Nurse-Lead Initiative to Implement Research-Based Best Practices Deanna L. Reising, PhD, RN, ACNS-BC, FNAP, ANEF Indiana University Health Magnet Coordinator IONE Panel 10-19-17 12/2/2018

Range 16 Hospitals 7 Magnets 2 Pathway to Excellence AHC Community “mid-size” Critical Access 7 Magnets 2 Pathway to Excellence 12/2/2018

Resources Dependent upon site Affiliations with IUSON (0.1-0.2 FTE) Internal PhD prepared nurses Internal CNSs System structure Research to Practice Council Facility level RTP structures EBP training through coaches Literature access 12/2/2018

IUH Bloomington Story Magnet journey before becoming IUH Hired PhD CNS at 0.2 FTE Started mentoring clinical nurses in research Facilitated studies through IRB Collaborated with CNO and foundation to institute Johnloz Nursing Research Fellows Fellows are paid $1500 stipend outright + their hourly rate (so long as no OT) Use student projects and QI as a springboard for research 12/2/2018

Evolving System nursing protocols—system IRB Vetted by system RTP council Opportunity to leverage larger n Still working on process to ensure appropriate vetting at each institution and appropriate site coordination role for Magnet 12/2/2018

Continuing Needs & Challenges Data Analysis Use internal experts IUSON faculty Students in graduate programs Human power to mentor nurses at many levels in mining literature, DOING research that is more than QI & at higher levels, IRB processes Biggest challenges Nurses’ time—must be on timeline with support Humans cost $$$ 12/2/2018