Clinical Scholars Program North Memorial Clinical Scholar Program

C LINICAL S CHOLARS Project Coordinators Dean of HSSH and the Graduate School at St. Catherine University (Penny Moyers) Associate Dean of the HSSH at St. Catherine University (Alice Swan) Director of Nursing Research at North Memorial Medical Center (Patty Finch-Guthrie [at the time of the Project])

C LINICAL S CHOLARS Vision Vision: To create active and vibrant interprofessional learning teams to change practice using evidence.

C LINICAL S CHOLARS Team Composition North Memorial nurse clinical scholars (6 nurses) North Memorial nurse clinical mentors (5 advanced practice nurses) St Catherine University interprofessional faculty and students (12 faculty and 13 students: Holistic Health, OT, PT, Nursing, RT, and Library & Information Science) Occupational therapy students and faculty were on 4 of the 5 teams

C LINICAL S CHOLARS Team Steps Formulate an evidence-based project question Search for and select evidence Appraise and synthesize the evidence Develop a practice change project in conjunction with stakeholders Use principles from implementation science to conduct practice change Evaluate the process and outcomes of the change project

C LINICAL S CHOLARS Interprofessional Team Principles Every member of the team contributes to the work of the project Every member of the team has something to learn from and something to teach each other

C LINICAL S CHOLARS Program Components 8 topic modules & materials for all participants –Overview of evidence-based practice, –Asking the question, –Searching the literature, –Appraising the literature, –Developing a plan for implementation of a change, –Evaluation of the change result, and –Leadership for creating change. Mentoring materials for mentors –One-minute mentoring updates –Evidence-based practice class –Mentoring meetings & workshops

Project One Population: Trauma patients are a major focus for North Memorial and have significant pain issues. Issue: Identified that if staff had more interventions available to manage pain, their patients would be more comfortable. Study area: Staff wanted to incorporate complimentary therapy options into their routine practice.

C LINICAL S CHOLARS Team One

T Project Two Population: Patient post angioplasty. Issue: Staff cannot immediately remove the sheath in the groin that was used to thread balloon into the heart because of the significant blood thinning medications. Study Area: The most common complaint for pain is severe back pain. The question was whether positioning, other then being flat on the back, could relieve the pain as well as protect the site from bleeding problems.

C LINICAL S CHOLARS Project Three Population: Patients who are on ventilators and who are receiving sedation to manage their respiratory issues. Issue: The sedation makes it difficult to determine if the patient is comfortable or is having pain that is going untreated and unrecognized. Study Area: Wanted to identify different methods for assessing pain.

C LINICAL S CHOLARS Team Three

C LINICAL S CHOLARS Project Four Population: Patients with chronic pain Issue: These patients often do not receive assessment and intervention for chronic pain during an acute hospitalization for another or related problem. Study area: Wanted to create a guideline for chronic pain management during an acute hospitalization.

Team Four

C LINICAL S CHOLARS Project Five Population: Post-operative patients. Issue: Nausea and vomiting. Study Area: Wanted to use aromatherapy to decrease symptoms and decrease medications that are often ineffective, but create significant side- effects.

C LINICAL S CHOLARS Team Five

C LINICAL S CHOLARS Measurement of Program Outcomes Analysis In Progress Evidence-based practice attitudes, beliefs, and knowledge pre- and post-course for those on the clinical teams. (Preliminary analysis completed) Interprofessional teaming beliefs and attitudes of team members pre- and post- clinical scholar team project. Qualitative data of team member experience on the clinical scholar teams. Analysis Completed Project outcomes Mentor qualitative experience Number of publications & Presentations.

C LINICAL S CHOLARS Project Outcomes

C LINICAL S CHOLARS Project Outcomes

C LINICAL S CHOLARS Outcomes for Positive Mentoring of Mentors

C LINICAL S CHOLARS Preliminary Analysis of Beliefs and Implementation Sample: –Faculty, students, mentors, and scholars –n = 15 No Significant changes in frequency of using EBP in practice Significant differences in the Belief about EBP –I am clear about the steps in EBP t = , df = 14, p =.022 –I believe that I can search for the best evidence to answer a clinical question in a timely manner t = , df = 14, p =.045 –I know how to implement EBP sufficiently enough to make a practice change t= , df = 14, p=.026