Understanding health care at a local level is very important. Each neighborhood, socioeconomic class, or city is very different. What works in one area of the city or country may not be as effective as another. By understanding what works in a specific area, the EBP implementation can be tailored to that specific knowledge base. If you work in an area of the city that is mostly immigrants that speak little English and are Cuban, you can tailor specific learning tools, education, food preferences and community resources to them. Telling them to eat healthy foods, but not including foods that are specific to that culture, will not be an effective learning tool. EBP can be very broad, but by learning about the specific local area, you are able to specify what works for that locality. When speaking with my preceptor, she gave these examples, which I agree with. I work in a low socio-economic part of Tampa, that mostly comprises Spanish speaking Cubans and Puerto Ricans. They are a very tight-knit community, and rely on our community hospital for their primary care. It is our job to make sure that they understand their disease processes, and how to reduce readmissions. By tailoring their education and healthcare, this can be achieved.
Titler MG. The Evidence for Evidence-Based Practice Implementation. In: Hughes RG, editor. Patient Safety and Quality: An Evidence-Based Handbook for Nurses. Rockville (MD): Agency for Healthcare Research and Quality (US); 2008 Apr. Chapter 7. Available from: https://www.ncbi.nlm.nih.gov/books/NBK2659/
Personal Reference: Mindy Maistri, RN BSN, December 2017.