1. My irdl project
Carolyn Schubert

2. 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

3. 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?

4. 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?

5. 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. 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

6. 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

7. 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?

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

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

10. 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

11. 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

12. 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?!

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

15. 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

16. 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