2.50
Hdl Handle:
http://hdl.handle.net/10755/166388
Category:
Abstract
Type:
Presentation
Title:
Development of an Evidence-Based Practice (EBP) Protocol
Author(s):
Pierson, Peg; Schuelke, Sue; Oetting, Kitty; Moore, Kim
Author Details:
Peg Pierson, RN, MSN, CNA, BC, - Professional Practice and Magnet Coordinator at Saint Elizabeth Regional Medical Center, Lincoln, NE, email: ppierson@stez.org; Sue Schuelke, RN-BC, MSN, CCRN; Kitty Oetting, MSN, MA, RN-BC; Kim Moore, RN, MSN, CNAA, BC
Abstract:
HEALTHCARE ORGANIZATION DESCRIPTION: Saint Elizabeth Regional Medical Center is a 261 bed not-for-profit, tax exempt, religious and charitable acute care facility. BACKGROUND OF PRACTICE INNOVATION: Over the past five years, evidence-based practice has been integrated into organizational structures including inservice education, job descriptions, performance appraisal, clinical ladder advancement, and shared nursing leadership council work. Consistent with reports in the literature, nurses often related lack of sufficient knowledge and experience to implement EBP in the practice setting. We saw an opportunity to build on existing structures to strengthen EBP utilization to improve quality of care. PRACTICE INNOVATION PURPOSE: (1) Develop an EBP protocol including an independent study packet augmented by a mentor role to support implementation of evidence based practice projects that can be used by staff nurses for clinical ladder advancement. (2) Evaluate the impact of the EBP protocol on variables including EBP beliefs, utilization of EBP, nurse satisfaction, group cohesion and nurse retention (identified in the literature as impacted by EBP). PRACTICE INNOVATION QUESTIONS: (1) Do nurses seeking clinical ladder advancement who complete the EBP protocol experience greater success in meeting EBP advancement criteria than those who did not? (2) Is independent study with mentor support a desirable teaching strategy for staff nurses? (3) Does strengthening staff nurse EBP knowledge affect EBP beliefs, utilization of EBP, nurse satisfaction, group cohesion and nurse retention in this facility? PRACTICE INNOVATION IMPLEMENTATION: (1) Informal data gathering from staff nurses re EBP knowledge/needs. (2) Attended EBP mentor immersion program. (3) Develop protocol with program faculty support. (4) Secure support for project from facility CNO, clinical ladder committee. (5) Develop independent study packet, expert review and pilot testing. (6) Secure continuing education credit for independent study packet. (7) Research council approval of project. (8) Implementation of protocol- introduced independent study packet with mentor support. (9) Data collection and analysis (pre intervention and 12 months post intervention). (10) At one year looking at revising packet to strengthen content and take EBP to the next level. PRACTICE INNOVATION OUTCOMES: Evaluation of EBP protocol (independent study with mentor support) on four levels utilizing Kirkpatrick's model: (1) Reaction: Participant evaluation of independent study packet. Nurses reported learning objectives had been met, teaching strategies were appropriate, and they responded very positively to the flexibility allowed by independent study (3.6-3.8 on a 4 point scale). (2) Learning: Successful completion of EBP packet post-learning activity that could be used for clinical ladder advancement. Participants successfully identified a clinical situation they wished to explore and conducted a literature search on the topic using PICO. (3) Behavior: Performance resulted in successful clinical ladder advancement. Nurses who completed the EBP study packet with mentor support were successful in meeting clinical ladder advancement criteria which had not consistently occurred prior to implementation of the EBP protocol. (4) Results: EBP beliefs, EBP implementation, nurse job satisfaction, group cohesion, and nurse retention. Comparing baseline with one year post-intervention. Baseline data is consistent with reports in the literature, e.g. nurses value EBP but lack knowledge, experience, and time to implement. One year follow-up measures are in progress. CONCLUSIONS: Early data are supportive of (a) the EBP protocol (independent study augmented by mentor) as a strategy to enhance EBP in our clinical setting as demonstrated through study packet evaluations and (b) greater success for nurses seeking to meet EBP criteria for clinical ladder advancement. The independent study packet is under review to enhance critical review of the evidence to add emphasis on level and strength of evidence. ACE Star EBP competencies are being incorporated into established progressive EBP criteria for clinical ladder advancement.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2008
Conference Name:
ANCC Magnet Practice Innovations
Conference Host:
American Nurses Credentialing 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 for further details regarding this item.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titleDevelopment of an Evidence-Based Practice (EBP) Protocolen_GB
dc.contributor.authorPierson, Pegen_US
dc.contributor.authorSchuelke, Sueen_US
dc.contributor.authorOetting, Kittyen_US
dc.contributor.authorMoore, Kimen_US
dc.author.detailsPeg Pierson, RN, MSN, CNA, BC, - Professional Practice and Magnet Coordinator at Saint Elizabeth Regional Medical Center, Lincoln, NE, email: ppierson@stez.org; Sue Schuelke, RN-BC, MSN, CCRN; Kitty Oetting, MSN, MA, RN-BC; Kim Moore, RN, MSN, CNAA, BCen_US
dc.identifier.urihttp://hdl.handle.net/10755/166388-
dc.description.abstractHEALTHCARE ORGANIZATION DESCRIPTION: Saint Elizabeth Regional Medical Center is a 261 bed not-for-profit, tax exempt, religious and charitable acute care facility. BACKGROUND OF PRACTICE INNOVATION: Over the past five years, evidence-based practice has been integrated into organizational structures including inservice education, job descriptions, performance appraisal, clinical ladder advancement, and shared nursing leadership council work. Consistent with reports in the literature, nurses often related lack of sufficient knowledge and experience to implement EBP in the practice setting. We saw an opportunity to build on existing structures to strengthen EBP utilization to improve quality of care. PRACTICE INNOVATION PURPOSE: (1) Develop an EBP protocol including an independent study packet augmented by a mentor role to support implementation of evidence based practice projects that can be used by staff nurses for clinical ladder advancement. (2) Evaluate the impact of the EBP protocol on variables including EBP beliefs, utilization of EBP, nurse satisfaction, group cohesion and nurse retention (identified in the literature as impacted by EBP). PRACTICE INNOVATION QUESTIONS: (1) Do nurses seeking clinical ladder advancement who complete the EBP protocol experience greater success in meeting EBP advancement criteria than those who did not? (2) Is independent study with mentor support a desirable teaching strategy for staff nurses? (3) Does strengthening staff nurse EBP knowledge affect EBP beliefs, utilization of EBP, nurse satisfaction, group cohesion and nurse retention in this facility? PRACTICE INNOVATION IMPLEMENTATION: (1) Informal data gathering from staff nurses re EBP knowledge/needs. (2) Attended EBP mentor immersion program. (3) Develop protocol with program faculty support. (4) Secure support for project from facility CNO, clinical ladder committee. (5) Develop independent study packet, expert review and pilot testing. (6) Secure continuing education credit for independent study packet. (7) Research council approval of project. (8) Implementation of protocol- introduced independent study packet with mentor support. (9) Data collection and analysis (pre intervention and 12 months post intervention). (10) At one year looking at revising packet to strengthen content and take EBP to the next level. PRACTICE INNOVATION OUTCOMES: Evaluation of EBP protocol (independent study with mentor support) on four levels utilizing Kirkpatrick's model: (1) Reaction: Participant evaluation of independent study packet. Nurses reported learning objectives had been met, teaching strategies were appropriate, and they responded very positively to the flexibility allowed by independent study (3.6-3.8 on a 4 point scale). (2) Learning: Successful completion of EBP packet post-learning activity that could be used for clinical ladder advancement. Participants successfully identified a clinical situation they wished to explore and conducted a literature search on the topic using PICO. (3) Behavior: Performance resulted in successful clinical ladder advancement. Nurses who completed the EBP study packet with mentor support were successful in meeting clinical ladder advancement criteria which had not consistently occurred prior to implementation of the EBP protocol. (4) Results: EBP beliefs, EBP implementation, nurse job satisfaction, group cohesion, and nurse retention. Comparing baseline with one year post-intervention. Baseline data is consistent with reports in the literature, e.g. nurses value EBP but lack knowledge, experience, and time to implement. One year follow-up measures are in progress. CONCLUSIONS: Early data are supportive of (a) the EBP protocol (independent study augmented by mentor) as a strategy to enhance EBP in our clinical setting as demonstrated through study packet evaluations and (b) greater success for nurses seeking to meet EBP criteria for clinical ladder advancement. The independent study packet is under review to enhance critical review of the evidence to add emphasis on level and strength of evidence. ACE Star EBP competencies are being incorporated into established progressive EBP criteria for clinical ladder advancement.en_GB
dc.date.available2011-10-27T15:32:36Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T15:32:36Z-
dc.conference.date2008en_US
dc.conference.nameANCC Magnet Practice Innovationsen_US
dc.conference.hostAmerican Nurses Credentialing 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 for further details regarding this item.-
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