2.50
Hdl Handle:
http://hdl.handle.net/10755/156282
Type:
Presentation
Title:
Evaluation and Monitoring of an Evidence-Based Culture Change
Abstract:
Evaluation and Monitoring of an Evidence-Based Culture Change
Conference Sponsor:Sigma Theta Tau International
Conference Year:2007
Author:Bendekovits, Rita A., RN, MSN, ONC
P.I. Institution Name:Lehigh Valley Hospital
Title:Quality Manager of Patient Care
[Research Presentation] The Nursing Advisory Board (2005) describes Evidence-Based Practice (EBP) as an opportunity to invigorate the practice environment. Implementing an EBP practice culture in a multi-site tertiary care center required a carefully constructed plan. This culture change was prompted by an initiative to revise and update hospital procedures and clinical practice guidelines based on current evidence. (Phase 1) The EBP leadership group, consisting of dedicated administrators, researchers and unit-based educatorsáserved as mentors and educators skilled in conducting evidence review and determining the levels of evidence. The EBP program was evaluated using both quantitative and qualitative analysis. Phase two of the project addressed the process of developing outcome measures that demonstrated compliance, effectiveness and efficiency. The National Quality Forum (NQF) research recommendations identified pain assessment and management measures as nursing sensitive performance indicators. Due to lack of compliance in both the assessment and documentation of patient's pain level, an initiative to improve positive patient outcomes was initiated. The pain standards of care were revised by EBP experts and benchmarking practices with other Magnet hospitals. Structured education was implemented through a variety of consistent educational interventions. In addition, nursing quality and informatics incorporated the EBP pain guidelines into the new electronic documentation system resulting in improved compliance both in practice and documentation. Focused monitoring including unit and individual feedback was continually provided to leadership and staff. Real time data via web-based data reporting was implemented to access monitoring activities. Improvements in an understanding of the importance of frequent assessments of pain and documentation of pain scores according to the revised EBP-based standard was demonstrated. Future projects are currently in the process of implementation, including falls, pressure ulcers, restraint usage and smoking cessation. Therapid-cycle improvement process will be used to incorporate EBP into guidelines and bring evidence to the point 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.titleEvaluation and Monitoring of an Evidence-Based Culture Changeen_GB
dc.identifier.urihttp://hdl.handle.net/10755/156282-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Evaluation and Monitoring of an Evidence-Based Culture Change</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">Bendekovits, Rita A., RN, MSN, ONC</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Lehigh Valley Hospital</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Quality Manager of Patient Care</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">Rita.Bendekovits@lvh.com</td></tr><tr><td colspan="2" class="item-abstract">[Research Presentation] The Nursing Advisory Board (2005) describes Evidence-Based Practice (EBP) as an opportunity to invigorate the practice environment. Implementing an EBP practice culture in a multi-site tertiary care center required a carefully constructed plan. This culture change was prompted by an initiative to revise and update hospital procedures and clinical practice guidelines based on current evidence. (Phase 1) The EBP leadership group, consisting of dedicated administrators, researchers and unit-based educators&aacute;served as mentors and educators skilled in conducting evidence review and determining the levels of evidence. The EBP program was evaluated using both quantitative and qualitative analysis. Phase two of the project addressed the process of developing outcome measures that demonstrated compliance, effectiveness and efficiency. The National Quality Forum (NQF) research recommendations identified pain assessment and management measures as nursing sensitive performance indicators. Due to lack of compliance in both the assessment and documentation of patient's pain level, an initiative to improve positive patient outcomes was initiated. The pain standards of care were revised by EBP experts and benchmarking practices with other Magnet hospitals. Structured education was implemented through a variety of consistent educational interventions. In addition, nursing quality and informatics incorporated the EBP pain guidelines into the new electronic documentation system resulting in improved compliance both in practice and documentation. Focused monitoring including unit and individual feedback was continually provided to leadership and staff. Real time data via web-based data reporting was implemented to access monitoring activities. Improvements in an understanding of the importance of frequent assessments of pain and documentation of pain scores according to the revised EBP-based standard was demonstrated. Future projects are currently in the process of implementation, including falls, pressure ulcers, restraint usage and smoking cessation. Therapid-cycle improvement process will be used to incorporate EBP into guidelines and bring evidence to the point of care.</td></tr></table>en_GB
dc.date.available2011-10-26T14:37:52Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T14:37:52Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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