Sandra L. Price, MS, RN, CAPA, Ambulatory Surgery Center

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Presentation transcript:

An Evidenced-Based Practice Immersion Experience: The Impact on Nursing in a Hospital Setting Sandra L. Price, MS, RN, CAPA, Ambulatory Surgery Center Mary G. Carey, PhD, RN, FAHA, FAAN, Associate Director, Clinical Nursing Research Center PROJECT OBJECTIVES METHODS OUTCOMES Differentiate evidence-based practice (EBP) from research and quality improvement initiatives Share Center for Transdisciplinary Evidence-Based Practice (CTEP) Immersion Workshop Experience led by The Ohio State University (OSU) School of Nursing (Dr. B. Melnyk & Dr. L. Gallagher-Ford) Develop clinical EBP mentors and leaders in Nursing Practice at the University of Rochester Medical Center (URMC) Utilize a step-by-step EBP process to guide clinical inquiries and decision-making Transform the organizational culture to foster curiosity and integrate EBP in daily practice The 7-Step Evidence-Based Practice Process Certified n=21 EBP mentors and leaders at URMC Initiated n=21 URMC service projects Improve outcomes for patients, staff, & the organization Mentor clinical nurses in EBP knowledge, skills & tools to engage in best practices Ability to critically appraise evidence Increased use of medical librarian to search for evidence Increased inclusion of evidence in nursing policies Increased inclusion of at least two evidenced-based articles to support nursing-initiated projects Learned to formulate clinical questions using PICOT format Source: Melnyk, B., & Fineout-Overholt, E. (2011). Evidence-Based Practice in Nursing & Health Care. A Guide to Best Practice. (2nd Edition). Philadelphia: Wolters Kluwer/Lippincott Williams & Wilkins. BACKGROUND Individual participants analyzed a clinical problem on Day 1 and by Day 5 presented project findings and recommendations CTEP program focused on search strategies, critical appraisal, integration and implementation of evidence Classroom discussions and group activities with mentored workshop sessions Integrating research findings into practice and policy is often delayed EBP is focused on implementing knowledge through practice change in a narrow population and measuring outcomes CTEP program discovered at national Magnet conference by URMC attendee In July 2016, OSU EBP leaders, Drs. Melnyk & Gallagher-Ford Provided a 5-day EBP immersion Utilizing an EBP process can accelerate best practices and improve patient outcomes PROFESSIONAL PRACTICE MODEL ALIGNMENT CONCLUSIONS/IMPLICATIONS Transformational Leadership: Inspire and sustain an EBP culture Structural Empowerment: Develop professional expertise in new EBP mentor/leader role Exemplary Professional Practice: Disseminate EBP recommendations to improve patient care delivery New Knowledge, Innovations & Improvements: Integrate EBP skills and findings in daily clinical practice Empirical Outcomes: Implement EBP to incorporate standards of practice linked to positive patient outcomes Engage in networking with EBP mentors/leaders globally New EBP resource for clinical nurses at URMC Formal EBP mentor and leader group meetings Establish EBP education Access to monthly CTEP webinars Guide best practice changes based on current evidence Promote EBP in daily clinical decision-making Encourage innovation and organizational project dissemination Create an EBP environment that supports best practice and achieves quality patient outcomes SETTING/PARTICIPANTS URMC nursing applicants, n=21 were selected to participate in a 5-day EBP intensive immersion Nurses, n=14 multiple specialty services at URMC CTEP trainers, n=5 from Ohio State University in an internationally recognized program EBP mentors, n=19 and EBP leaders, n=2 National Nurses’ Week Best Practice Showcase, 2017