The Journey of Clinical Nurse Specialists in Promoting Evidence-Based Practice to Ensure Safety and Quality

2.50
Hdl Handle:
http://hdl.handle.net/10755/164209
Category:
Abstract
Type:
Presentation
Title:
The Journey of Clinical Nurse Specialists in Promoting Evidence-Based Practice to Ensure Safety and Quality
Author(s):
Leaton, Mary Beth; Martin, Pamela
Author Details:
Mary Beth Leaton, MS, RN, CCRN, CNS, Morristown Memorial Hospital, Morristown, New Jersey, USA, email: nacnsorg@nacns.org; Pamela Martin, RNC, MSN, APNC
Abstract:
Purpose: To describe the role of clinical nurses specialists (CNSs) in promoting a culture of evidence-based practice (EBP). Significance: Evidence-based practice combines clinical expertise and best evidence to ensure safety and quality in patient care. Despite the clear benefits, a gap exists in its implementation. A study by Pravikoff and colleagues (2005) found that RNs are not ready for evidence based practice due to gaps in information literacy and computer skills, limited access to high-quality information resources, and attitudes to research. CNSs play a key role in creating a culture of competency and positive perceptions of EBP. Background/Design: Nursing leadership at a magnet-designated hospital recognized the need to create a culture of EBP and identified CNSs as leaders in this journey to advance the art and science of nursing. Methods: The journey started with an EBP steering committee evaluating several models and definitions of EBP and subsequently, choosing the John Hopkins model with nursing research council approval. The ICU CNS replicated Pravikoff's study to obtain a baseline assessment of EBP readiness. Process changes were developed as a result of this information and outcomes evaluated. An educational plan was collaboratively developed and included a web-based introduction to EBP, a "how to" guide for journal clubs, weekly emails on EBP topics, and monthly bulletin boards. Clinical Nurse Specialists were committed to development and implementation of an EBP project as requirement of their yearly evaluation. The CNS forum collaborated with nursing staff to provide quarterly EBP patient case presentations. Findings: Collaborative efforts between the various nursing units across the spectrum of care resulted in numerous EBP projects with CNS leadership. Replication projects were done by the CPACU and CCU. An annual EBP Conference is held with national speakers and local poster presentations. Conclusions: As a result of commitment by the CNSs to drive EBP on a road to safety and quality, EBP flourished at our organization. Implications for Practice: The journey continues with clinical nurse specialists capturing improved patient outcomes and safety as a result of EBP efforts. "The journey is the reward" (old Chinese proverb).
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2007
Conference Name:
CNS Outcomes: Ensuring Safety and Quality
Conference Host:
NACNS - National Association of Clinical Nurse Specialists
Conference Location:
Phoenix, Arizona, USA
Description:
Conference theme: CNS Outcomes: Ensuring Safety and Quality, held February 28-March 1 in Phoenix, Arizona, 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.titleThe Journey of Clinical Nurse Specialists in Promoting Evidence-Based Practice to Ensure Safety and Qualityen_GB
dc.contributor.authorLeaton, Mary Bethen_US
dc.contributor.authorMartin, Pamelaen_US
dc.author.detailsMary Beth Leaton, MS, RN, CCRN, CNS, Morristown Memorial Hospital, Morristown, New Jersey, USA, email: nacnsorg@nacns.org; Pamela Martin, RNC, MSN, APNCen_US
dc.identifier.urihttp://hdl.handle.net/10755/164209-
dc.description.abstractPurpose: To describe the role of clinical nurses specialists (CNSs) in promoting a culture of evidence-based practice (EBP). Significance: Evidence-based practice combines clinical expertise and best evidence to ensure safety and quality in patient care. Despite the clear benefits, a gap exists in its implementation. A study by Pravikoff and colleagues (2005) found that RNs are not ready for evidence based practice due to gaps in information literacy and computer skills, limited access to high-quality information resources, and attitudes to research. CNSs play a key role in creating a culture of competency and positive perceptions of EBP. Background/Design: Nursing leadership at a magnet-designated hospital recognized the need to create a culture of EBP and identified CNSs as leaders in this journey to advance the art and science of nursing. Methods: The journey started with an EBP steering committee evaluating several models and definitions of EBP and subsequently, choosing the John Hopkins model with nursing research council approval. The ICU CNS replicated Pravikoff's study to obtain a baseline assessment of EBP readiness. Process changes were developed as a result of this information and outcomes evaluated. An educational plan was collaboratively developed and included a web-based introduction to EBP, a "how to" guide for journal clubs, weekly emails on EBP topics, and monthly bulletin boards. Clinical Nurse Specialists were committed to development and implementation of an EBP project as requirement of their yearly evaluation. The CNS forum collaborated with nursing staff to provide quarterly EBP patient case presentations. Findings: Collaborative efforts between the various nursing units across the spectrum of care resulted in numerous EBP projects with CNS leadership. Replication projects were done by the CPACU and CCU. An annual EBP Conference is held with national speakers and local poster presentations. Conclusions: As a result of commitment by the CNSs to drive EBP on a road to safety and quality, EBP flourished at our organization. Implications for Practice: The journey continues with clinical nurse specialists capturing improved patient outcomes and safety as a result of EBP efforts. "The journey is the reward" (old Chinese proverb).en_GB
dc.date.available2011-10-27T11:44:03Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T11:44:03Z-
dc.conference.date2007en_US
dc.conference.nameCNS Outcomes: Ensuring Safety and Qualityen_US
dc.conference.hostNACNS - National Association of Clinical Nurse Specialistsen_US
dc.conference.locationPhoenix, Arizona, USAen_US
dc.descriptionConference theme: CNS Outcomes: Ensuring Safety and Quality, held February 28-March 1 in Phoenix, Arizona, 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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