My irdl project Carolyn Schubert

Leave Objectives Learn about Ecological Momentary Assessment (EMA) Compare EMA to traditional research methods Apply EMA to longitudinal study of information literacy (IL) skill development in nursing

The best laid plans… EMA What’s my question/problem? $$$$ Complicated design “Learn to walk before you try to run” What’s my question/problem?

Deeper considerations Evidence based practice (EBP) = Applied IL What are the opportunities for & barriers to EBP in professional practice? What do students know about EBP before NSG 450 Nursing Research?

Evidence Based Practice // IL Ask Search Appraise Integrate Evaluate outcomes Disseminate Evidence Based Practice // IL Ask Access Evaluate Integrate Use EBP IL EBP Step Zero: Cultivate a spirit of inquiry. Step 1: Ask clinical questions in PICOT format Step 2: Search for the best evidence Step 3: Critically appraise the evidence Step 4: Integrate the evidence with clinical expertise and patient preferences and values Step 5: Evaluate the outcomes of the practice decisions or changes based on evidence Step 6: Disseminate EBP results. http://journals.lww.com/ajnonline/Fulltext/2010/01000/Evidence_Based_Practice__Step_by_Step__The_Seven.30.aspx IL Determine the extent of information needed Access the needed information effectively and efficiently Evaluate information and its sources critically Incorporate selected information into one’s knowledge base Use information effectively to accomplish a specific purpose Understand the economic, legal, and social issues surrounding the use of information, and access and use information ethically and legally

Good reads 13 Assessable EBP Competencies EBP Work Environment Scale The establishment of evidence-based practice competencies for practicing registered nurses and advanced practice nurses in real-world clinical settings: Proficiencies to improve healthcare quality, reliability, patient outcomes, and costs. EBP Work Environment Scale Psychometric analysis of two new scales: The evidence-based practice nursing leadership and work environment scales

Revised Project How does the clinical work environment influence nursing students’ understanding and application of evidence-based practice? How do mobile devices with preappraised resources influence nursing students’ ability to conduct evidence-based practice?

Study Design 2nd semester nursing students (n~90) 2 cohorts: 1 in Fall 2015 & 1 in Spring 2016 (total~180) Focus on clinical courses

Study Design NSG 355L NSG 356L NSG 356L AH RMH Interview (12) Survey (90) Interview (12) NSG 356L AH RMH

The Best laid plans… * Health Care Facilities: RMH AH Winchester NSG 355L NSG 356L NSG 357L * Health Care Facilities: RMH AH Winchester Martha Jefferson Western State * * 8-week courses

ANYONE SIX PEOPLE I COULD GET TO CONSENT The Best laid plans… Interview (12) ANYONE SIX PEOPLE I COULD GET TO CONSENT NSG 356L AH RMH

Preview of Part 2 Cohort 2 Cohort 1 Survey – 82% response rate (n=68) Interview – 6! Cohort 2 Survey – 54% response rate (n=50) Interview – 8?!

Mention differences by cohort Mention differences by course NSG 355 NSG 356 NSG 357

Lessons Learned (so Far) Awesome partners = success I <3 qualitative data Use Doodle to schedule interviews + follow up Have a plan for missing/incomplete data Spring semester is harder to get participants

Outcomes/on-going work Interview coding with nursing instructor Won 2016 MAC RAC grant to continue study with 4th semester students Collecting even more data for longitudinal assessment