2.50
Hdl Handle:
http://hdl.handle.net/10755/243300
Category:
Abstract
Type:
Presentation
Title:
Sacred Cow Gone to Pasture: Using the Iowa Model for Promoting EBP
Author(s):
Hanrahan, Kirsten; Pottinger, Jean; Williamson, Ann; Matthews, Grace; Stewart, Stephanie; Tucker, Sharon; Wagner, Michele; Cullen, Laura; Dawson, Cindy; Greiner, Joseph; Hottel, Rachel; Vernon-Levett, Paula
Author Details:
Hanrahan, Kirsten, DNP, ARNP, kirsten-hanrahan@uiowa.edu; Pottinger, Jean, MA, RN, CIC; Williamson, Ann, PhD, RN, NEA-BC; Matthews, Grace, MSN, RN, BC; Stewart, Stephanie, MSN, RNC; Tucker, Sharon, PhD, RN, PMHCNS-BC; Wagner, Michele, MSN, RN, CNRN; Cullen, Laura, MA, RN, FAAN; Dawson, Cindy, MSN, RN, CORLN; Greiner, Joseph, MSN, RN, CPHQ, FCCS; Hottel, Rachel, MSN, RN, CNOR; Vernon-Levett, Paula, MS, RN, CCRN;
Abstract:
Quality healthcare depends on the translation of research and other evidence to clinical care. Despite this, many traditional nursing practices have not changed. Old practice habits or sacred cows, those practices considered routine and above dispute, are particularly resistant to change. Innovative solutions and evidence-based strategies are needed to eliminate tradition-based practices and replace with best evidence. Recent published articles regarding sacred cow practices triggered closer examination of those practices in our institution. An initiative titled “Sacred Cow Gone to Pasture” was launched. A systematic evaluation process of each sacred cow practice was initiated and included: an audit of institutional standards, a survey of nurse managers about actual practices, grading performance, making recommendations for change, setting priorities and assigning responsibility. Electronic surveys were distributed through QualtricsTM survey software to 60 nurse managers in a Midwestern large tertiary care center. Surveys were returned from 42 units (30 inpatient and 12 ambulatory clinics) for a 70% return rate. Evaluation demonstrated wide variability in the use of evidence in standards. Use of practices that were evidence-based ranged from 18-100% for each of the 16 practices, whereas implementation of sacred cow practices ranged from 26-87%. Solutions were provided for filling the gaps and sending sacred cows to pasture. The Iowa Model of Evidence-Based Practice to Promote Quality Care has been used to successfully implement multiple EBPs in our institution and internationally. A new model, Implementation Strategies for Evidence-Based Practice was developed to assist EBP project leaders in selecting effective implementation strategies. Strategies are organized to enhance movement through four phases of implementation: creating awareness and interest; building knowledge and commitment; promoting action and adoption; pursuing integration and sustainability, and target two distinct levels: individuals and the organizational system or context. Together, theses models provide a foundation for successful implementation of an EBP practice change.
Keywords:
Evidence-based; implementation; Iowa Model
Repository Posting Date:
12-Sep-2012
Date of Publication:
12-Sep-2012
Conference Date:
2012
Conference Name:
23rd International Nursing Research Congress
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Brisbane, Australia

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_GB
dc.typePresentationen_GB
dc.titleSacred Cow Gone to Pasture: Using the Iowa Model for Promoting EBPen_GB
dc.contributor.authorHanrahan, Kirstenen_GB
dc.contributor.authorPottinger, Jeanen_GB
dc.contributor.authorWilliamson, Annen_GB
dc.contributor.authorMatthews, Graceen_GB
dc.contributor.authorStewart, Stephanieen_GB
dc.contributor.authorTucker, Sharonen_GB
dc.contributor.authorWagner, Micheleen_GB
dc.contributor.authorCullen, Lauraen_GB
dc.contributor.authorDawson, Cindyen_GB
dc.contributor.authorGreiner, Josephen_GB
dc.contributor.authorHottel, Rachelen_GB
dc.contributor.authorVernon-Levett, Paulaen_GB
dc.author.detailsHanrahan, Kirsten, DNP, ARNP, kirsten-hanrahan@uiowa.edu; Pottinger, Jean, MA, RN, CIC; Williamson, Ann, PhD, RN, NEA-BC; Matthews, Grace, MSN, RN, BC; Stewart, Stephanie, MSN, RNC; Tucker, Sharon, PhD, RN, PMHCNS-BC; Wagner, Michele, MSN, RN, CNRN; Cullen, Laura, MA, RN, FAAN; Dawson, Cindy, MSN, RN, CORLN; Greiner, Joseph, MSN, RN, CPHQ, FCCS; Hottel, Rachel, MSN, RN, CNOR; Vernon-Levett, Paula, MS, RN, CCRN;en_GB
dc.identifier.urihttp://hdl.handle.net/10755/243300-
dc.description.abstractQuality healthcare depends on the translation of research and other evidence to clinical care. Despite this, many traditional nursing practices have not changed. Old practice habits or sacred cows, those practices considered routine and above dispute, are particularly resistant to change. Innovative solutions and evidence-based strategies are needed to eliminate tradition-based practices and replace with best evidence. Recent published articles regarding sacred cow practices triggered closer examination of those practices in our institution. An initiative titled &ldquo;Sacred Cow Gone to Pasture&rdquo; was launched. A systematic evaluation process of each sacred cow practice was initiated and included: an audit of institutional standards, a survey of nurse managers about actual practices, grading performance, making recommendations for change, setting priorities and assigning responsibility. Electronic surveys were distributed through Qualtrics<sup>TM</sup> survey software to 60 nurse managers in a Midwestern large tertiary care center. Surveys were returned from 42 units (30 inpatient and 12 ambulatory clinics) for a 70% return rate. Evaluation demonstrated wide variability in the use of evidence in standards. Use of practices that were evidence-based ranged from 18-100% for each of the 16 practices, whereas implementation of sacred cow practices ranged from 26-87%. Solutions were provided for filling the gaps and sending sacred cows to pasture. The <i>Iowa Model of Evidence-Based Practice to Promote Quality Care</i> has been used to successfully implement multiple EBPs in our institution and internationally. A new model, <i>Implementation Strategies for Evidence-Based Practice</i> was developed to assist EBP project leaders in selecting effective implementation strategies. Strategies are organized to enhance movement through four phases of implementation: creating awareness and interest; building knowledge and commitment; promoting action and adoption; pursuing integration and sustainability, and target two distinct levels: individuals and the organizational system or context. Together, theses models provide a foundation for successful implementation of an EBP practice change.en_GB
dc.subjectEvidence-baseden_GB
dc.subjectimplementationen_GB
dc.subjectIowa Modelen_GB
dc.date.available2012-09-12T09:20:19Z-
dc.date.issued2012-09-12-
dc.date.accessioned2012-09-12T09:20:19Z-
dc.conference.date2012en_GB
dc.conference.name23rd International Nursing Research Congressen_GB
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen_GB
dc.conference.locationBrisbane, Australiaen_GB
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