A Test of the ARCC© Model Improves Implementation of Evidence‐Based Practice, Healthcare Culture, and Patient Outcomes

A Test of the ARCC© Model Improves Implementation of Evidence‐Based Practice, Healthcare Culture, and Patient Outcomes

ABSTRACT Background Although several models of evidence‐based practice (EBP) exist, there is a paucity of studies that have been conducted to evaluate their implementation in healthcare settings. Aim The purpose of this study was to examine the impact of the Advancing Research and Clinical practice...

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Bibliographic Details
Published in:Worldviews on evidence-based nursing Vol. 14; no. 1; pp. 5 - 9
Main Authors: Melnyk, Bernadette Mazurek, Fineout‐Overholt, Ellen, Giggleman, Martha, Choy, Katie
Format: Journal Article
Language:English
Published: United States Wiley Subscription Services, Inc 01-02-2017
Subjects:
ARCC
Clinical outcomes
Collaboration
Cooperative Behavior
Corporate culture
Evidence-based medicine
Evidence-based nursing
Evidence-Based Practice - standards
evidence‐based practice
Health services
Humans
Knowledge
Organizational Culture
Patient Outcome Assessment
patient outcomes
Research Design - standards
San Francisco
United States > US
evidence-based practice
patient outcomes
organizational culture
ARCC
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Summary:ABSTRACT Background Although several models of evidence‐based practice (EBP) exist, there is a paucity of studies that have been conducted to evaluate their implementation in healthcare settings. Aim The purpose of this study was to examine the impact of the Advancing Research and Clinical practice through close Collaboration (ARCC) Model on organizational culture, clinicians’ EBP beliefs and EBP implementation, and patient outcomes at one healthcare system in the western United States. Design A pre‐test, post‐test longitudinal pre‐experimental study was conducted with follow‐up immediately following full implementation of the ARCC Model. Setting and Sample The study was conducted at a 341‐bed acute care hospital in the western region of the United States. The sample consisted of 58 interprofessional healthcare professionals. Methods The ARCC Model was implemented in a sequential format over 12 months with the key strategy of preparing a critical mass of EBP mentors for the healthcare system. Healthcare professionals’ EBP beliefs, EBP implementation, and organizational culture were measured with valid and reliable instruments. Patient outcomes were collected in aggregate from the hospital's medical records. Results Findings indicated significant increases in clinicians’ EBP beliefs and EBP implementation along with positive movement toward an organizational EBP culture. Study findings also indicated substantial improvements in several patient outcomes. Linking Evidence to Action Implementation of the ARCC Model in healthcare systems can enhance clinicians’ beliefs and implementation of evidence‐based care, improve patient outcomes, and move organizational culture toward EBP.
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ISSN:1545-102X
1741-6787
1741-6787
DOI:10.1111/wvn.12188