Building Capacity for Evidence-Based Practice Excellence: Impact of a Hospital Regional EBP Role Development Program

2.50
Hdl Handle:
http://hdl.handle.net/10755/201662
Type:
Presentation
Title:
Building Capacity for Evidence-Based Practice Excellence: Impact of a Hospital Regional EBP Role Development Program
Abstract:
(41st Biennial Convention) Introduction and Background: To maximize clinical effectiveness clinicians must align practice with science (IOM, 2001).  Barriers to research use are well documented and highlight the importance of building organizational capacity to support clinicians in their evidence-based practice (EBP) roles.  Successful EBP educational programs have not reported impacts on organizational capacity for EBP. Aim: This paper describes formative evaluation of a 5 year collaborative effort to build capacity for EBP among self-selected hospitals that vary widely. Through a regional continuing education program the EBP coach role is formalized and staff EBP “fellows” are systematically mentored in conducting an EBP improvement small test of change over a 6 month period.   This evaluation examines the impacts of the EBP program on coach and fellow post-program roles and captures the extent to which resulting innovations were sustained and spread. Methods:  A mixed methods descriptive survey approach and analysis of respondent qualitative narrative was used. EBP program “graduate” coaches (n=89) and staff “fellows” (n= 136) were surveyed for impacts of their small test of change projects.  Additional areas of inquiry focused on the extent to which they had sustained, formally and informally, their EBP role related activities and their perceptions of the impact of the EBP training on their professional role. An alternate form of the fellow’s survey was used to tap coach related role impacts. Findings: Changes in policies, procedures, and clinical practices impacting specific measures of patient care quality, costs, safety and outcomes were revealed. Findings confirm hospitals are actively sustaining and spreading innovations thus maximizing impacts.  Operationalizing “capacity” for EBP is explored with the result that a conceptual composite of EBP capacity arises from this evaluation. Conclusions: This report presents a model for evaluation and finds benefits and impacts, making a strong case for regional collaboration and mentored continuing education.  
Keywords:
capacity development; program evaluation; Evidence-based practice
Repository Posting Date:
11-Jan-2012
Date of Publication:
4-Jan-2012
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleBuilding Capacity for Evidence-Based Practice Excellence: Impact of a Hospital Regional EBP Role Development Programen_GB
dc.identifier.urihttp://hdl.handle.net/10755/201662-
dc.description.abstract(41st Biennial Convention) Introduction and Background: To maximize clinical effectiveness clinicians must align practice with science (IOM, 2001).  Barriers to research use are well documented and highlight the importance of building organizational capacity to support clinicians in their evidence-based practice (EBP) roles.  Successful EBP educational programs have not reported impacts on organizational capacity for EBP. Aim: This paper describes formative evaluation of a 5 year collaborative effort to build capacity for EBP among self-selected hospitals that vary widely. Through a regional continuing education program the EBP coach role is formalized and staff EBP “fellows” are systematically mentored in conducting an EBP improvement small test of change over a 6 month period.   This evaluation examines the impacts of the EBP program on coach and fellow post-program roles and captures the extent to which resulting innovations were sustained and spread. Methods:  A mixed methods descriptive survey approach and analysis of respondent qualitative narrative was used. EBP program “graduate” coaches (n=89) and staff “fellows” (n= 136) were surveyed for impacts of their small test of change projects.  Additional areas of inquiry focused on the extent to which they had sustained, formally and informally, their EBP role related activities and their perceptions of the impact of the EBP training on their professional role. An alternate form of the fellow’s survey was used to tap coach related role impacts. Findings: Changes in policies, procedures, and clinical practices impacting specific measures of patient care quality, costs, safety and outcomes were revealed. Findings confirm hospitals are actively sustaining and spreading innovations thus maximizing impacts.  Operationalizing “capacity” for EBP is explored with the result that a conceptual composite of EBP capacity arises from this evaluation. Conclusions: This report presents a model for evaluation and finds benefits and impacts, making a strong case for regional collaboration and mentored continuing education.  en_GB
dc.subjectcapacity developmenten_GB
dc.subjectprogram evaluationen_GB
dc.subjectEvidence-based practiceen_GB
dc.date.available2012-01-11T10:45:57Z-
dc.date.issued2012-01-04en_GB
dc.date.accessioned2012-01-11T10:45:57Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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