Promoting a Paradigm Shift within a Shared Governance Organization: Establishing a New Norm of EBP, CQI, and Research

2.50
Hdl Handle:
http://hdl.handle.net/10755/164153
Category:
Abstract
Type:
Presentation
Title:
Promoting a Paradigm Shift within a Shared Governance Organization: Establishing a New Norm of EBP, CQI, and Research
Author(s):
Rager Zuzelo, Patti
Author Details:
Patti Rager Zuzelo, EdD, APRN, BC, CNS, LaSalle University, Philadelphia, Pennsylvania, USA, email: nacnsorg@nacns.org
Abstract:
Problem and Significance: Albert Einstein Healthcare Network utilizes a shared governance model based upon a matrix design built along service lines. Nurses are challenged to increase EBP activities and struggle to differentiate between EBP, CQI, and research. Staff RNs and managers have diverse educational backgrounds with few advanced practice nurses. RNs often view research activities as valuable but disconnected from daily practice. Purpose: The Associate Director of Nursing for Research (ADNR) is a CNS holding a joint appointment between the healthcare network and a local university. The ADNR is charged with promoting an agenda that 1) develops an understanding of research 2) assists nurses with appreciating the unique values of EBP, CQI, and research 3) encourages best practice and, 4) promotes professionalism. Description of Project: The medical-surgical and critical care service line clusters were supported in efforts to identify practice priorities. Three projects were developed: Never Again Stories of Critical Care Nurses; Moral Distress of Acute Care Nurses, and Elders' Pain: A Program Evaluation Project. Steering committees of staff and administrators were formed for each project. Methods: Each project is chaired by the ADNR. Steering committee members are responsible for critiquing the proposal and directing data collection activities. The Never Again Stories is a critical incident study involving interviews. The Moral Distress project uses survey methodology and will include RNs across a variety of clinical settings. Elders' Pain project is designed to teach program evaluation and improve pain management of elderly inpatients. The ADNR also utilizes an annual newsletter, and attends a variety of meetings to voice consistent application of EBP and CQI principles. Outcomes: RN project participation is hesitant as nurses are concerned about additional workload and are worried about their perceived inexperience with EBP, outcomes, and research. Steering committee membership has been popular and competitive. Shared governance cluster members are developing an understanding of the various aspects of EBP. Conclusions: RNs may not recognize EBP, research, program evaluation, and CQI as related but distinct activities. RNs may learn best using a problem-based learning approach that involves staff in different types of activities that may serve as exemplars for EBP, research, and CQI processes. Mentoring and coaching are critical throughout project development and implementation. Staff participation furthers the empowerment promoted by shared governance.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2005
Conference Name:
CNS Leadership: Navigating the Healthcare Environment Toward Excellence
Conference Host:
NACNS - National Association of Clinical Nurse Specialists
Conference Location:
Orlando, Florida, USA
Description:
Conference theme: CNS Leadership: Navigating the Healthcare Environment Toward Excellence, held on March 9�12, 2005 in Orlando, Florida, USA
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.titlePromoting a Paradigm Shift within a Shared Governance Organization: Establishing a New Norm of EBP, CQI, and Researchen_GB
dc.contributor.authorRager Zuzelo, Pattien_US
dc.author.detailsPatti Rager Zuzelo, EdD, APRN, BC, CNS, LaSalle University, Philadelphia, Pennsylvania, USA, email: nacnsorg@nacns.orgen_US
dc.identifier.urihttp://hdl.handle.net/10755/164153-
dc.description.abstractProblem and Significance: Albert Einstein Healthcare Network utilizes a shared governance model based upon a matrix design built along service lines. Nurses are challenged to increase EBP activities and struggle to differentiate between EBP, CQI, and research. Staff RNs and managers have diverse educational backgrounds with few advanced practice nurses. RNs often view research activities as valuable but disconnected from daily practice. Purpose: The Associate Director of Nursing for Research (ADNR) is a CNS holding a joint appointment between the healthcare network and a local university. The ADNR is charged with promoting an agenda that 1) develops an understanding of research 2) assists nurses with appreciating the unique values of EBP, CQI, and research 3) encourages best practice and, 4) promotes professionalism. Description of Project: The medical-surgical and critical care service line clusters were supported in efforts to identify practice priorities. Three projects were developed: Never Again Stories of Critical Care Nurses; Moral Distress of Acute Care Nurses, and Elders' Pain: A Program Evaluation Project. Steering committees of staff and administrators were formed for each project. Methods: Each project is chaired by the ADNR. Steering committee members are responsible for critiquing the proposal and directing data collection activities. The Never Again Stories is a critical incident study involving interviews. The Moral Distress project uses survey methodology and will include RNs across a variety of clinical settings. Elders' Pain project is designed to teach program evaluation and improve pain management of elderly inpatients. The ADNR also utilizes an annual newsletter, and attends a variety of meetings to voice consistent application of EBP and CQI principles. Outcomes: RN project participation is hesitant as nurses are concerned about additional workload and are worried about their perceived inexperience with EBP, outcomes, and research. Steering committee membership has been popular and competitive. Shared governance cluster members are developing an understanding of the various aspects of EBP. Conclusions: RNs may not recognize EBP, research, program evaluation, and CQI as related but distinct activities. RNs may learn best using a problem-based learning approach that involves staff in different types of activities that may serve as exemplars for EBP, research, and CQI processes. Mentoring and coaching are critical throughout project development and implementation. Staff participation furthers the empowerment promoted by shared governance.en_GB
dc.date.available2011-10-27T11:43:01Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T11:43:01Z-
dc.conference.date2005en_US
dc.conference.nameCNS Leadership: Navigating the Healthcare Environment Toward Excellenceen_US
dc.conference.hostNACNS - National Association of Clinical Nurse Specialistsen_US
dc.conference.locationOrlando, Florida, USAen_US
dc.descriptionConference theme: CNS Leadership: Navigating the Healthcare Environment Toward Excellence, held on March 9�12, 2005 in Orlando, Florida, USAen_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.en_US
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