Creating Teams Who Play: Innovative Approach to Evidence-Based Care and Research in a Community Hospital

2.50
Hdl Handle:
http://hdl.handle.net/10755/182325
Category:
Abstract
Type:
Presentation
Title:
Creating Teams Who Play: Innovative Approach to Evidence-Based Care and Research in a Community Hospital
Author(s):
Roderman, Nicki
Author Details:
Nicki Roderman, RN, MSN, CCRN, Medical Center of Plano, Plano, Texas, USA, email: Nicki.Roderman@hcahealthcare.com
Abstract:
Purpose: Implementing evidence based guidelines and conducting research in the community hospital setting may be challenging due to limited resources and funds. This program will demonstrate an innovative approach to implementing a sepsis bundle that had a significant impact on patient outcomes and was then transitioned into a research project. Methods: Translating research findings and evidence-based guidelines into clinical care is challenging. When treating critically ill patients entering through the Emergency Department that require admission to Intensive Care, it is imperative to have a truly collaborative approach. This session will walk through one community hospital's two year journey of initial implementation of evidence-based sepsis guidelines that transitioned into a research project. A brief, scientific discussion of the evidence-based program implemented, will be followed by the research methods used to bring the project from the bedside to publication. Challenges and pitfalls along with celebration of success will be discussed. This entertaining and engaging session will leave the learner with a sense of how these challenges may be met in any setting and inspire the learner to engage in similar projects in his/her own setting. Results: Data analysis presented will show significant cost savings and statistical significance in eight measures, including decreased length of stay and a significant reduction in mortality. A brief discussion of sharing the data and publishing the research will be outlined. Conclusions: Taking a project from implementation of evidence-based care to a research project that can be published is possible in a community hospital setting. Angus, D., Linde-Swirble, W., Lidicker, J., Clermont, G., Carcillo, J., & Pinsky, M. (2001). Epidemiology of severe sepsis in the United States: Analysis of incidence, outcome, and associated costs of care. Critical Care Medicine, 29 (7), 1303-1310.; Picard, K., ODonoghue, S., Young-Kershaw, D., & Russell, K. (2006). Development and implementation of a multidisciplinary sepsis protocol. Critical Care Nurse, 26(3), 43-54.; Polit, D. & Beck, C. (2004). Nursing Research Principles and Methods. Lippincott Willams & Wilkins: Philadelphia; Rivers, E., Nguyen, B., Havstad, M.A., Ressler, J., Muzzin, A., Knoblich, B., et al. (2001). Early goal directed therapy in the treatment of severe sepsis and septic shock. The New England Journal of Medicine, 345(19), 1368-1377.; Shapiro, N., Howell, M., & Talmor, D. (2005). A blueprint for a sepsis protocol. Academy of Emergency Medicine, 12(4), 352-359.; Townsend, S., Dellinger, R.P., Levy, M., & Ramsay, G. (2005). Implementing the Surviving Sepsis Campaign. Society of Critical Care Medicine: Des Plaines, Illinois.
Repository Posting Date:
28-Oct-2011
Date of Publication:
28-Oct-2011
Conference Date:
2009
Conference Name:
ANCC National Magnet Conference
Conference Host:
American Nurses Credentialing Center
Conference Location:
Louisville, Kentucky, USA
Description:
"Magnet: Inspiring Innovation, Achieving Outcomes" was the theme and "Explore the relationship among leadership, innovation, and nursing practice outcomes" was the goal of the 13th American Nurses Credentialing Center (ANCC) National Magnet Conference, held 1-3 October, 2009 in Louisville, Kentucky, 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.titleCreating Teams Who Play: Innovative Approach to Evidence-Based Care and Research in a Community Hospitalen_GB
dc.contributor.authorRoderman, Nickien_US
dc.author.detailsNicki Roderman, RN, MSN, CCRN, Medical Center of Plano, Plano, Texas, USA, email: Nicki.Roderman@hcahealthcare.comen_US
dc.identifier.urihttp://hdl.handle.net/10755/182325-
dc.description.abstractPurpose: Implementing evidence based guidelines and conducting research in the community hospital setting may be challenging due to limited resources and funds. This program will demonstrate an innovative approach to implementing a sepsis bundle that had a significant impact on patient outcomes and was then transitioned into a research project. Methods: Translating research findings and evidence-based guidelines into clinical care is challenging. When treating critically ill patients entering through the Emergency Department that require admission to Intensive Care, it is imperative to have a truly collaborative approach. This session will walk through one community hospital's two year journey of initial implementation of evidence-based sepsis guidelines that transitioned into a research project. A brief, scientific discussion of the evidence-based program implemented, will be followed by the research methods used to bring the project from the bedside to publication. Challenges and pitfalls along with celebration of success will be discussed. This entertaining and engaging session will leave the learner with a sense of how these challenges may be met in any setting and inspire the learner to engage in similar projects in his/her own setting. Results: Data analysis presented will show significant cost savings and statistical significance in eight measures, including decreased length of stay and a significant reduction in mortality. A brief discussion of sharing the data and publishing the research will be outlined. Conclusions: Taking a project from implementation of evidence-based care to a research project that can be published is possible in a community hospital setting. Angus, D., Linde-Swirble, W., Lidicker, J., Clermont, G., Carcillo, J., & Pinsky, M. (2001). Epidemiology of severe sepsis in the United States: Analysis of incidence, outcome, and associated costs of care. Critical Care Medicine, 29 (7), 1303-1310.; Picard, K., ODonoghue, S., Young-Kershaw, D., & Russell, K. (2006). Development and implementation of a multidisciplinary sepsis protocol. Critical Care Nurse, 26(3), 43-54.; Polit, D. & Beck, C. (2004). Nursing Research Principles and Methods. Lippincott Willams & Wilkins: Philadelphia; Rivers, E., Nguyen, B., Havstad, M.A., Ressler, J., Muzzin, A., Knoblich, B., et al. (2001). Early goal directed therapy in the treatment of severe sepsis and septic shock. The New England Journal of Medicine, 345(19), 1368-1377.; Shapiro, N., Howell, M., & Talmor, D. (2005). A blueprint for a sepsis protocol. Academy of Emergency Medicine, 12(4), 352-359.; Townsend, S., Dellinger, R.P., Levy, M., & Ramsay, G. (2005). Implementing the Surviving Sepsis Campaign. Society of Critical Care Medicine: Des Plaines, Illinois.en_GB
dc.date.available2011-10-28T15:19:16Z-
dc.date.issued2011-10-28en_GB
dc.date.accessioned2011-10-28T15:19:16Z-
dc.conference.date2009en_US
dc.conference.nameANCC National Magnet Conferenceen_US
dc.conference.hostAmerican Nurses Credentialing Centeren_US
dc.conference.locationLouisville, Kentucky, USAen_US
dc.description"Magnet: Inspiring Innovation, Achieving Outcomes" was the theme and "Explore the relationship among leadership, innovation, and nursing practice outcomes" was the goal of the 13th American Nurses Credentialing Center (ANCC) National Magnet Conference, held 1-3 October, 2009 in Louisville, Kentucky, USA.en_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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