Development of a Multidisciplinary Evidence-Based Framework for Sustaining Change in Pediatric Nursing Practice

2.50
Hdl Handle:
http://hdl.handle.net/10755/201919
Type:
Presentation
Title:
Development of a Multidisciplinary Evidence-Based Framework for Sustaining Change in Pediatric Nursing Practice
Abstract:
(41st Biennial Convention) Purpose Despite many strong EBP models for initiating change in pediatric nursing practice, the challenge remains how to sustain new change over time. The purpose of this EBP project was to identify the most effective concepts and strategies to sustain change from a variety of different disciplines, develop them into a framework for changing practice, and test the framework in two pediatric units using the problem of needle stick pain prevention.   Method/Research Question Iowa model of EBP (Titler, 2001) guided this project in looking for answers to the question: what are the most effective multidisciplinary strategies for sustaining change in nursing practice?  Key words included: knowledge transfer, knowledge translation, evidence based practice, evidence based medicine, and change.  Findings  Extensive search of multidisciplinary on-line databases provided summary evidence from: 1) psychology: successful change related to congruent decisions, 2) neuroscience: changes in brain neuroplasticity related to repetition, 3) cognitive behavioral therapy: successful change and axiomatic rules, 4) business: guidelines for making change stick, 5) nursing: change related to cultural assessment. These concepts were incorporated into an implementation framework and strategies for sustaining change in pediatric nursing practice.  Outcomes/Conclusion/Discussion To pilot and evaluate the change framework, a multidisciplinary group of pediatric nurses and caregivers from the emergency department and post-surgical in-patient units were recruited for an EBP team to improve needle stick pain prevention (NSPP). Baseline data was collected on attitudes, and current pharmacological and non-pharmacological practice, demonstrating that previous strategies to implement EBP for NSPP were inadequate.  The framework was used to implement changes in use of NSPP strategies to  reduce needle stick pain in children. Two year follow up shows increased use of pharmacological and non-pharmacological practices and increased patient/parent satisfaction with NSPP.
Keywords:
Needle stick pain prevention; Change Framework; Sustainable Change
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.titleDevelopment of a Multidisciplinary Evidence-Based Framework for Sustaining Change in Pediatric Nursing Practiceen_GB
dc.identifier.urihttp://hdl.handle.net/10755/201919-
dc.description.abstract(41st Biennial Convention) Purpose Despite many strong EBP models for initiating change in pediatric nursing practice, the challenge remains how to sustain new change over time. The purpose of this EBP project was to identify the most effective concepts and strategies to sustain change from a variety of different disciplines, develop them into a framework for changing practice, and test the framework in two pediatric units using the problem of needle stick pain prevention.   Method/Research Question Iowa model of EBP (Titler, 2001) guided this project in looking for answers to the question: what are the most effective multidisciplinary strategies for sustaining change in nursing practice?  Key words included: knowledge transfer, knowledge translation, evidence based practice, evidence based medicine, and change.  Findings  Extensive search of multidisciplinary on-line databases provided summary evidence from: 1) psychology: successful change related to congruent decisions, 2) neuroscience: changes in brain neuroplasticity related to repetition, 3) cognitive behavioral therapy: successful change and axiomatic rules, 4) business: guidelines for making change stick, 5) nursing: change related to cultural assessment. These concepts were incorporated into an implementation framework and strategies for sustaining change in pediatric nursing practice.  Outcomes/Conclusion/Discussion To pilot and evaluate the change framework, a multidisciplinary group of pediatric nurses and caregivers from the emergency department and post-surgical in-patient units were recruited for an EBP team to improve needle stick pain prevention (NSPP). Baseline data was collected on attitudes, and current pharmacological and non-pharmacological practice, demonstrating that previous strategies to implement EBP for NSPP were inadequate.  The framework was used to implement changes in use of NSPP strategies to  reduce needle stick pain in children. Two year follow up shows increased use of pharmacological and non-pharmacological practices and increased patient/parent satisfaction with NSPP.en_GB
dc.subjectNeedle stick pain preventionen_GB
dc.subjectChange Frameworken_GB
dc.subjectSustainable Changeen_GB
dc.date.available2012-01-11T11:00:03Z-
dc.date.issued2012-01-04en_GB
dc.date.accessioned2012-01-11T11:00:03Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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