2831 innovative strategies to over come these

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28,31 Innovative strategies to over- come these barriers may include the use of technol- ogy to share resources and mentor nurse scientists through the research, publication, and implementa- tion process. As healthcare becomes increasingly outpatient in nature, services such as telehealth have the potential to increase accessibility to healthcare; research to evaluate the effects of these innovations in outpatient settings will be needed. A major contributor to the lack of translation of research into practice is the “siloing” of clinical and academic practices. As the healthcare providers who spend the most time with patients and the largest component of the healthcare workforce, nurses are well poised to identify clinical problems and poten- tial solutions. 32 Therefore, nursing research can poten- tially provide a deep source of evidence if academic researchers partner with clinicians to carry out such research. To address this issue, some institutions have implemented a joint appointment where nurse researchers are in partnership with both academic and clinical institutions. 33,34 As evidence becomes increasingly accessible, it will be important to strategize ways to implement best practice at the point of care. However, having real-time evidence and decision support requires extensive progress in the way knowledge is adapted into a useful format for clinicians and integrated into the electronic health record. 35 The vastness of information makes the complexity of application difficult. Knowledge and data must be pared down and transformed into useful and easy prompts for the end user. (See Controversies. ) A bright future From Florence Nightingale to the present, EBP has played a critical role in professional nursing practice. The past 50 years saw the first generation of nurse theorists, followed by the birth of the EBP movement and the emergence of implementation science. The future is bright for EBP, nursing knowledge, and, ultimately, patient outcomes. Joint appointments that cross clinical and academic lines now promise to reduce siloing within nursing and help translate research into practice. Accessible models for EBP implementation may help encourage nurses to access and appraise the literature. We continue to grapple with a global imperative to bring EBP to places where resources are less abundant and develop an evidence base for a healthcare landscape that’s becoming increasingly dependent on technology and outpatient based. As we learn from the past and prepare for the future, nurse leaders from the bedside to the boardroom must embrace knowledge in all its forms, translate evidence into practice, and create new evidence to address an ever-changing world. N M REFERENCES 1. Nightingale F. Notes on Nursing . New York, NY: Cambridge University Press; 2010.

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