…&quot;, &quot;Accessed the National Guidelines Clearinghouse…&quot; Total scores are summed where higher scores indicate greater integration of EBP in the healthcare workers practice. Validity is reported with content and face validity as well as internal consistency reliabilities greater than 0.85.</description>
  </primary_outcome>
  <primary_outcome>
    <measure>EBP Knowledge Assessment Questionnaire (EBP-KAQ) changes over time</measure>
    <time_frame>baseline, month 3, month 12</time_frame>
    <description>27-item multiple-choice objective knowledge measure of examine EBP knowledge.</description>
  </primary_outcome>
  <secondary_outcome>
    <measure>Nursing process outcomes changes over time</measure>
    <time_frame>baseline, month 3, month 12</time_frame>
    <description>projects, policy changes, publications</description>
  </secondary_outcome>
  <other_outcome>
    <measure>Feasibility metrics changes over time</measure>
    <time_frame>baseline, month 3, month 12</time_frame>
    <description>Costs, mentors, staff retention</description>
  </other_outcome>
  <number_of_groups>2</number_of_groups>
  <enrollment type="Actual">131</enrollment>
  <condition>Evidence-Based Practice</condition>
  <condition>Nurse's Role</condition>
  <arm_group>
    <arm_group_label>ARCC EBP Model</arm_group_label>
    <description>CTEP EBP Immersion Course</description>
  </arm_group>
  <arm_group>
    <arm_group_label>Control Group</arm_group_label>
    <description>No CTEP EBP Immersion Course</description>
  </arm_group>
  <intervention>
    <intervention_type>Behavioral</intervention_type>
    <intervention_name>CTEP EBP Immersion</intervention_name>
    <description>36 continuing ed credits, virtual library access, collaboration with expert mentors</description>
    <arm_group_label>ARCC EBP Model</arm_group_label>
  </intervention>
  <eligibility>
    <study_pop>
      <textblock>
        David Grant Medical Center active duty nurses and technicians&#xD;
      </textblock>
    </study_pop>
    <sampling_method>Non-Probability Sample</sampling_method>
    <criteria>
      <textblock>
        Inclusion Criteria:&#xD;
&#xD;
          -  Nurse (active duty) assigned to DGMC&#xD;
&#xD;
          -  Medical/Surgical technician (active duty) assigned to DGMC&#xD;
&#xD;
          -  15 month retain-ability from time of enrollment&#xD;
&#xD;
        Exclusion Criteria:&#xD;
&#xD;
          -  Disciplines outside of Nursing (PA, MD, Occupational Therapy (OT), Physical Therapy&#xD;
             (PT), etc.)&#xD;
&#xD;
          -  Nurse/technician General Schedule (GS),VA, Contractor employed at David Grant Medical&#xD;
             Center (DGMC)&#xD;
&#xD;
          -  Anticipated/Scheduled Permanent Change of Station (PCS) in next 15 months&#xD;
      </textblock>
    </criteria>
    <gender>All</gender>
    <minimum_age>18 Years</minimum_age>
    <maximum_age>N/A</maximum_age>
    <healthy_volunteers>Accepts Healthy Volunteers</healthy_volunteers>
  </eligibility>
  <overall_official>
    <last_name>Laurie A Migliore, PhD</last_name>
    <role>Principal Investigator</role>
    <affiliation>Staff</affiliation>
  </overall_official>
  <location>
    <facility>
      <name>David Grant Medical Center</name>
      <address>
        <city>Fairfield</city>
        <state>California</state>
        <zip>94535</zip>
        <country>United States</country>
      </address>
    </facility>
  </location>
  <location_countries>
    <country>United States</country>
  </location_countries>
  <reference>
    <citation>Breckenridge-Sproat ST, Throop MD, Raju D, Murphy DA, Loan LA, Patrician PA. Building a Unit-Level Mentored Program to Sustain a Culture of Inquiry for Evidence-Based Practice. Clin Nurse Spec. 2015 Nov-Dec;29(6):329-37. doi: 10.1097/NUR.0000000000000161.</citation>
    <PMID>26444511</PMID>
  </reference>
  <reference>
    <citation>Barrera M Jr, Castro FG, Strycker LA, Toobert DJ. Cultural adaptations of behavioral health interventions: a progress report. J Consult Clin Psychol. 2013 Apr;81(2):196-205. doi: 10.1037/a0027085. Epub 2012 Jan 30.</citation>
    <PMID>22289132</PMID>
  </reference>
  <reference>
    <citation>Bryan CJ, Jennings KW, Jobes DA, Bradley JC. Understanding and preventing military suicide. Arch Suicide Res. 2012;16(2):95-110. doi: 10.1080/13811118.2012.667321.</citation>
    <PMID>22551041</PMID>
  </reference>
  <reference>
    <citation>Committee on the Assessment of Resiliency and Prevention Programs for Mental and Behavioral Health in Service Members and Their Families; Board on the Health of Select Populations; Institute of Medicine; Denning LA, Meisnere M, Warner KE, editors. Preventing Psychological Disorders in Service Members and Their Families: An Assessment of Programs. Washington (DC): National Academies Press (US); 2014 Feb 11. Available from http://www.ncbi.nlm.nih.gov/books/NBK222170/</citation>
    <PMID>25057692</PMID>
  </reference>
  <reference>
    <citation>Kenny DJ, Richard ML, Ceniceros X, Blaize K. Collaborating across services to advance evidence-based nursing practice. Nurs Res. 2010 Jan-Feb;59(1 Suppl):S11-21. doi: 10.1097/NNR.0b013e3181c3c011.</citation>
    <PMID>20010273</PMID>
  </reference>
  <reference>
    <citation>Melnyk BM. Achieving a high-reliability organization through implementation of the ARCC model for systemwide sustainability of evidence-based practice. Nurs Adm Q. 2012 Apr-Jun;36(2):127-35. doi: 10.1097/NAQ.0b013e318249fb6a.</citation>
    <PMID>22407205</PMID>
  </reference>
  <reference>
    <citation>Melnyk BM, Bullock T, McGrath J, Jacobson D, Kelly S, Baba L. Translating the evidence-based NICU COPE program for parents of premature infants into clinical practice: impact on nurses' evidence-based practice and lessons learned. J Perinat Neonatal Nurs. 2010 Jan-Mar;24(1):74-80. doi: 10.1097/JPN.0b013e3181ce314b.</citation>
    <PMID>20147834</PMID>
  </reference>
  <reference>
    <citation>Melnyk BM, Fineout-Overholt E, Giggleman M, Cruz R. Correlates among cognitive beliefs, EBP implementation, organizational culture, cohesion and job satisfaction in evidence-based practice mentors from a community hospital system. Nurs Outlook. 2010 Nov-Dec;58(6):301-8. doi: 10.1016/j.outlook.2010.06.002.</citation>
    <PMID>21074647</PMID>
  </reference>
  <reference>
    <citation>Melnyk BM, Fineout-Overholt E, Gallagher-Ford L, Kaplan L. The state of evidence-based practice in US nurses: critical implications for nurse leaders and educators. J Nurs Adm. 2012 Sep;42(9):410-7. doi: 10.1097/NNA.0b013e3182664e0a.</citation>
    <PMID>22922750</PMID>
  </reference>
  <reference>
    <citation>Melnyk BM, Gallagher-Ford L, Thomas BK, Troseth M, Wyngarden K, Szalacha L. A Study of Chief Nurse Executives Indicates Low Prioritization of Evidence-Based Practice and Shortcomings in Hospital Performance Metrics Across the United States. Worldviews Evid Based Nurs. 2016 Feb;13(1):6-14. doi: 10.1111/wvn.12133. Epub 2016 Feb 1.</citation>
    <PMID>26873371</PMID>
  </reference>
  <reference>
    <citation>Muller A, McCauley K, Harrington P, Jablonski J, Strauss R. Evidence-based practice implementation strategy: the central role of the clinical nurse specialist. Nurs Adm Q. 2011 Apr-Jun;35(2):140-51. doi: 10.1097/NAQ.0b013e31820f47e9.</citation>
    <PMID>21403488</PMID>
  </reference>
  <reference>
    <citation>Sackett DL, Rosenberg WM, Gray JA, Haynes RB, Richardson WS. Evidence based medicine: what it is and what it isn't. BMJ. 1996 Jan 13;312(7023):71-2. doi: 10.1136/bmj.312.7023.71. No abstract available.</citation>
    <PMID>8555924</PMID>
  </reference>
  <reference>
    <citation>Sammer CE, Lykens K, Singh KP, Mains DA, Lackan NA. What is patient safety culture? A review of the literature. J Nurs Scholarsh. 2010 Jun;42(2):156-65. doi: 10.1111/j.1547-5069.2009.01330.x.</citation>
    <PMID>20618600</PMID>
  </reference>
  <reference>
    <citation>Ubbink DT, Guyatt GH, Vermeulen H. Framework of policy recommendations for implementation of evidence-based practice: a systematic scoping review. BMJ Open. 2013 Jan 24;3(1):e001881. doi: 10.1136/bmjopen-2012-001881.</citation>
    <PMID>23355664</PMID>
  </reference>
  <reference>
    <citation>Wallen GR, Mitchell SA, Melnyk B, Fineout-Overholt E, Miller-Davis C, Yates J, Hastings C. Implementing evidence-based practice: effectiveness of a structured multifaceted mentorship programme. J Adv Nurs. 2010 Dec;66(12):2761-71. doi: 10.1111/j.1365-2648.2010.05442.x. Epub 2010 Sep 6.</citation>
    <PMID>20825512</PMID>
  </reference>
  <reference>
    <citation>Williamson KM, Almaskari M, Lester Z, Maguire D. Utilization of evidence-based practice knowledge, attitude, and skill of clinical nurses in the planning of professional development programming. J Nurses Prof Dev. 2015 Mar-Apr;31(2):73-80. doi: 10.1097/NND.0000000000000140.</citation>
    <PMID>25790357</PMID>
  </reference>
  <reference>
    <citation>Wilson M, Sleutel M, Newcomb P, Behan D, Walsh J, Wells JN, Baldwin KM. Empowering nurses with evidence-based practice environments: surveying Magnet(R), Pathway to Excellence(R), and non-magnet facilities in one healthcare system. Worldviews Evid Based Nurs. 2015 Feb;12(1):12-21. doi: 10.1111/wvn.12077. Epub 2015 Jan 16.</citation>
    <PMID>25598144</PMID>
  </reference>
  <verification_date>February 2021</verification_date>
  <study_first_submitted>August 22, 2017</study_first_submitted>
  <study_first_submitted_qc>August 30, 2017</study_first_submitted_qc>
  <study_first_posted type="Actual">August 31, 2017</study_first_posted>
  <last_update_submitted>February 2, 2021</last_update_submitted>
  <last_update_submitted_qc>February 2, 2021</last_update_submitted_qc>
  <last_update_posted type="Actual">February 4, 2021</last_update_posted>
  <responsible_party>
    <responsible_party_type>Principal Investigator</responsible_party_type>
    <investigator_affiliation>David Grant U.S. Air Force Medical Center</investigator_affiliation>
    <investigator_full_name>Laurie Migliore</investigator_full_name>
    <investigator_title>Nurse Scientist/Chief, Nursing Research</investigator_title>
  </responsible_party>
  <keyword>nursing practice</keyword>
  <keyword>evidence-based practice models</keyword>
  <keyword>military nursing</keyword>
  <keyword>clinical inquiry</keyword>
  <patient_data>
    <sharing_ipd>No</sharing_ipd>
  </patient_data>
  <!-- Results have not yet been posted for this study                                          -->
</clinical_study>


download date: ClinicalTrials.gov processed this data on September 20, 2023
link text: Link to the current ClinicalTrials.gov record.
url: https://clinicaltrials.gov/ct2/show/NCT03269331
org study id: FDG#20160029E
nct id: NCT03269331
lead sponsor: 
collaborator: 
has dmc: No
is fda regulated drug: No
is fda regulated device: No
The Institute of Medicine's (IOM) ambitious goal for at least 90% of clinical decisions to be
      evidence-based includes nursing interventions and practice. Models and frameworks have been
      developed to meet the demand for practice transformation. While magnet facilities require a
      commitment to evidence-based nursing practice, military facilities currently lack such a
      requirement but are instituting evidence-based practice (EBP) initiatives in a purposeful
      path toward developing high-reliability organizations. Currently, little is known regarding
      the effectiveness of specific EBP models and frameworks within the military culture. The
      purpose of this investigation is to determine the effectiveness of the Advancing Research and
      Clinical Practice through Close Collaboration (ARCC) model in an Air Force Medical Treatment
      Facility (MTF) beginning with nursing services.

      Research questions:

        1. What is the current state of organizational culture and readiness for EBP within the
           MTF's nursing services?

        2. Will utilization of the ARCC model significantly improve EBP beliefs, knowledge, and
           practice in MTF nurses over a two-year period?

        3. Is the ARCC model feasible for implementation in Air Force MTF's?

      This study includes an intervention group (n=70) of active duty nurses and technicians who
      attend an intensive 5-day EBP Immersion Workshop and a control group (n=70) who do not. The
      intervention group will have access to specialized resources such as: a) Center for
      Transdisciplinary Evidence-Based Practice (CTEP) expert EBP mentors, b) EBP toolkit and
      resources, c) one year of free access to the Ohio State University (OSU) virtual library.
      Control group participants will have standard MTF education opportunities. Established valid
      and reliable survey measures (EBP attitudes, knowledge, beliefs) will be hosted
      electronically by CTEP at baseline, three, and twelve months. Online measures include
      institutional and nursing process measures (EBP implementation, policy changes, and
      publications) over the two-year study period. De-identified data from the anonymous survey
      measures will be shared by CTEP with this study team. Data analysis will include Student's
      t-tests to explore differences between groups. Repeated measures ANOVA or the nonparametric
      equivalent (Friedman's test or Skillings-Mack test) will be used to compare three time points
      within groups. Feasibility metrics and demographics will be reported with descriptive
      statistics.
Further study details as provided by David Grant Medical Center, Travis Air Force Base,
      California
observational model: Cohort
time perspective: Prospective
measure: Organizational Culture & Readiness for System-Wide Implementation of EBP Scale (OCRSIEP) changes over time
time frame: baseline, month 3, month 12
description: 25-item assessment of organizational readiness and perceived strengths and barriers for EBP implementation. A 5-point Likert scale with, 1 (not at all) through 5 (very much) measures item response to questions focused on the extent that EBP is included in current organizational culture. For example, "To what extend do you believe that EBP is practiced in your organization?" Overall, the instrument measures the relationship between cultural factors and the organization's implementation of EBP over a 6-month time frame. Validity is reported with content and face validity and internal consistency reliabilities greater than 0.85
measure: Evidence-Based Practice Beliefs (EBPB) Scale changes over time
time frame: baseline, month 3, month 12
description: 16-item assessment of an individual's beliefs regarding the value of EBP and capability for EBP implementation in clinical nursing practice. A 5-point Likert scale with, 1 (strongly disagree) through 5 (strongly agree) measures item response to statements about EBP, such as: "I believe EBP takes too much time"… "I am clear about the steps of EBP." It is anticipated, based on the results of several studies, that higher scores on the EBPB scale are associated with greater implementation of EBP and better healthcare outcomes. Validity is reported with content and face validity as well as internal consistency reliabilities greater than 0.85.
measure: Evidence-Based Practice Implementation (EBPI) Scale changes over time
time frame: baseline, month 3, month 12
description: 18-item instrument to measure the extent to which healthcare workers integrate scientific evidence in their clinical practice. A 5-point ordinal scale with frequencies listed from 0 times (0 pt.), 1-3 times (1 pt.), 4-5 times (2 pt.), 6-7 times (3 pt.) and > 8 times (4 pt.) is used to assess how often each item has applied over the past 8 weeks. For example, how often have you: "Used evidence to change my clinical practice…", "Accessed the National Guidelines Clearinghouse…" Total scores are summed where higher scores indicate greater integration of EBP in the healthcare workers practice. Validity is reported with content and face validity as well as internal consistency reliabilities greater than 0.85.
measure: EBP Knowledge Assessment Questionnaire (EBP-KAQ) changes over time
time frame: baseline, month 3, month 12
description: 27-item multiple-choice objective knowledge measure of examine EBP knowledge.
measure: Nursing process outcomes changes over time
time frame: baseline, month 3, month 12
description: projects, policy changes, publications
measure: Feasibility metrics changes over time
time frame: baseline, month 3, month 12
description: Costs, mentors, staff retention
arm group label: ARCC EBP Model
description: CTEP EBP Immersion Course
arm group label: Control Group
description: No CTEP EBP Immersion Course
intervention type: Behavioral
intervention name: CTEP EBP Immersion
description: 36 continuing ed credits, virtual library access, collaboration with expert mentors
arm group label: ARCC EBP Model
study pop: 
sampling method: Non-Probability Sample
criteria: 
gender: All
minimum age: 18 Years
maximum age: N/A
healthy volunteers: Accepts Healthy Volunteers
last name: Laurie A Migliore, PhD
role: Principal Investigator
affiliation: Staff
facility: 
country: United States
citation: Breckenridge-Sproat ST, Throop MD, Raju D, Murphy DA, Loan LA, Patrician PA. Building a Unit-Level Mentored Program to Sustain a Culture of Inquiry for Evidence-Based Practice. Clin Nurse Spec. 2015 Nov-Dec;29(6):329-37. doi: 10.1097/NUR.0000000000000161.
PMID: 26444511
citation: Barrera M Jr, Castro FG, Strycker LA, Toobert DJ. Cultural adaptations of behavioral health interventions: a progress report. J Consult Clin Psychol. 2013 Apr;81(2):196-205. doi: 10.1037/a0027085. Epub 2012 Jan 30.
PMID: 22289132
citation: Bryan CJ, Jennings KW, Jobes DA, Bradley JC. Understanding and preventing military suicide. Arch Suicide Res. 2012;16(2):95-110. doi: 10.1080/13811118.2012.667321.
PMID: 22551041
citation: Committee on the Assessment of Resiliency and Prevention Programs for Mental and Behavioral Health in Service Members and Their Families; Board on the Health of Select Populations; Institute of Medicine; Denning LA, Meisnere M, Warner KE, editors. Preventing Psychological Disorders in Service Members and Their Families: An Assessment of Programs. Washington (DC): National Academies Press (US); 2014 Feb 11. Available from http://www.ncbi.nlm.nih.gov/books/NBK222170/
PMID: 25057692
citation: Kenny DJ, Richard ML, Ceniceros X, Blaize K. Collaborating across services to advance evidence-based nursing practice. Nurs Res. 2010 Jan-Feb;59(1 Suppl):S11-21. doi: 10.1097/NNR.0b013e3181c3c011.
PMID: 20010273
citation: Melnyk BM. Achieving a high-reliability organization through implementation of the ARCC model for systemwide sustainability of evidence-based practice. Nurs Adm Q. 2012 Apr-Jun;36(2):127-35. doi: 10.1097/NAQ.0b013e318249fb6a.
PMID: 22407205
citation: Melnyk BM, Bullock T, McGrath J, Jacobson D, Kelly S, Baba L. Translating the evidence-based NICU COPE program for parents of premature infants into clinical practice: impact on nurses' evidence-based practice and lessons learned. J Perinat Neonatal Nurs. 2010 Jan-Mar;24(1):74-80. doi: 10.1097/JPN.0b013e3181ce314b.
PMID: 20147834
citation: Melnyk BM, Fineout-Overholt E, Giggleman M, Cruz R. Correlates among cognitive beliefs, EBP implementation, organizational culture, cohesion and job satisfaction in evidence-based practice mentors from a community hospital system. Nurs Outlook. 2010 Nov-Dec;58(6):301-8. doi: 10.1016/j.outlook.2010.06.002.
PMID: 21074647
citation: Melnyk BM, Fineout-Overholt E, Gallagher-Ford L, Kaplan L. The state of evidence-based practice in US nurses: critical implications for nurse leaders and educators. J Nurs Adm. 2012 Sep;42(9):410-7. doi: 10.1097/NNA.0b013e3182664e0a.
PMID: 22922750
citation: Melnyk BM, Gallagher-Ford L, Thomas BK, Troseth M, Wyngarden K, Szalacha L. A Study of Chief Nurse Executives Indicates Low Prioritization of Evidence-Based Practice and Shortcomings in Hospital Performance Metrics Across the United States. Worldviews Evid Based Nurs. 2016 Feb;13(1):6-14. doi: 10.1111/wvn.12133. Epub 2016 Feb 1.
PMID: 26873371
citation: Muller A, McCauley K, Harrington P, Jablonski J, Strauss R. Evidence-based practice implementation strategy: the central role of the clinical nurse specialist. Nurs Adm Q. 2011 Apr-Jun;35(2):140-51. doi: 10.1097/NAQ.0b013e31820f47e9.
PMID: 21403488
citation: Sackett DL, Rosenberg WM, Gray JA, Haynes RB, Richardson WS. Evidence based medicine: what it is and what it isn't. BMJ. 1996 Jan 13;312(7023):71-2. doi: 10.1136/bmj.312.7023.71. No abstract available.
PMID: 8555924
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responsible party type: Principal Investigator
investigator affiliation: David Grant U.S. Air Force Medical Center
investigator full name: Laurie Migliore
investigator title: Nurse Scientist/Chief, Nursing Research
sharing ipd: No