2.50
Hdl Handle:
http://hdl.handle.net/10755/162204
Category:
Abstract
Type:
Presentation
Title:
Evidence-Based Practice - Link to Patient Outcomes
Author(s):
Ritchie, Judith; O'Connor, Patricia; Sourdif, Jacynthe; Biron, Alain; Laizner, Andrea M.; Rose, Patricia; Rosmus, Christina; Lee, Virginia
Author Details:
Judith Ritchie, RN, PhD, Director of Nursing for Research, McGill University Health Centre, Montreal, Quebec, Canada, email: judith.ritchie@muhc.mcgill.ca; Patricia O'Connor; Jacynthe Sourdif; Alain Biron; Andrea M Laizner; Patricia Rose; Christina Rosmus; Virginia Lee
Abstract:
Background: Clinical practice guidelines may facilitate application of clinical research in practice and improve patient outcomes. Based on the framework Promoting Action on Research Implementation in Health Services, we used multiple strategies to support implementation of RNAO Best Practice Guidelines related to pain, pressure ulcers and falls. Methods: Using a non-equivalent control group, pre- and post-test design and triangulation of methods, we assessed the impact of implementation on nursing practice and patient outcomes on 17 implementation and 14 comparison units. We measured practice change through chart reviews of the documentation and assessed outcomes for 898 patients before and 909 patients 6 months after implementation. Nurses (736 at baseline and 570 at 6 months) reported on their perceptions of their work context and, on implementation units, participated in focus groups. Results: Fifteen implementation units had at least moderate practice improvement; only 3 comparison units showed any change. Perceptions of safety climate and organizational support were highest on the most successful units. Nurses reported that factors related to evidence, context and facilitation affected implementation. Patient outcomes were highly variable. Conclusion: Attention to multiple elements is required to achieve practice change. Considerable practice change is required before outcomes improve.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2009
Conference Name:
CASN Nursing Research Conference
Conference Host:
Canadian Association of Schools of Nursing
Conference Location:
Moncton, New Brunswick, Canada
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.titleEvidence-Based Practice - Link to Patient Outcomesen_GB
dc.contributor.authorRitchie, Judithen_US
dc.contributor.authorO'Connor, Patriciaen_US
dc.contributor.authorSourdif, Jacyntheen_US
dc.contributor.authorBiron, Alainen_US
dc.contributor.authorLaizner, Andrea M.en_US
dc.contributor.authorRose, Patriciaen_US
dc.contributor.authorRosmus, Christinaen_US
dc.contributor.authorLee, Virginiaen_US
dc.author.detailsJudith Ritchie, RN, PhD, Director of Nursing for Research, McGill University Health Centre, Montreal, Quebec, Canada, email: judith.ritchie@muhc.mcgill.ca; Patricia O'Connor; Jacynthe Sourdif; Alain Biron; Andrea M Laizner; Patricia Rose; Christina Rosmus; Virginia Leeen_US
dc.identifier.urihttp://hdl.handle.net/10755/162204-
dc.description.abstractBackground: Clinical practice guidelines may facilitate application of clinical research in practice and improve patient outcomes. Based on the framework Promoting Action on Research Implementation in Health Services, we used multiple strategies to support implementation of RNAO Best Practice Guidelines related to pain, pressure ulcers and falls. Methods: Using a non-equivalent control group, pre- and post-test design and triangulation of methods, we assessed the impact of implementation on nursing practice and patient outcomes on 17 implementation and 14 comparison units. We measured practice change through chart reviews of the documentation and assessed outcomes for 898 patients before and 909 patients 6 months after implementation. Nurses (736 at baseline and 570 at 6 months) reported on their perceptions of their work context and, on implementation units, participated in focus groups. Results: Fifteen implementation units had at least moderate practice improvement; only 3 comparison units showed any change. Perceptions of safety climate and organizational support were highest on the most successful units. Nurses reported that factors related to evidence, context and facilitation affected implementation. Patient outcomes were highly variable. Conclusion: Attention to multiple elements is required to achieve practice change. Considerable practice change is required before outcomes improve.en_GB
dc.date.available2011-10-27T09:58:50Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T09:58:50Z-
dc.conference.date2009-
dc.conference.nameCASN Nursing Research Conferenceen_US
dc.conference.hostCanadian Association of Schools of Nursingen_US
dc.conference.locationMoncton, New Brunswick, Canadaen_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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