1. Excellence in Nursing Practice Through Research, EBP & Application to Bedside Patient Care Chesapeake Bay Society of PeriAnesthesia Nurses Saturday, February 8 th, 2014 Kim A. Noble, PhD., RN, CPAN © Copyright Kim A. Noble; use prohibited without permission

2. Part I Overview to Research: Why Me? Why Now? Kim A. Noble, PhD., RN, CPAN knoble@aspan.org ©

3. Objectives Following participation in this lecture, the learner will: Apply a global overview of research and EBP to the clinical setting; Compare/contrast Research & EBP processes; Define priorities for research as identified by the IOM and nursing experts. ©

4. RESEARCH ??? “R” Not just an “R” word! Scientific basis for nursing. Proof for practice. HOW But HOW ? ©

5. What is Research? ©

6. Have You Participated in Research?

7. What is Evidence-Based Practice “outside the box”. Thinking “outside the box”. Patient care that is current & research-based. Identification of a practice problem. Utilization of research process to improve patient care. ©

8. EPB & Research…Where to Begin? Goal: Brainstorming! Visionary! YOU Focused! Where do you see Research? In-laws? Roommates? A means to an end? Marriage? ©

9. Where it Start? Find the beginning What is the goal? Plan the process. Re-evaluate. Baby steps. ©

10. More Advice Start small… Think big… Expect delays… Celebrate progress… Laugh… Whine & wine…. Look back… ©

11. EBP Examples in Action “Home-grown” EBP Programs: Journal Club Journal Club Tools for process: Tools for process: Mentorship Mentorship Toolbox Toolbox “Higher” support “Higher” support Interest Interest ©

12. Why Me? Why Now? Institute of Medicine: Keeping Patients Safe: Transforming the Work Environment of Nurses (2003) Patient Safety: Achieving a New Standard of Care (2003) The Future of Nursing: Leading Change Advancing Health (2010) http://www.iom.edu/Reports/2003/Keeping-Patients-Safe-Transforming-the-Work-Environment-of-Nurses.aspx ©

13. So What? Practice environment… What has changed? Where has research/EBP entered your practice? Why do it? Why are you here? What do YOU want out of today? ©

14. It Could Be A Good Thing…. ©

15. © References Institute of Medicine (2010) The future of nursing: leading change, advancing heath, retrieved 1/24/14 from http://www.iom.edu/Reports/2010/The- Future-of-Nursing-Leading-Change- Advancing-Health.aspx White, K. M. & Dudley-Brown, S. (2012). Translation of Evidence Into Nursing and Health Care Practice, New York: Springer.