2.50
Hdl Handle:
http://hdl.handle.net/10755/182728
Category:
Abstract
Type:
Presentation
Title:
Capacity for Evidence-Based Practice: Impact on Hospital Quality and Outcomes
Author(s):
Donaldson, Nancy; Stotts, James
Author Details:
Nancy Donaldson, RN, DNSc, FAAN, UCSF School of Nursing, San Francisco, CA, USA, email: nancy.donaldson@nursing.ucsf.edu; James Stotts, RN, MS, Stanford Hospital and Clinics
Abstract:
Podium Presentation: BRIEF DESCRIPTION: This presentation examines the impact of a regional collaborative effort to leverage expertise and resources in the utilization of staff generated clinical problems for evidence-based performance improvement projects that test small changes at the micro system level. ABSTRACT: Introduction: To maximize clinical effectiveness, clinicians must align practice with science (IOM, 2001). Barriers to research use in nursing are well documented and highlight the importance of building organizational capacity to empower and support clinicians in their evidence-based practice (EBP) roles. Using a consortium model, the EBP Program addresses key barriers including lack of staff nurse time to learn about and engage in EBP efforts; knowledge of research and EBP processes; and lack of mentoring at the microsystem level. Aims: This paper describes outcomes of a 3 year multisite collaborative effort to build capacity for evidence-based practice in hospitals. Through a regional continuing education program, the role of advanced practice nurse coaches is formalized and staff nurse EBP "fellows" are mentored through the systematic process of conducting an evidence-based practice improvement project. The program consists of 6 day-long workshops held over an 8 month period. Evaluation occurs both locally at each participating hospital, and programmatically across participants, and includes measures of quality, costs, and clinical outcomes, as appropriate to each fellow-driven small test of change project. Methods: We collected qualitative and quantitative survey data from 53 "coach" mentors, 56 staff nurse graduates of the program, and designated site coordinators for each of 6 participating hospitals. We focus this paper on results of both preliminary and summary impacts, as well as findings on the extent to which EBP Program "small tests of change", launched by EBP nurse fellows, were sustained and spread within their setting. Findings: Impacts included positive changes EBP project specific microsystem measures of patient care quality, costs, safety and outcomes which were aggregated across hospitals. Findings from several projects that examined impacts on nurse clinician knowledge, behavior and perceptions were also noteworthy. The impact of the EBP program on new research and EBP projects in each of the six participating hospitals, comprising a second wave of benefits and affirming capacity development, will be highlighted. Conclusion: Our experience suggests that leveraging regional infrastructure to train and support advanced practice EBP coaches and staff nurse EBP fellows increased capacity of participating hospitals to implement, evaluate and sustain microsystem practice improvements. REFERENCES: Institute of Medicine (2001). Crossing the Quality Chasm: A New Health System for the 21st Century. Washington, D.C., National Academy Press: 1-8.
Repository Posting Date:
28-Oct-2011
Date of Publication:
28-Oct-2011
Conference Date:
2008
Conference Name:
ANCC National Magnet Conference
Conference Host:
American Nurses Credentialing Center
Conference Location:
Salt Lake City, Utah, USA
Description:
The 12th American Nurses Credentialing Center (ANCC) National Magnet Conference, held 15-17 October, 2008 in Salt Lake City, Utah, 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.titleCapacity for Evidence-Based Practice: Impact on Hospital Quality and Outcomesen_GB
dc.contributor.authorDonaldson, Nancyen_US
dc.contributor.authorStotts, Jamesen_US
dc.author.detailsNancy Donaldson, RN, DNSc, FAAN, UCSF School of Nursing, San Francisco, CA, USA, email: nancy.donaldson@nursing.ucsf.edu; James Stotts, RN, MS, Stanford Hospital and Clinicsen_US
dc.identifier.urihttp://hdl.handle.net/10755/182728-
dc.description.abstractPodium Presentation: BRIEF DESCRIPTION: This presentation examines the impact of a regional collaborative effort to leverage expertise and resources in the utilization of staff generated clinical problems for evidence-based performance improvement projects that test small changes at the micro system level. ABSTRACT: Introduction: To maximize clinical effectiveness, clinicians must align practice with science (IOM, 2001). Barriers to research use in nursing are well documented and highlight the importance of building organizational capacity to empower and support clinicians in their evidence-based practice (EBP) roles. Using a consortium model, the EBP Program addresses key barriers including lack of staff nurse time to learn about and engage in EBP efforts; knowledge of research and EBP processes; and lack of mentoring at the microsystem level. Aims: This paper describes outcomes of a 3 year multisite collaborative effort to build capacity for evidence-based practice in hospitals. Through a regional continuing education program, the role of advanced practice nurse coaches is formalized and staff nurse EBP "fellows" are mentored through the systematic process of conducting an evidence-based practice improvement project. The program consists of 6 day-long workshops held over an 8 month period. Evaluation occurs both locally at each participating hospital, and programmatically across participants, and includes measures of quality, costs, and clinical outcomes, as appropriate to each fellow-driven small test of change project. Methods: We collected qualitative and quantitative survey data from 53 "coach" mentors, 56 staff nurse graduates of the program, and designated site coordinators for each of 6 participating hospitals. We focus this paper on results of both preliminary and summary impacts, as well as findings on the extent to which EBP Program "small tests of change", launched by EBP nurse fellows, were sustained and spread within their setting. Findings: Impacts included positive changes EBP project specific microsystem measures of patient care quality, costs, safety and outcomes which were aggregated across hospitals. Findings from several projects that examined impacts on nurse clinician knowledge, behavior and perceptions were also noteworthy. The impact of the EBP program on new research and EBP projects in each of the six participating hospitals, comprising a second wave of benefits and affirming capacity development, will be highlighted. Conclusion: Our experience suggests that leveraging regional infrastructure to train and support advanced practice EBP coaches and staff nurse EBP fellows increased capacity of participating hospitals to implement, evaluate and sustain microsystem practice improvements. REFERENCES: Institute of Medicine (2001). Crossing the Quality Chasm: A New Health System for the 21st Century. Washington, D.C., National Academy Press: 1-8.en_GB
dc.date.available2011-10-28T15:37:29Z-
dc.date.issued2011-10-28en_GB
dc.date.accessioned2011-10-28T15:37:29Z-
dc.conference.date2008en_US
dc.conference.nameANCC National Magnet Conferenceen_US
dc.conference.hostAmerican Nurses Credentialing Centeren_US
dc.conference.locationSalt Lake City, Utah, USAen_US
dc.descriptionThe 12th American Nurses Credentialing Center (ANCC) National Magnet Conference, held 15-17 October, 2008 in Salt Lake City, Utah, 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.-
All Items in this repository are protected by copyright, with all rights reserved, unless otherwise indicated.