2.50
Hdl Handle:
http://hdl.handle.net/10755/151589
Type:
Presentation
Title:
Research Testing Strategies for Implementation of Evidence-Based Practices
Abstract:
Research Testing Strategies for Implementation of Evidence-Based Practices
Conference Sponsor:Sigma Theta Tau International
Conference Year:2005
Author:Doran, Diane M., RN, PhD
P.I. Institution Name:University of Toronto
Title:Professor, Interim Dean
Co-Authors:John Mylopoulos, PhD; AndrT Kushniruk, PhD; Lynn Nagle, PhD; John P. Hirdes, PhD; Brenda Laurie-Shaw, RN, MN; Dyanne Affonso, RN, PhD; Edith M. Hillan, PhD, RN; Ann Tourangeau, RN, PhD
Kitson developed a framework to represent the interplay of the many factors that influence the uptake of evidence into practice. Information and feedback were identified as key components of the context for changing practice. Drawing on Kitson's work, this study's goal was to improve the utilization of outcomes information and best practice guidelines at the point of care by providing nurses with real-time feedback about the outcomes of their care and using personal digital assistants (PDAs) to increase nurses' utilization of evidence at the point-of-care (POC). Methods: A cross-sectional design was used. Data collection included workflow analysis, group interviews, and chart abstraction to identify characteristics of data repositories for linkage between users and health records. The sample included nurses, nurse managers, and patients. A prototype system was designed that enabled nurses to use PDAs to simultaneously document patients' responses to treatment, access electronically accessible resources to support clinical decision-making, and receive feedback to modify care. Main Findings: In order to inform prototype design, data were collected by documenting nurses' episodes of information transfer. 39.8% of written information was recorded onto ôpersonal paperö at the POC and later transcribed. Nurses often sought information away from the POC; for example, a centrally located health record, or electronically accessible patient information (68%), drug dictionary (5.6%), or policy/procedure (1.0%). A frequent source of information for most staff nurses was ôcolleaguesö, yet not all colleagues are able to offer evidence-based advice. Conclusions: The prototype system has the potential to improve ease of health information documentation and utilization of best practice guidelines at the point of care. Implications: A follow-up study will involve usability testing of the Prototype System, and a randomized controlled trial to determine the impact on clinical decision-making and the quality of care.
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.titleResearch Testing Strategies for Implementation of Evidence-Based Practicesen_GB
dc.identifier.urihttp://hdl.handle.net/10755/151589-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Research Testing Strategies for Implementation of Evidence-Based Practices</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">2005</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Doran, Diane M., RN, PhD</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">University of Toronto</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Professor, Interim Dean</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">diane.doran@utoronto.ca</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">John Mylopoulos, PhD; AndrT Kushniruk, PhD; Lynn Nagle, PhD; John P. Hirdes, PhD; Brenda Laurie-Shaw, RN, MN; Dyanne Affonso, RN, PhD; Edith M. Hillan, PhD, RN; Ann Tourangeau, RN, PhD</td></tr><tr><td colspan="2" class="item-abstract">Kitson developed a framework to represent the interplay of the many factors that influence the uptake of evidence into practice. Information and feedback were identified as key components of the context for changing practice. Drawing on Kitson's work, this study's goal was to improve the utilization of outcomes information and best practice guidelines at the point of care by providing nurses with real-time feedback about the outcomes of their care and using personal digital assistants (PDAs) to increase nurses' utilization of evidence at the point-of-care (POC). Methods: A cross-sectional design was used. Data collection included workflow analysis, group interviews, and chart abstraction to identify characteristics of data repositories for linkage between users and health records. The sample included nurses, nurse managers, and patients. A prototype system was designed that enabled nurses to use PDAs to simultaneously document patients' responses to treatment, access electronically accessible resources to support clinical decision-making, and receive feedback to modify care. Main Findings: In order to inform prototype design, data were collected by documenting nurses' episodes of information transfer. 39.8% of written information was recorded onto &ocirc;personal paper&ouml; at the POC and later transcribed. Nurses often sought information away from the POC; for example, a centrally located health record, or electronically accessible patient information (68%), drug dictionary (5.6%), or policy/procedure (1.0%). A frequent source of information for most staff nurses was &ocirc;colleagues&ouml;, yet not all colleagues are able to offer evidence-based advice. Conclusions: The prototype system has the potential to improve ease of health information documentation and utilization of best practice guidelines at the point of care. Implications: A follow-up study will involve usability testing of the Prototype System, and a randomized controlled trial to determine the impact on clinical decision-making and the quality of care.</td></tr></table>en_GB
dc.date.available2011-10-26T11:07:13Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T11:07:13Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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