2.50
Hdl Handle:
http://hdl.handle.net/10755/161808
Category:
Abstract
Type:
Presentation
Title:
Selection of a Method to Rate the Strength of Scientific Evidence for AORN Recommendations
Author(s):
Steelman, Victoria M.; Gaberson, Kathleen B.; Graling, Paula; King, Cecil A.; Pape, Theresa
Author Details:
Victoria Steelman, PhD, RN, CNOR, FAAN, AORN Evidence-Based Practice Taskforce, Denver, Colorado, USA, email: victoria-steelman@uiowa.edu; Kathleen B. Gaberson, PhD, RN, CNOR, CNE, ANEF; Paula Graling, DNP, RN, CNOR; Cecil A. King, MS, RN, CNS, CNOR, APRN; Theresa Pape, RN, PhD, CNOR
Abstract:
Poster presented at AORN's 58th Annual Congress: Background: The use of research-based evidence to support national recommendations about clinical decisions has become an expectation of interdisciplinary health care organizations. Many evidence-rating methods are available, and the most applicable for perioperative recommendations was unknown. Purpose: The objectives of this project were to: Identify the most applicable evidence-rating method for perioperative nursing practice, Evaluate the reliability of this evidence-rating method for perioperative nursing recommendations, and Identify barriers and facilitators to promote adoption of this method for perioperative nursing recommendations. Methodology: We used a mixed methods approach to accomplish these objectives. As a panel of perioperative nursing experts, we evaluated evidence-rating systems for inclusion of the three essential domains identified by the Agency for Healthcare Research and Quality (quality, quantity, and consistency of scientific evidence). We rated the methods that fully covered all three domains for applicability to perioperative nursing practice recommendations. We tested the highest rated method for inter-rater reliability. Finally, we conducted a thematic analysis of potential barriers and facilitators for adoption of this method in perioperative nursing recommendations. Findings: Of 46 evidence-rating methods evaluated, 10 fully covered the domains of quality, quantity, and consistency. Of these, the Oncology Nursing Society's method was rated highest for all five aspects of applicability. Inter-rater reliability of this evidence- rating method for perioperative recommendations was 100%. Barriers included: knowledge deficit, staff resources and support, resistance to change, and fear of showing lower levels of evidence supporting recommendations. Facilitators included education, resource allocation, and starting small. Summary: A systematic procedure was effective for identifying the most applicable method for perioperative nursing practice recommendations. Adoption of the Oncology Nursing Society's evidence-rating method was approved by the AORN Board of Directors in July 2010. Barriers and facilitators were shared with the implementation team. Faculty Disclosure: 1. Consultants/Speakers' Bureau - MTF (All authors)
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2011
Conference Name:
AORN 58th Annual Congress
Conference Host:
Association of periOperative Registered Nurses
Conference Location:
Philadelphia, Pennsylvania, USA
Description:
AORN 58th Annual Congress, 2011 held March 18, 2011 - March 24, 2011 in Philadelphia Convention Center
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titleSelection of a Method to Rate the Strength of Scientific Evidence for AORN Recommendationsen_GB
dc.contributor.authorSteelman, Victoria M.en_US
dc.contributor.authorGaberson, Kathleen B.en_US
dc.contributor.authorGraling, Paulaen_US
dc.contributor.authorKing, Cecil A.en_US
dc.contributor.authorPape, Theresaen_US
dc.author.detailsVictoria Steelman, PhD, RN, CNOR, FAAN, AORN Evidence-Based Practice Taskforce, Denver, Colorado, USA, email: victoria-steelman@uiowa.edu; Kathleen B. Gaberson, PhD, RN, CNOR, CNE, ANEF; Paula Graling, DNP, RN, CNOR; Cecil A. King, MS, RN, CNS, CNOR, APRN; Theresa Pape, RN, PhD, CNORen_US
dc.identifier.urihttp://hdl.handle.net/10755/161808-
dc.description.abstractPoster presented at AORN's 58th Annual Congress: Background: The use of research-based evidence to support national recommendations about clinical decisions has become an expectation of interdisciplinary health care organizations. Many evidence-rating methods are available, and the most applicable for perioperative recommendations was unknown. Purpose: The objectives of this project were to: Identify the most applicable evidence-rating method for perioperative nursing practice, Evaluate the reliability of this evidence-rating method for perioperative nursing recommendations, and Identify barriers and facilitators to promote adoption of this method for perioperative nursing recommendations. Methodology: We used a mixed methods approach to accomplish these objectives. As a panel of perioperative nursing experts, we evaluated evidence-rating systems for inclusion of the three essential domains identified by the Agency for Healthcare Research and Quality (quality, quantity, and consistency of scientific evidence). We rated the methods that fully covered all three domains for applicability to perioperative nursing practice recommendations. We tested the highest rated method for inter-rater reliability. Finally, we conducted a thematic analysis of potential barriers and facilitators for adoption of this method in perioperative nursing recommendations. Findings: Of 46 evidence-rating methods evaluated, 10 fully covered the domains of quality, quantity, and consistency. Of these, the Oncology Nursing Society's method was rated highest for all five aspects of applicability. Inter-rater reliability of this evidence- rating method for perioperative recommendations was 100%. Barriers included: knowledge deficit, staff resources and support, resistance to change, and fear of showing lower levels of evidence supporting recommendations. Facilitators included education, resource allocation, and starting small. Summary: A systematic procedure was effective for identifying the most applicable method for perioperative nursing practice recommendations. Adoption of the Oncology Nursing Society's evidence-rating method was approved by the AORN Board of Directors in July 2010. Barriers and facilitators were shared with the implementation team. Faculty Disclosure: 1. Consultants/Speakers' Bureau - MTF (All authors)en_GB
dc.date.available2011-10-27T08:40:57Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T08:40:57Z-
dc.conference.date2011en_US
dc.conference.nameAORN 58th Annual Congressen_US
dc.conference.hostAssociation of periOperative Registered Nursesen_US
dc.conference.locationPhiladelphia, Pennsylvania, USAen_US
dc.descriptionAORN 58th Annual Congress, 2011 held March 18, 2011 - March 24, 2011 in Philadelphia Convention Centeren_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.-
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