2.50
Hdl Handle:
http://hdl.handle.net/10755/306589
Category:
Abstract
Type:
Poster
Title:
Making it Happen - a Model to Bring Evidence-based Practice to Life
Author(s):
Sabbatini, Sandra; Baker, Judith
Lead Author STTI Affiliation:
Non-member
Author Details:
Sandra Sabbatini, BSN, RN, CEN, Sandra_j.sabbatini@lvhn.org; Judith Baker, BSN, RN, CEN
Abstract:

Evidence-based Practice Abstract

Purpose: Although the importance of evidence-based practice is readily acknowledged and purportedly ascribed to, recent studies have shown only a small percentage of health care providers are incorporating research findings into practice. This presentation describes a pragmatic model -- the Evidence-Based Practice (EBP) FellowS2 (Sharing Science) program – to facilitate the integration of evidence into practice.

Design: The EBP FellowS2 program is a 12 week structured offering of didactic and project development, with an additional 8 - 12 week mentored process to project completion. Participants are selected based on a proposed question that has potential to improve patient care through the translation of evidence into practice.

Setting: This program has been implemented in a 988 bed, academic, community Magnet™ hospital.

Participants/Subjects: FellowS2 include dyads composed of a masters prepared unit educator and a direct care nurse, who collaboratively design and implement an EBP project. The program is facilitated by a doctorally (PhD) prepared nurse who serves as coach to the dyad project teams.

Methods: FellowS2 participate in didactic offerings, workshops and coaching sessions that take them from question formulation through an evidence review and subsequent project development, implementation, evaluation, and dissemination. For this presentation, the aforementioned process will be illustrated by an EBP project undertaken by a team from the organization’s emergency department (ED). Based on evidence linking interruptions to increased medication errors, this team is seeking to establish a culture of respect by reducing interruptions during the medication administration process.

Results/Outcomes: The inaugural EBP FellowS2 program included six (6) individual dyad teams which investigated the following topics: 1) Medication administration interruptions; 2) Nurse knowledge and awareness of embolism prophylaxis; 3) Narrowing of Lasix timing and implementation of standard toileting schedule; 4) Staff Driven Mobility protocol to minimize functional decline; 5) Non-separation of mother and neonate; and, 6) Crit line technology to minimize intra- and post-dialysitic symptoms. The ED team developed an observational data collection tool that includes type and sources of interruptions observed during the medication administration process. Direct care ED nurses are initially observed administering medications using the data collection tool; they then participate in a multi-modal structured intervention that includes reading a recently published article in the Journal of Emergency Nursing on interruptions in the ED, watching a short video demonstrating the effects of interruptions on critical thinking and participating in a focused group discussion. Post education, participating nurses are observed using the same data collection tool during medication administration. Analysis will determine if the nurses changed their practice, during their own medication administration and while others are administering medications. This study is currently in process, anticipated to be completed by September, 2012.

Implications: Transformational nurse leaders must design and implement practical strategies to translate evidence into practice. The EBP FellowS2 program is a model that can be replicated in a wide variety of healthcare settings. More specifically, the EBP study to decrease interruptions during medication administration in the ED serves as an example of how to use evidence to positively improve practice in the ED setting.

Keywords:
Model for Evidence-based Practice
Repository Posting Date:
9-Dec-2013
Date of Publication:
9-Dec-2013
Conference Date:
2013
Conference Name:
2013 ENA Leadership Conference
Conference Host:
Emergency Nurses Association
Conference Location:
Ft. Lauderdale, Florida, USA
Description:
2013 ENA Leadership Conference Theme: Shape the Future. Held at the Greater Fort Lauderdale Broward County Convention Center
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.typePosteren_GB
dc.titleMaking it Happen - a Model to Bring Evidence-based Practice to Lifeen_GB
dc.contributor.authorSabbatini, Sandraen_GB
dc.contributor.authorBaker, Judithen_GB
dc.contributor.departmentNon-memberen_GB
dc.author.detailsSandra Sabbatini, BSN, RN, CEN, Sandra_j.sabbatini@lvhn.org; Judith Baker, BSN, RN, CENen_GB
dc.identifier.urihttp://hdl.handle.net/10755/306589-
dc.description.abstract<p>Evidence-based Practice Abstract</p><p>Purpose: Although the importance of evidence-based practice is readily acknowledged and purportedly ascribed to, recent studies have shown only a small percentage of health care providers are incorporating research findings into practice. This presentation describes a pragmatic model -- the Evidence-Based Practice (EBP) FellowS2 (Sharing Science) program – to facilitate the integration of evidence into practice.</p><p>Design: The EBP FellowS2 program is a 12 week structured offering of didactic and project development, with an additional 8 - 12 week mentored process to project completion. Participants are selected based on a proposed question that has potential to improve patient care through the translation of evidence into practice.</p><p>Setting: This program has been implemented in a 988 bed, academic, community Magnet™ hospital.</p><p>Participants/Subjects: FellowS2 include dyads composed of a masters prepared unit educator and a direct care nurse, who collaboratively design and implement an EBP project. The program is facilitated by a doctorally (PhD) prepared nurse who serves as coach to the dyad project teams.</p><p>Methods: FellowS2 participate in didactic offerings, workshops and coaching sessions that take them from question formulation through an evidence review and subsequent project development, implementation, evaluation, and dissemination. For this presentation, the aforementioned process will be illustrated by an EBP project undertaken by a team from the organization’s emergency department (ED). Based on evidence linking interruptions to increased medication errors, this team is seeking to establish a culture of respect by reducing interruptions during the medication administration process.</p><p>Results/Outcomes: The inaugural EBP FellowS2 program included six (6) individual dyad teams which investigated the following topics: 1) Medication administration interruptions; 2) Nurse knowledge and awareness of embolism prophylaxis; 3) Narrowing of Lasix timing and implementation of standard toileting schedule; 4) Staff Driven Mobility protocol to minimize functional decline; 5) Non-separation of mother and neonate; and, 6) Crit line technology to minimize intra- and post-dialysitic symptoms. The ED team developed an observational data collection tool that includes type and sources of interruptions observed during the medication administration process. Direct care ED nurses are initially observed administering medications using the data collection tool; they then participate in a multi-modal structured intervention that includes reading a recently published article in the Journal of Emergency Nursing on interruptions in the ED, watching a short video demonstrating the effects of interruptions on critical thinking and participating in a focused group discussion. Post education, participating nurses are observed using the same data collection tool during medication administration. Analysis will determine if the nurses changed their practice, during their own medication administration and while others are administering medications. This study is currently in process, anticipated to be completed by September, 2012.</p><p>Implications: Transformational nurse leaders must design and implement practical strategies to translate evidence into practice. The EBP FellowS2 program is a model that can be replicated in a wide variety of healthcare settings. More specifically, the EBP study to decrease interruptions during medication administration in the ED serves as an example of how to use evidence to positively improve practice in the ED setting.</p>en_GB
dc.subjectModel for Evidence-based Practiceen_GB
dc.date.available2013-12-09T17:00:18Z-
dc.date.issued2013-12-09-
dc.date.accessioned2013-12-09T17:00:18Z-
dc.conference.date2013en_GB
dc.conference.name2013 ENA Leadership Conferenceen_GB
dc.conference.hostEmergency Nurses Associationen_GB
dc.conference.locationFt. Lauderdale, Florida, USAen_GB
dc.description2013 ENA Leadership Conference Theme: Shape the Future. Held at the Greater Fort Lauderdale Broward County Convention Centeren_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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