As home care quality initiatives increase agencies must integrate evidence-based practice. This article reviews a model of quality improvement to guide system change that can be used to implement best evidence and suggests that most agencies fall within three stages of preparedness. Based on the stage of readiness, specific steps to move toward successful implementation of best practice are recommended.
Lazelle E. Benefield, PhD, RN, is an Associate Professor, Harris School of Nursing, Texas Christian University, Fort Worth, and John A. Hartford Foundation Geriatric Nurse Scholar, University of Arkansas for Medical Sciences.
Address for correspondence: P.O. Box 298620, Texas Christian University, Fort Worth, TX 76129 (L.Benefield@TCU.edu).