Development of a Research and Evidence Based Practice Structure in a Healthcare System

2.50
Hdl Handle:
http://hdl.handle.net/10755/157245
Type:
Presentation
Title:
Development of a Research and Evidence Based Practice Structure in a Healthcare System
Abstract:
Development of a Research and Evidence Based Practice Structure in a Healthcare System
Conference Sponsor:Western Institute of Nursing
Conference Year:2009
Author:Mensik, Jennifer S., PhD, RN, NEA-BC
P.I. Institution Name:Banner Health, Clinical Services
Title:System Director Clinical Practices and Research
Contact Address:1441 N. 12th Street, Phoenix, AZ, 85006, USA
Contact Telephone:602-747-3478
Purpose/Aims: The purpose of this presentation is discuss the development of a system wide infrastructure to conduct research and incorporate current knowledge consistently into nursing practice across a healthcare system with 22 hospitals in seven states.  Rationale/Background: The importance of nursing care on patient outcomes is widely recognized through the public reporting of nursing sensitive indicators by many organizations, including the Center for Medicare and Medicaid Services (CMS). The importance of nursing care on outcomes is so well documented, that CMS has imposed financial penalties on organizations whose patients have adverse or never events. The Institute of Medicine's latest publication, The Learning Healthcare System (2007), has set a goal that 90% of practice will be based on evidence by 2020. Current estimates have stated that not even 10% of current practice is based on the best and most current evidence. Furthermore, nursing care may differ significantly from facility to facility, state to state, and even within this healthcare system where it has been noted that there are different nursing care practices and policies for the same patient populations and problems, at each of the 22 hospitals. Brief Description of the undertaking: An assessment of research and evidence based practice (EBP) needs were gathered through discussion at two regional nursing and allied health research and EBP councils, as well as sending out a survey to over 8,000 staff, management, and advance practice nurses. The nurses received and were asked to take the Nursing Knowledge, Attitude, and Practice survey as well as a readiness survey which revealed the need for education on the research process in general, literature reviews, and access to resources. The results were consistent across all levels of nursing, despite educational preparation. Two all day retreats were then held with an outside expert consultant with both regional research councils to develop the infrastructure needed to incorporate research and EBP into all nurse's practice. The roll-out plan was developed and all of the chief nursing officers (CNOs) were educated on the final product and permission was obtained from the CNO to proceed with the education and infrastructure. Outcomes achieved/documented: Several structural outcomes were a result of this project. First, there were 5 educational levels identified, along with identifying each nurse's role. These roles include: staff nurse, nurse champion, nurse mentor, nurse facilitator, and nurse leader. All nurses, regardless of practice, received education on their role in research and EBP. Second, nurse leaders received education regarding their role in supporting all nurses in research and EBP. Finally, three levels of research and EBP nurses were determined based on education, position, and desire to participate, named champion, mentor, and facilitator. In addition, the role of the advance practice nurse was defined in relationship to research and EBP, at the master's and doctoral level.  Each facility now has at least one research nurse facilitator to coordinate research and EBP projects. Conclusions/implications: Research will be done over a several year period to determine the effects on clinical practice and patient outcomes. The goal set by the committee was to have 90% of nursing practice based on current evidence by 2020, in line with the IOM's goal. Furthermore, partnerships with multiple universities have and will continue to be established in order to provide another level of expertise into patient populations and problems of interest to our nurses and healthcare system.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Western Institute of Nursing

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleDevelopment of a Research and Evidence Based Practice Structure in a Healthcare Systemen_GB
dc.identifier.urihttp://hdl.handle.net/10755/157245-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Development of a Research and Evidence Based Practice Structure in a Healthcare System</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Western Institute of Nursing</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2009</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Mensik, Jennifer S., PhD, RN, NEA-BC</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Banner Health, Clinical Services</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">System Director Clinical Practices and Research</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">1441 N. 12th Street, Phoenix, AZ, 85006, USA</td></tr><tr class="item-phone"><td class="label">Contact Telephone:</td><td class="value">602-747-3478</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">jennifer.mensik@bannerhealth.com</td></tr><tr><td colspan="2" class="item-abstract">Purpose/Aims: The purpose of this presentation is discuss the development of a system wide infrastructure to conduct research and incorporate current knowledge consistently into nursing practice across a healthcare system with 22 hospitals in seven states.&nbsp; Rationale/Background: The importance of nursing care on patient outcomes is widely recognized through the public reporting of nursing sensitive indicators by many organizations, including the Center for Medicare and Medicaid Services (CMS). The importance of nursing care on outcomes is so well documented, that CMS has imposed financial penalties on organizations whose patients have adverse or never events. The Institute of Medicine's latest publication, The Learning Healthcare System (2007), has set a goal that 90% of practice will be based on evidence by 2020. Current estimates have stated that not even 10% of current practice is based on the best and most current evidence. Furthermore, nursing care may differ significantly from facility to facility, state to state, and even within this healthcare system where it has been noted that there are different nursing care practices and policies for the same patient populations and problems, at each of the 22 hospitals. Brief Description of the undertaking: An assessment of research and evidence based practice (EBP) needs were gathered through discussion at two regional nursing and allied health research and EBP councils, as well as sending out a survey to over 8,000 staff, management, and advance practice nurses. The nurses received and were asked to take the Nursing Knowledge, Attitude, and Practice survey as well as a readiness survey which revealed the need for education on the research process in general, literature reviews, and access to resources. The results were consistent across all levels of nursing, despite educational preparation. Two all day retreats were then held with an outside expert consultant with both regional research councils to develop the infrastructure needed to incorporate research and EBP into all nurse's practice. The roll-out plan was developed and all of the chief nursing officers (CNOs) were educated on the final product and permission was obtained from the CNO to proceed with the education and infrastructure. Outcomes achieved/documented: Several structural outcomes were a result of this project. First, there were 5 educational levels identified, along with identifying each nurse's role. These roles include: staff nurse, nurse champion, nurse mentor, nurse facilitator, and nurse leader. All nurses, regardless of practice, received education on their role in research and EBP. Second, nurse leaders received education regarding their role in supporting all nurses in research and EBP. Finally, three levels of research and EBP nurses were determined based on education, position, and desire to participate, named champion, mentor, and facilitator. In addition, the role of the advance practice nurse was defined in relationship to research and EBP, at the master's and doctoral level.&nbsp; Each facility now has at least one research nurse facilitator to coordinate research and EBP projects. Conclusions/implications: Research will be done over a several year period to determine the effects on clinical practice and patient outcomes. The goal set by the committee was to have 90% of nursing practice based on current evidence by 2020, in line with the IOM's goal. Furthermore, partnerships with multiple universities have and will continue to be established in order to provide another level of expertise into patient populations and problems of interest to our nurses and healthcare system.</td></tr></table>en_GB
dc.date.available2011-10-26T19:41:50Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T19:41:50Z-
dc.description.sponsorshipWestern Institute of Nursingen_GB
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