Using a Collaborative Research Utilization Model to Translate Best Practices in Nursing Shift Handoffs

2.50
Hdl Handle:
http://hdl.handle.net/10755/151257
Type:
Presentation
Title:
Using a Collaborative Research Utilization Model to Translate Best Practices in Nursing Shift Handoffs
Abstract:
Using a Collaborative Research Utilization Model to Translate Best Practices in Nursing Shift Handoffs
Conference Sponsor:Sigma Theta Tau International
Conference Year:2007
Author:Dufault, Marlene A., PhD, RN
P.I. Institution Name:University of Rhode Island
Title:Professor & Research Consultant
Co-Authors:Cathy Duquette, PhD, RN, CNAA, BC and Shirley Sargent, MS, RN
[Research Presentation] Purpose: Ineffective communication is the most frequently reported cause of sentinel events in hospitals. This study's purpose is to use a six-step "translating-research-into-practice" model (Collaborative Research Utilization Model) to generate and pilot-test an evidence-based best practice protocol for nurses' shift handoffs. Theoretical Framework: Guided by theory in research utilization as well as Roger's "adoption of innovations" literature for the overall framework. Orlando's theory is used to provide theoretical rational for the specific evidence-based protocol. Methods (Design, Sample, Setting, Measures, Analysis):á A pretest, posttest-posttest evaluation research design is being used to evaluate the protocol for feasibility (cost & timeliness), usefulness (nurse adherence to the protocol, N=86), and effectiveness in improving patient(N=180) and nurse satisfaction (N=86) outcomes on two medical-surgical, one intensive care unit, and one rehabilitation unit of a 148-bed Magnet-designated urban community hospital. A Best Practice Audit Instrument, Nurse Satisfaction Survey (NDNQI), Press-Ganey Survey, and Satisfaction with SBARP Survey is being used to evaluate the outcome variables of interest along a 3-point trajectory of care. Data will be analyzed using descriptive univariate statistics, change score transformations, and t-tests.áA p<.05 level of significance is set. Results:áThe expected date of completion is March 2007. Conclusions and Implications: Despite growing interest in safe practices, a lack of standardization of nursing practice related to shift handoffs, potentially dilutes efforts to improve patient safety. This study incorporates directions established by AHRQ, JCAHO, and the National Quality Forum to create meaningful clinician change that results in reducing the toll of missing or incorrect communication of patient information, omissions of relevant care, and dissatisfaction from patients, families, and clinicians.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleUsing a Collaborative Research Utilization Model to Translate Best Practices in Nursing Shift Handoffsen_GB
dc.identifier.urihttp://hdl.handle.net/10755/151257-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Using a Collaborative Research Utilization Model to Translate Best Practices in Nursing Shift Handoffs</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2007</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Dufault, Marlene A., PhD, RN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">University of Rhode Island</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Professor &amp; Research Consultant</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">Marlened@uri.edu</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Cathy Duquette, PhD, RN, CNAA, BC and Shirley Sargent, MS, RN</td></tr><tr><td colspan="2" class="item-abstract">[Research Presentation] Purpose: Ineffective communication is the most frequently reported cause of sentinel events in hospitals. This study's purpose is to use a six-step &quot;translating-research-into-practice&quot; model (Collaborative Research Utilization Model) to generate and pilot-test an evidence-based best practice protocol for nurses' shift handoffs. Theoretical Framework: Guided by theory in research utilization as well as Roger's &quot;adoption of innovations&quot; literature for the overall framework. Orlando's theory is used to provide theoretical rational for the specific evidence-based protocol. Methods (Design, Sample, Setting, Measures, Analysis):&aacute; A pretest, posttest-posttest evaluation research design is being used to evaluate the protocol for feasibility (cost &amp; timeliness), usefulness (nurse adherence to the protocol, N=86), and effectiveness in improving patient(N=180) and nurse satisfaction (N=86) outcomes on two medical-surgical, one intensive care unit, and one rehabilitation unit of a 148-bed Magnet-designated urban community hospital. A Best Practice Audit Instrument, Nurse Satisfaction Survey (NDNQI), Press-Ganey Survey, and Satisfaction with SBARP Survey is being used to evaluate the outcome variables of interest along a 3-point trajectory of care. Data will be analyzed using descriptive univariate statistics, change score transformations, and t-tests.&aacute;A p&lt;.05 level of significance is set. Results:&aacute;The expected date of completion is March 2007. Conclusions and Implications: Despite growing interest in safe practices, a lack of standardization of nursing practice related to shift handoffs, potentially dilutes efforts to improve patient safety. This study incorporates directions established by AHRQ, JCAHO, and the National Quality Forum to create meaningful clinician change that results in reducing the toll of missing or incorrect communication of patient information, omissions of relevant care, and dissatisfaction from patients, families, and clinicians.</td></tr></table>en_GB
dc.date.available2011-10-26T10:56:37Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T10:56:37Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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