Sustaining Change: Once Evidence-Based Practices Are Transferred, What Then?

Abstract

Healthcare has undergone many transformations over the past several decades including increased diagnostic sophistication, shorter in-hospital stays and day surgeries as well as greater home-based treatments such as intravenous therapy, dialysis and palliation. Despite their rigorous evidence-based underpinnings and the demonstrated benefits of these advances, the sustainability of new clinical practices in healthcare organizations continues to present a challenge to practitioners and researchers alike.