Effectiveness of the Collaborative Model of Evidence Translation (CoMET) on Practice Uptake, Sustainability, and Patient Satisfaction Outcomes

2.50
Hdl Handle:
http://hdl.handle.net/10755/304345
Category:
Abstract
Type:
Presentation
Title:
Effectiveness of the Collaborative Model of Evidence Translation (CoMET) on Practice Uptake, Sustainability, and Patient Satisfaction Outcomes
Author(s):
Michaud, Debbie; Hyrkas, Kristiina
Lead Author STTI Affiliation:
Non-member
Author Details:
Debbie Michaud, RN, michad3@mmc.org; Kristiina Hyrkas, PhD, LicNSc, MNSc, RN;
Abstract:

Session presented on: Tuesday, July 23, 2013

Purpose: To determine the effect of CoMET on practice uptake, sustainability and patient satisfaction. A collaborative evidence-based practice (EBP) committee performed an integrative review of the effectiveness of buffered lidocaine as intradermal anesthesia for IV insertions. Based on the strength of the evidence, recommendations were made regarding educational content, facilitation and outcomes monitoring. 

Methods: Education was developed and distributed, and facilitators were engaged on four units. Patient satisfaction regarding IV insertion was measured on a 1-10 scale comparing use of buffered lidocaine to non-use on outcomes. The effect of education and facilitation on practice uptake was obtained from IV start card data documenting use of buffered lidocaine. As a measure of practice sustainability, nurses on the study units completed a before and after implementation survey. 

Results: A total of 109 IV start cards were collected from the four study units in 2012 and were compared with baseline data. Two units demonstrated a significant increase in the use of buffered lidocaine. Unit 1 increased from 19% to 65% (p<0.05) and Unit 2 from 18% to 41% (p=0.0084). Education surveys revealed no significant relationship between education and buffered lidocaine use when comparing pre-and post survey results. Mean satisfaction for patients receiving buffered lidocaine was 8.09 (SD 2.6, 95% CI 7.390-8.89) while the mean score for patients not receiving buffered lidocaine was 6.70 (SD 3.1, 95% CI 5.78-7.62). This difference was statistically significant (t=-2.305, df=87.166, p=0.024). 

Conclusion: The CoMET demonstrated some success at improving outcomes and the sustainability of practice as evidenced by higher levels of patient satisfaction with IV insertions when buffered lidocaine was used. Successful practice uptake and sustainability was demonstrated on two of the four units. The failure of the education to demonstrate a difference in nurses’ knowledge or practice suggests that other factors may have impacted practice uptake.

Keywords:
outcomes; knowledge translation; evidence-based practice
Repository Posting Date:
22-Oct-2013
Date of Publication:
22-Oct-2013
Conference Date:
2013
Conference Name:
24th International Nursing Research Congress
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Prague, Czech Republic
Description:
24th International Nursing Research Congress Theme: Bridge the Gap Between Research and Practice Through Collaboration. Held at the Hilton Prague Hotel.
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.

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.type.categoryAbstracten_GB
dc.typePresentationen_GB
dc.titleEffectiveness of the Collaborative Model of Evidence Translation (CoMET) on Practice Uptake, Sustainability, and Patient Satisfaction Outcomesen_GB
dc.contributor.authorMichaud, Debbieen_GB
dc.contributor.authorHyrkas, Kristiinaen_GB
dc.contributor.departmentNon-memberen_GB
dc.author.detailsDebbie Michaud, RN, michad3@mmc.org; Kristiina Hyrkas, PhD, LicNSc, MNSc, RN;en_GB
dc.identifier.urihttp://hdl.handle.net/10755/304345-
dc.description.abstract<p>Session presented on: Tuesday, July 23, 2013</p><b>Purpose:</b> To determine the effect of CoMET on practice uptake, sustainability and patient satisfaction. A collaborative evidence-based practice (EBP) committee performed an integrative review of the effectiveness of buffered lidocaine as intradermal anesthesia for IV insertions. Based on the strength of the evidence, recommendations were made regarding educational content, facilitation and outcomes monitoring.  <p><b>Methods: </b>Education was developed and distributed, and facilitators were engaged on four units. Patient satisfaction regarding IV insertion was measured on a 1-10 scale comparing use of buffered lidocaine to non-use on outcomes. The effect of education and facilitation on practice uptake was obtained from IV start card data documenting use of buffered lidocaine. As a measure of practice sustainability, nurses on the study units completed a before and after implementation survey.<b> </b><p><b>Results: </b>A total of 109 IV start cards were collected from the four study units in 2012 and were compared with baseline data. Two units demonstrated a significant increase in the use of buffered lidocaine. Unit 1 increased from 19% to 65% (p<0.05) and Unit 2 from 18% to 41% (p=0.0084). Education surveys revealed no significant relationship between education and buffered lidocaine use when comparing pre-and post survey results. Mean satisfaction for patients receiving buffered lidocaine was 8.09 (SD 2.6, 95% CI 7.390-8.89) while the mean score for patients not receiving buffered lidocaine was 6.70 (SD 3.1, 95% CI 5.78-7.62). This difference was statistically significant (t=-2.305, df=87.166, p=0.024).  <p><b>Conclusion: </b>The CoMET demonstrated some success at improving outcomes and the sustainability of practice as evidenced by higher levels of patient satisfaction with IV insertions when buffered lidocaine was used. Successful practice uptake and sustainability was demonstrated on two of the four units. The failure of the education to demonstrate a difference in nurses’ knowledge or practice suggests that other factors may have impacted practice uptake. <b></b>en_GB
dc.subjectoutcomesen_GB
dc.subjectknowledge translationen_GB
dc.subjectevidence-based practiceen_GB
dc.date.available2013-10-22T20:33:58Z-
dc.date.issued2013-10-22-
dc.date.accessioned2013-10-22T20:33:58Z-
dc.conference.date2013en_GB
dc.conference.name24th International Nursing Research Congressen_GB
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen_GB
dc.conference.locationPrague, Czech Republicen_GB
dc.description24th International Nursing Research Congress Theme: Bridge the Gap Between Research and Practice Through Collaboration. Held at the Hilton Prague Hotel.en_GB
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.en_GB
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