2 Building Capacity for Evidence-Based Practice Change Using External Coaches and Internal Linkers to Reduce Hospital Falls: Analysis of Intervention Processes and Content

2.50
Hdl Handle:
http://hdl.handle.net/10755/156376
Type:
Presentation
Title:
2 Building Capacity for Evidence-Based Practice Change Using External Coaches and Internal Linkers to Reduce Hospital Falls: Analysis of Intervention Processes and Content
Abstract:
2 Building Capacity for Evidence-Based Practice Change Using External Coaches and Internal Linkers to Reduce Hospital Falls: Analysis of Intervention Processes and Content
Conference Sponsor:Sigma Theta Tau International
Conference Year:2005
Author:Rutledge, Dana N., PhD, RN
P.I. Institution Name:California State University, Fullerton
Title:Associate Professor, Nursing
Co-Authors:Nancy E. Donaldson, RN, DNSc, FAAN; Jeffrey Ashley, RN, MS, PhD(c); Kristin Geiser, PhD; Joanne S. Kingsbury, RN, MBA, CNA
Aim. This paper examines preliminary patterns in external coach and internal linkers contact content intended to build organizational capacity for falls related performance improvement in acute care hospitals. Methods. Adapting Havelock's Linkage Model (1986), the CalNOC Partners to Reduce Patient Falls Project uses external coaches to assist site-based linkers to reduce patient falls in 92 medical surgical units drawn from 33 hospitals participating in the ongoing California Nursing Outcomes Coalition Project (CalNOC). The standardized, yet individualized coaching process was guided by organizational and unit-level self assessments, and a drill down analysis of each hospital's CalNOC data. Each coach from the team of 6 advanced practice nurses forged a partnership with designated ôlinkersö to identify goals/priorities for improvement, develop a systematic plan for attaining those goals and execute the plan successfully. Regional networking across sites and web-based information resources, plus dissemination of emerging ôbest practicesö supplemented the coaching contacts. Procedure. The coaching process was adopted from the field of education with customized actions and content documented using tools adapted from Donaldson (1987). Foci of monthly, predominately telephone-based coaching interactions included, (1) evidence-based content falls reduction, (2) process evaluation and strategic planning, (3) building relationships with linkers, and (4) understanding organizational context and barriers. Coaches strengthen linker capacity to plan, implement, and evaluate efforts to reduce patient falls. Linkers literally connect research findings to practice. Important linker qualifications were status as an ôexpertö nurse within the NSO, and excellent verbal, written, and computer skills. Preferred qualifications include advanced practice role with minimum education at the baccalaureate level and multiple years of clinical experience. Findings. This presentation will examine qualitative data gleaned from the Coaching Documentation Record, analyzing themes and patterns across sites. Implications for research translation and related evidence-based practice change efforts and generalizability of this method will be discussed.
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.title2 Building Capacity for Evidence-Based Practice Change Using External Coaches and Internal Linkers to Reduce Hospital Falls: Analysis of Intervention Processes and Contenten_GB
dc.identifier.urihttp://hdl.handle.net/10755/156376-
dc.description.abstract<table><tr><td colspan="2" class="item-title">2 Building Capacity for Evidence-Based Practice Change Using External Coaches and Internal Linkers to Reduce Hospital Falls: Analysis of Intervention Processes and Content</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">Rutledge, Dana N., PhD, RN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">California State University, Fullerton</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Associate Professor, Nursing</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">drutledge1@cox.net</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Nancy E. Donaldson, RN, DNSc, FAAN; Jeffrey Ashley, RN, MS, PhD(c); Kristin Geiser, PhD; Joanne S. Kingsbury, RN, MBA, CNA</td></tr><tr><td colspan="2" class="item-abstract">Aim. This paper examines preliminary patterns in external coach and internal linkers contact content intended to build organizational capacity for falls related performance improvement in acute care hospitals. Methods. Adapting Havelock's Linkage Model (1986), the CalNOC Partners to Reduce Patient Falls Project uses external coaches to assist site-based linkers to reduce patient falls in 92 medical surgical units drawn from 33 hospitals participating in the ongoing California Nursing Outcomes Coalition Project (CalNOC). The standardized, yet individualized coaching process was guided by organizational and unit-level self assessments, and a drill down analysis of each hospital's CalNOC data. Each coach from the team of 6 advanced practice nurses forged a partnership with designated &ocirc;linkers&ouml; to identify goals/priorities for improvement, develop a systematic plan for attaining those goals and execute the plan successfully. Regional networking across sites and web-based information resources, plus dissemination of emerging &ocirc;best practices&ouml; supplemented the coaching contacts. Procedure. The coaching process was adopted from the field of education with customized actions and content documented using tools adapted from Donaldson (1987). Foci of monthly, predominately telephone-based coaching interactions included, (1) evidence-based content falls reduction, (2) process evaluation and strategic planning, (3) building relationships with linkers, and (4) understanding organizational context and barriers. Coaches strengthen linker capacity to plan, implement, and evaluate efforts to reduce patient falls. Linkers literally connect research findings to practice. Important linker qualifications were status as an &ocirc;expert&ouml; nurse within the NSO, and excellent verbal, written, and computer skills. Preferred qualifications include advanced practice role with minimum education at the baccalaureate level and multiple years of clinical experience. Findings. This presentation will examine qualitative data gleaned from the Coaching Documentation Record, analyzing themes and patterns across sites. Implications for research translation and related evidence-based practice change efforts and generalizability of this method will be discussed.</td></tr></table>en_GB
dc.date.available2011-10-26T14:43:20Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T14:43:20Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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