Nurse Residents: A structured approach for creating change agents in the use of evidence-based practice

2.50
Hdl Handle:
http://hdl.handle.net/10755/308590
Category:
Abstract
Type:
Presentation
Title:
Nurse Residents: A structured approach for creating change agents in the use of evidence-based practice
Author(s):
Stikes, Reetta; Velasquez, Cathern S.
Lead Author STTI Affiliation:
Iota Zeta
Author Details:
Reetta Stikes, MSN, RNC-NIC, CLC, junest@ulh.org; Cathern S. Velasquez, DNP, RN, CPHM
Abstract:

Session presented on: Monday, November 18, 2013

To assure the delivery of quality care, nurses need to acquire skills that allow them to be leaders, use evidence-based practice (EPB) at the point of care, and impact changes that result in improved outcomes (IOM, 2010).  Nurses receive academic knowledge related to research and EBP processes. However, there is an identified gap between the receipt of knowledge and application of these concepts (IOM, 2010). A structured approach to implementation of EBP has been shown to be effective in creating an organizational culture for EBP (Wallen et al., 2010).

This project evaluates the impact of providing a structured step-by-step EBP curriculum to new graduate nurses during their Nurse Residency Program (NRP) as a vehicle for translating new knowledge into practice and promoting a culture of clinical inquiry.

Using the Johns Hopkins Nursing Evidence-Based Practice Model and Guidelines (Newhouse, Dearholt, Poe, Pugh & White, 2007), a structured curriculum was devised to assist the Nurse Resident to develop and implement an EBP project in their practice setting. The prescribed step-by-step curriculum provides preparation for translating evidence into practice, development as change agents, and leaders of innovative practice.

Roger’s Diffusion of Innovations Theory (1962) provided the framework for adoption of EBP.  Nurse Residents acquire the knowledge and skills necessary for early adoption of EBP. Engagement occurs through project implementation while successful completion reinforces the innovation of EBP. Confirmation is achieved, resulting in self-efficacy and continued adoption of EBP innovations.

Evaluation included successful implementation of unit-based EBP projects by Nurse Residents, exploration of impact of the projects on identified organizational metrics, and the examination of processes supporting clinical inquiry.

Since 2009, the program has facilitated over 80 projects resulting in measureable improvements to organizationally focused metrics.  Fifteen projects resulted in policy changes.  Roger’s theory provides an effective framework for continued adoption of EBP.

Keywords:
Nurse Residency Program; Innovation; Evidence-Based Practice
Repository Posting Date:
19-Dec-2013
Date of Publication:
19-Dec-2013
Conference Date:
2013
Conference Name:
42nd Biennial Convention
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Indianapolis, Indiana, USA
Description:
42nd Biennial Convention 2013 Theme: Give Back to Move Forward. Held at the JW Marriott

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.type.categoryAbstracten_GB
dc.typePresentationen_GB
dc.titleNurse Residents: A structured approach for creating change agents in the use of evidence-based practiceen_GB
dc.contributor.authorStikes, Reettaen_GB
dc.contributor.authorVelasquez, Cathern S.en_GB
dc.contributor.departmentIota Zetaen_GB
dc.author.detailsReetta Stikes, MSN, RNC-NIC, CLC, junest@ulh.org; Cathern S. Velasquez, DNP, RN, CPHMen_GB
dc.identifier.urihttp://hdl.handle.net/10755/308590-
dc.description.abstract<p>Session presented on: Monday, November 18, 2013</p>To assure the delivery of quality care, nurses need to acquire skills that allow them to be leaders, use evidence-based practice (EPB) at the point of care, and impact changes that result in improved outcomes (IOM, 2010).  Nurses receive academic knowledge related to research and EBP processes. However, there is an identified gap between the receipt of knowledge and application of these concepts (IOM, 2010). A structured approach to implementation of EBP has been shown to be effective in creating an organizational culture for EBP (Wallen et al., 2010). <p>This project evaluates the impact of providing a structured step-by-step EBP curriculum to new graduate nurses during their Nurse Residency Program (NRP) as a vehicle for translating new knowledge into practice and promoting a culture of clinical inquiry. <p>Using the Johns Hopkins Nursing Evidence-Based Practice Model and Guidelines (Newhouse, Dearholt, Poe, Pugh & White, 2007), a structured curriculum was devised to assist the Nurse Resident to develop and implement an EBP project in their practice setting. The prescribed step-by-step curriculum provides preparation for translating evidence into practice, development as change agents, and leaders of innovative practice. <p>Roger’s Diffusion of Innovations Theory (1962) provided the framework for adoption of EBP.  Nurse Residents acquire the knowledge and skills necessary for early adoption of EBP. Engagement occurs through project implementation while successful completion reinforces the innovation of EBP. Confirmation is achieved, resulting in self-efficacy and continued adoption of EBP innovations. <p>Evaluation included successful implementation of unit-based EBP projects by Nurse Residents, exploration of impact of the projects on identified organizational metrics, and the examination of processes supporting clinical inquiry.<b></b><p>Since 2009, the program has facilitated over 80 projects resulting in measureable improvements to organizationally focused metrics.  Fifteen projects resulted in policy changes.  Roger’s theory provides an effective framework for continued adoption of EBP.en_GB
dc.subjectNurse Residency Programen_GB
dc.subjectInnovationen_GB
dc.subjectEvidence-Based Practiceen_GB
dc.date.available2013-12-19T17:33:18Z-
dc.date.issued2013-12-19-
dc.date.accessioned2013-12-19T17:33:18Z-
dc.conference.date2013en_GB
dc.conference.name42nd Biennial Conventionen_GB
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen_GB
dc.conference.locationIndianapolis, Indiana, USAen_GB
dc.description42nd Biennial Convention 2013 Theme: Give Back to Move Forward. Held at the JW Marriotten_GB
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