What key contextual elements support and facilitate a) implementation of EBP at the project level and b) normalization of EBP within a health care system at multiple institutional levels? |
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1. Do key contextual elements differentiate successful implementation, as well as sustainability of EBP efforts, from less successful efforts within varying levels of a hospital-based health care setting? |
• In terms of elements either pre-existent or created through strategic change. |
• In light of the interrelationship of key contextual elements over time. |
2. Do key contextual elements differentiate successful implementation and sustainability of evidence-based practice efforts from less successful efforts across similar health care settings interested in EBP? |
3. Does the number of embedded units (i.e., a critical mass) within a service (and services within a department) with key contextual elements influence the extent to which an organization has successfully implemented and sustained evidence-based practice at both a project level and as the norm at multiple institutional levels? |
4. To what extent does each of the identified models of RU/EBP reflect the key contextual elements identified in this study and the literature as relevant to successful and sustained implementation of EBP? |