2.50
Hdl Handle:
http://hdl.handle.net/10755/183134
Category:
Abstract
Type:
Presentation
Title:
Overcoming the Challenges of Implementing a Large Scale Research Project
Author(s):
Cleaves, Jane; Doliner, P.
Author Details:
Jane Cleaves, RNC, CN IV, Maine Medical Center, Portland, ME, email: dolinp@mmc.org; P. Doliner
Abstract:
Purpose: The purpose of this project is to facilitate better communication among patients, families and the multidisciplinary healthcare team. The hypothesis is that providing journals as a part of nursing practice will help to actively engage patients and families in care and will yield measurable positive outcomes. The focus of this presentation is to describe the project and its execution. Method: A literature review offered evidence that journals could be beneficial to patients and could provide a place for both patients and their families to take notes, write questions, capture feelings or concerns, and to hold information from their care providers. A pilot study on one surgical and one medical nursing unit provided further evidence that journals could have a positive impact within the acute care setting. With IRB approval, the study included a survey of patients', families', nurses' and physicians' perceptions about the difference the journal had made with regard to communication. The results were overwhelmingly positive and supported a larger scale rollout of the journals. The first phase of the rollout, which is currently under weigh, was to offer the journals on 12 non-critical and non-maternal units, to patients with stays greater than 48 hours. Patients are completing surveys which are measuring their control preference, activation level, patient empowerment and, again, perceptions about the utility of the journals in facilitating communication. The second phase of the rollout is planned to include the remaining 14 units in the hospital and will be informed by the findings from the first phase. Findings: The data that has been collected so far as part of the ongoing evaluation of the journals has been consistent with the findings from the pilot study in that patients report that the journals are useful in facilitating communication. Discussion: Providing journals has demonstrated positive outcomes for patients within this hospital population. However, integrating the distribution and use of the journals as a part of nursing practice has proven to be a challenge. The difference between launching a successful pilot project on two units and a practice change on 12 units is greater than a matter of scale and the project champions have learned many valuable lessons. It's been useful, for example, to build grass roots support on each unit and recruit local nursing champions. It has also been important to educate the multidisciplinary healthcare team on both the purpose and utility of the journal as well as on the research related to it. Consistent and continuing communication has been critical to ensure that each unit is able to both grow and sustain the new practice. And, visible support from top level nursing leadership has helped to keep organizational focus on the importance of successful project execution.
Repository Posting Date:
28-Oct-2011
Date of Publication:
28-Oct-2011
Conference Date:
2010
Conference Name:
7th Annual Florida Magnet Research Conference
Conference Host:
University of South Florida College of Nursing; Sigma Theta Tau International; Florida Organization of Nurse Executives
Conference Location:
Naples, Florida, USA
Description:
7th Annual Florida Magnet Research Conference - Theme: Research at the Point of Care. Held 11-13 February 2010 at the Naples Grande Beach Resort, Naples, 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.titleOvercoming the Challenges of Implementing a Large Scale Research Projecten_GB
dc.contributor.authorCleaves, Janeen_US
dc.contributor.authorDoliner, P.en_US
dc.author.detailsJane Cleaves, RNC, CN IV, Maine Medical Center, Portland, ME, email: dolinp@mmc.org; P. Dolineren_US
dc.identifier.urihttp://hdl.handle.net/10755/183134-
dc.description.abstractPurpose: The purpose of this project is to facilitate better communication among patients, families and the multidisciplinary healthcare team. The hypothesis is that providing journals as a part of nursing practice will help to actively engage patients and families in care and will yield measurable positive outcomes. The focus of this presentation is to describe the project and its execution. Method: A literature review offered evidence that journals could be beneficial to patients and could provide a place for both patients and their families to take notes, write questions, capture feelings or concerns, and to hold information from their care providers. A pilot study on one surgical and one medical nursing unit provided further evidence that journals could have a positive impact within the acute care setting. With IRB approval, the study included a survey of patients', families', nurses' and physicians' perceptions about the difference the journal had made with regard to communication. The results were overwhelmingly positive and supported a larger scale rollout of the journals. The first phase of the rollout, which is currently under weigh, was to offer the journals on 12 non-critical and non-maternal units, to patients with stays greater than 48 hours. Patients are completing surveys which are measuring their control preference, activation level, patient empowerment and, again, perceptions about the utility of the journals in facilitating communication. The second phase of the rollout is planned to include the remaining 14 units in the hospital and will be informed by the findings from the first phase. Findings: The data that has been collected so far as part of the ongoing evaluation of the journals has been consistent with the findings from the pilot study in that patients report that the journals are useful in facilitating communication. Discussion: Providing journals has demonstrated positive outcomes for patients within this hospital population. However, integrating the distribution and use of the journals as a part of nursing practice has proven to be a challenge. The difference between launching a successful pilot project on two units and a practice change on 12 units is greater than a matter of scale and the project champions have learned many valuable lessons. It's been useful, for example, to build grass roots support on each unit and recruit local nursing champions. It has also been important to educate the multidisciplinary healthcare team on both the purpose and utility of the journal as well as on the research related to it. Consistent and continuing communication has been critical to ensure that each unit is able to both grow and sustain the new practice. And, visible support from top level nursing leadership has helped to keep organizational focus on the importance of successful project execution.en_GB
dc.date.available2011-10-28T16:16:00Z-
dc.date.issued2011-10-28en_GB
dc.date.accessioned2011-10-28T16:16:00Z-
dc.conference.date2010en_US
dc.conference.name7th Annual Florida Magnet Research Conferenceen_US
dc.conference.hostUniversity of South Florida College of Nursingen_US
dc.conference.hostSigma Theta Tau Internationalen_US
dc.conference.hostFlorida Organization of Nurse Executivesen_US
dc.conference.locationNaples, Florida, USAen_US
dc.description7th Annual Florida Magnet Research Conference - Theme: Research at the Point of Care. Held 11-13 February 2010 at the Naples Grande Beach Resort, Naples, Florida, 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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