The Development of New Evidence-Based Practice Competencies for Practicing Registered Nurses and Advanced Practice Nurses

2.50
Hdl Handle:
http://hdl.handle.net/10755/335382
Category:
Full-text
Type:
Presentation
Title:
The Development of New Evidence-Based Practice Competencies for Practicing Registered Nurses and Advanced Practice Nurses
Other Titles:
Symposium: New Evidence-Based Competencies for Practicing Nurses and Advanced Practice Nurses: From Development to Real World Implementation
Author(s):
Melnyk, Bernadette Mazurek
Lead Author STTI Affiliation:
Beta Upsilon
Author Details:
Bernadette Mazurek Melnyk, PhD, RN, CPNP/PMHNP, FAANP, FNAP, FAAN, Melnyk.15@osu.edu
Abstract:
Session presented on Sunday, July 27, 2014: Purpose: Research supports that evidence-based practice (EBP) promotes high value healthcare, including enhancing the quality and reliability of healthcare, improving health outcomes and reducing variations in care and costs. Even with its tremendous benefits, EBP is not the standard of care that is practiced consistently by clinicians throughout the United States and globe. Although there is a general expectation of healthcare systems globally for nurses to engage in EBP, much uncertainty exists about what exactly that level of engagement encompasses. Lack of clarity about EBP expectations and specific EBP competencies that nurses and advanced practice nurses (APNs) who practice in real world healthcare settings should meet impedes institutions from attaining high-value, low cost evidence-based healthcare. Therefore, the aim of this study was to develop a set of clear EBP competencies for both practicing registered nurses and APNs in clinical settings that can be used by healthcare institutions in their quest to achieve high performing systems that consistently implement and sustain EBP. Methods: Seven national EBP leaders developed an initial set of competencies for practicing registered nurses and APNs through a consensus building process. Next, a Delphi survey was conducted with 80 EBP mentors across the United States to determine consensus and clarity around the competencies. Results: Two rounds of the Delphi survey resulted in total consensus by the EBP mentors, yielding a final set of 13 competencies for practicing registered nurses and 11 additional competencies for APNs. Conclusion: Incorporation of these EBP competencies into healthcare system expectations, orientations, performance appraisals, job descriptions and clinical ladder promotion processes could drive higher quality, reliability and consistency of healthcare as well as reduce costs. Research is now needed to develop valid and reliable tools for assessing these competencies as well as linking them to clinician and patient outcomes.
Keywords:
Evidence-based Practice; Competencies; Healthcare
Repository Posting Date:
17-Nov-2014
Date of Publication:
17-Nov-2014 ; 17-Nov-2014
Other Identifiers:
INRC14J09
Conference Date:
2014
Conference Name:
25th International Nursing Research Congress
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Hong Kong
Description:
International Nursing Research Congress, 2014 Theme: Engaging Colleagues: Improving Global Health Outcomes. Held at the Hong Kong Convention and Exhibition Centre, Wanchai, Hong Kong

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.language.isoenen
dc.type.categoryFull-texten
dc.typePresentationen
dc.titleThe Development of New Evidence-Based Practice Competencies for Practicing Registered Nurses and Advanced Practice Nursesen
dc.title.alternativeSymposium: New Evidence-Based Competencies for Practicing Nurses and Advanced Practice Nurses: From Development to Real World Implementationen
dc.contributor.authorMelnyk, Bernadette Mazureken
dc.contributor.departmentBeta Upsilonen
dc.author.detailsBernadette Mazurek Melnyk, PhD, RN, CPNP/PMHNP, FAANP, FNAP, FAAN, Melnyk.15@osu.eduen
dc.identifier.urihttp://hdl.handle.net/10755/335382-
dc.description.abstractSession presented on Sunday, July 27, 2014: Purpose: Research supports that evidence-based practice (EBP) promotes high value healthcare, including enhancing the quality and reliability of healthcare, improving health outcomes and reducing variations in care and costs. Even with its tremendous benefits, EBP is not the standard of care that is practiced consistently by clinicians throughout the United States and globe. Although there is a general expectation of healthcare systems globally for nurses to engage in EBP, much uncertainty exists about what exactly that level of engagement encompasses. Lack of clarity about EBP expectations and specific EBP competencies that nurses and advanced practice nurses (APNs) who practice in real world healthcare settings should meet impedes institutions from attaining high-value, low cost evidence-based healthcare. Therefore, the aim of this study was to develop a set of clear EBP competencies for both practicing registered nurses and APNs in clinical settings that can be used by healthcare institutions in their quest to achieve high performing systems that consistently implement and sustain EBP. Methods: Seven national EBP leaders developed an initial set of competencies for practicing registered nurses and APNs through a consensus building process. Next, a Delphi survey was conducted with 80 EBP mentors across the United States to determine consensus and clarity around the competencies. Results: Two rounds of the Delphi survey resulted in total consensus by the EBP mentors, yielding a final set of 13 competencies for practicing registered nurses and 11 additional competencies for APNs. Conclusion: Incorporation of these EBP competencies into healthcare system expectations, orientations, performance appraisals, job descriptions and clinical ladder promotion processes could drive higher quality, reliability and consistency of healthcare as well as reduce costs. Research is now needed to develop valid and reliable tools for assessing these competencies as well as linking them to clinician and patient outcomes.en
dc.subjectEvidence-based Practiceen
dc.subjectCompetenciesen
dc.subjectHealthcareen
dc.date.available2014-11-17T13:51:06Z-
dc.date.issued2014-11-17-
dc.date.issued2014-11-17en
dc.date.accessioned2014-11-17T13:51:06Z-
dc.conference.date2014en
dc.conference.name25th International Nursing Research Congressen
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen
dc.conference.locationHong Kongen
dc.descriptionInternational Nursing Research Congress, 2014 Theme: Engaging Colleagues: Improving Global Health Outcomes. Held at the Hong Kong Convention and Exhibition Centre, Wanchai, Hong Kongen
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