Using Education to Develop a Culture of World Class Evidence Based Practice at an Acute Care Community Hospital

2.50
Hdl Handle:
http://hdl.handle.net/10755/155280
Type:
Presentation
Title:
Using Education to Develop a Culture of World Class Evidence Based Practice at an Acute Care Community Hospital
Abstract:
Using Education to Develop a Culture of World Class Evidence Based Practice at an Acute Care Community Hospital
Conference Sponsor:Sigma Theta Tau International
Conference Year:2007
Author:Rohman, Ryan C., BSN, RN
P.I. Institution Name:Poudre Valley Hospital
Title:Clinical Educator
Co-Authors:Janet E. Craighead, MS, RN; Karen R. Dawson, MSN, RN and Kathie Hopkins, MSN, RN
[Research Presentation] Evidence based practice (EBP) as a foundation of world class care requires that healthcare professionals have expertise using the systematic review process and a commitment to improving practice. A 250-bed acute care facility in the Midwestern United States identified that few nurses in the organization were skilled at systematic reviews and EBP;átherefore an educational seminar was given to staff members. A study was conducted to measure the effectiveness of the six-day seminar in producing cognitive and behavioral changes that support an authentic EBP culture. A survey tool of 28 statements was developed and demonstrated a Cronbach's alpha of .83 in a pilot group of RNs. The questionnaire was also administered to a convenience sample of healthcare professionals who attended the seminars (sample reliability was established with coefficient alpha at .92). Using a paired pre-post design, average cognitive and behavioral scores increased from 3.11 to 3.33 in the study group immediately following the seminar (t[10] = -2.17, p=.055; 95% CI, -.44 to .01), and from a baseline score of 3.03 to 3.31 three months following the seminará (t[7] = -1.92, p=.096; 95% CI -.63 to .07). Although study group scores were significantly higher than pre-workshop scores in a control group (t[47] = -3.81, p<.001; 95% CI, -.89 to -.28), differences widened by 3 months following the training (t[35] = -3.27, p=.002; 95% CI, -1.37 to -.32). Total monthly hours invested in EBP and research activities increased nominally and non-significantly from 21.8 to 21.9 immediately after the training (t[8] = -0.01, p=.990; 95% CI, -9.75 to 9.64), and from 18.1 to a non-significant but clinically meaningful 31.6 hours 3 months later (t[6] = -1.36, p=.222; 95% CI, -37.77 to 10.77). Future endeavors include continuing systematic review education, quantifying the number of hours committed to the EBP process, and developing practice recommendations.
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 Education to Develop a Culture of World Class Evidence Based Practice at an Acute Care Community Hospitalen_GB
dc.identifier.urihttp://hdl.handle.net/10755/155280-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Using Education to Develop a Culture of World Class Evidence Based Practice at an Acute Care Community Hospital</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">Rohman, Ryan C., BSN, RN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Poudre Valley Hospital</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Clinical Educator</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">rcr@pvhs.org</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Janet E. Craighead, MS, RN; Karen R. Dawson, MSN, RN and Kathie Hopkins, MSN, RN</td></tr><tr><td colspan="2" class="item-abstract">[Research Presentation] Evidence based practice (EBP) as a foundation of world class care requires that healthcare professionals have expertise using the systematic review process and a commitment to improving practice. A 250-bed acute care facility in the Midwestern United States identified that few nurses in the organization were skilled at systematic reviews and EBP;&aacute;therefore an educational seminar was given to staff members. A study was conducted to measure the effectiveness of the six-day seminar in producing cognitive and behavioral changes that support an authentic EBP culture. A survey tool of 28 statements was developed and demonstrated a Cronbach's alpha of .83 in a pilot group of RNs. The questionnaire was also administered to a convenience sample of healthcare professionals who attended the seminars (sample reliability was established with coefficient alpha at .92). Using a paired pre-post design, average cognitive and behavioral scores increased from 3.11 to 3.33 in the study group immediately following the seminar (t[10] = -2.17, p=.055; 95% CI, -.44 to .01), and from a baseline score of 3.03 to 3.31 three months following the seminar&aacute; (t[7] = -1.92, p=.096; 95% CI -.63 to .07). Although study group scores were significantly higher than pre-workshop scores in a control group (t[47] = -3.81, p&lt;.001; 95% CI, -.89 to -.28), differences widened by 3 months following the training (t[35] = -3.27, p=.002; 95% CI, -1.37 to -.32). Total monthly hours invested in EBP and research activities increased nominally and non-significantly from 21.8 to 21.9 immediately after the training (t[8] = -0.01, p=.990; 95% CI, -9.75 to 9.64), and from 18.1 to a non-significant but clinically meaningful 31.6 hours 3 months later (t[6] = -1.36, p=.222; 95% CI, -37.77 to 10.77). Future endeavors include continuing systematic review education, quantifying the number of hours committed to the EBP process, and developing practice recommendations.</td></tr></table>en_GB
dc.date.available2011-10-26T13:42:00Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T13:42:00Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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