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Enacting evidence-based practice: pathways for community nurses.

Teodorowski, Piotr; Cable, Clare; Kilburn, Sally; Kennedy, Catriona


Piotr Teodorowski

Clare Cable

Sally Kilburn


Community nurses are expected to deliver evidence-based practice, which is challenging given the diversity and breadth of the evidence base from which they can draw. This study aimed to explore community nurses' experiences of implementing change in their practice. Qualitative semi-structured interviews (n=9) and focus groups (n=2) with community nurses (n=17) were conducted. Three pathways to introduce change in practice were identified by participants: bottom-up, top-down and collaborative pathways. These are based on the nature of the proposed change, the available evidence, ‘buy in’ from colleagues and issues around implementation. The findings identify approaches to implementing change in community nursing practice. Practitioners would benefit from support to navigate the complex process of change through managerial support, ongoing education, accessible online resources and support through a practice development role.


TEODOROWSKI, P., CABLE, C., KILBURN, S. and KENNEDY, C. 2019. Enacting evidence-based practice: pathways for community nurses. British journal of community nursing [online], 24(8), pages 370-376. Available from:

Journal Article Type Article
Acceptance Date Jul 1, 2019
Online Publication Date Aug 1, 2019
Publication Date Aug 2, 2019
Deposit Date Aug 1, 2019
Publicly Available Date Aug 6, 2019
Journal British journal of community nursing
Print ISSN 1462-4753
Electronic ISSN 2052-2215
Publisher Mark Allen Healthcare
Peer Reviewed Peer Reviewed
Volume 24
Issue 8
Pages 370-376
Keywords Community nursing; Evidence-based practice; EBP; Evidence; Research; Pathways
Public URL


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