Creating a Culture of Evidence-Based Practice: A Journey From Vision to Outcomes

2.50
Hdl Handle:
http://hdl.handle.net/10755/621418
Category:
Full-text
Format:
Text-based Document
Type:
Poster
Level of Evidence:
N/A
Research Approach:
N/A
Title:
Creating a Culture of Evidence-Based Practice: A Journey From Vision to Outcomes
Author(s):
Buck, Jacalyn S.; Labardee, Ruth M.
Lead Author STTI Affiliation:
Epsilon
Author Details:
Ruth M. Labardee, DNP, RNC, CNL, Professional Experience: Dr. Ruth Labardee is the Associate Director of Nursing Evidence-Based Practice and Standards at The Ohio State University Wexner Medical Center. Her clinical background resides in post-surgical and mother-infant nursing. She has extensive experience in nursing which includes staff nurse, nursing educator, nursing supervisor and manager of nursing quality. Dr. Labardee received her Doctor of Nursing Practice (DNP) degree from The Ohio State University. She is currently overseeing nursing policy review and leading the implementation of evidence based practice at her organization. She is certified as a Clinical Nurse Leader (CNL) and has attained her Six-Sigma Yellow Belt Certification. Author Summary: Dr. Ruth Labardee has over 25 years of experience in bedside nursing, nursing quality, policy management and evidence-based practice implementation. She earned her Doctor of Nursing Practice (DNP) from The Ohio State University, with a strong focus on implementing evidence-based practice into healthcare. She is a state of Ohio leader for the Association of Women’s Health, Obstetric and Neonatal Nurses (AWHONN), and is a member of Sigma Theta Tau International: Epsilon Chapter.
Abstract:

In this turbulent era of healthcare reform, organizational success will be defined in terms of collaborative teams delivering evidence-based, patient-centered care which results in safe, high quality patient outcomes (IOM, 2010). The development of evidence-based practice (EBP) knowledge and skills, design of EBP infrastructures, and promotion of a widespread EBP culture is a strategy that can effectively thrust organizations toward achieving these goals (Melnyk & Fineout-Overholt, 2015). In light of the importance placed on promoting EBP in nursing, there is a gap in the literature identifying effective organizational EBP models that provide a foundation for which evidence-based clinical care is developed and supported (Flodgren, Rojas-Reyes, Cole, & Foxcraft, 2012).

This presentation describes the ongoing journey within a large academic health system to create a culture in which EBP flourishes. The design of an infrastructure where nursing quality and EBP have a natural synergy was a key strategy in creating the new EBP paradigm. An important tactic in our journey was the sound integration of EBP into the role of the Clinical Nurse Specialist (CNS). The CNS has a strong link to clinical practice and is linked to the daily challenges faced by the direct care nurse. They have the have the skill set to evaluate the current body of literature and determine if there is sufficient evidence to support practice change. In addition, the CNS is able to lead EBP change through their work with interdisciplinary teams, formulating policies and procedures, and measuring process and outcomes (Campbell & Profetto-McGrath, 2013; Melnyk, Gallagher-Ford, & Fineout-Overholt, 2016). The CNS’s were realigned to report to Health System Nursing Quality, Research, EBP Department. This realignment created a structure that promoted the translation of evidence into bedside practice while aligning with specific quality initiatives at the unit level to improve outcomes. The CNS job descriptions were redesigned to incorporate the EBP competencies assigned to the Advanced Practice Nurse and these competencies are incorporated into their annual performance evaluations.

Specific EBP implementation strategies as well as key steps for successful development and support of EBP experts and leaders will be discussed: (1) creation of an EBP strategic plan; (2) a key leadership role dedicated to EBP; the Associate Director of EBP Standards and Practice; (3) the development of a cadre of EBP mentors who are immersed in EBP across the health system; (4) re-design of our shared governance councils to include a Research, EBP & Innovation Council where EBP mentors are selected to serve as mentors on all shared governance councils to promote EBP and ensure decisions are based on evidence and best practices (5) creation of a collaboration site to house our fluid EBP database; (6) quarterly EBP mentor meetings to sustain engagement and update mentors on initiatives across the medical center; (7) CNS membership on the policy and procedure committees.

Outcomes from this innovative infrastructure redesign inclue: (1) nurse driven CAUTI protocol; (2) CLABSI protocol; (3) skin to skin in the labor and delivery operating room; (4) nasal CPAP suctioning protocol in the NICU; (5) implementation of the ABCDE Bundle in the ICU setting; (6) implementation of the Yale Swallow Protocol; (7) creation and implementation of care coordinator role.

Creating an infrastructure that supports and nurtures the EBP process and structure is essential in achieving safe, high quality patient outcomes (Melynk & Fineout-Overholt, 2015). Nurse leaders are key individuals to redesign systems within their health care organizations to promote EBP and attain positive outcomes.

Keywords:
Clinical Nurse Specialist; Evidence-based Practice; Evidence-based outcomes
Repository Posting Date:
5-Jun-2017
Date of Publication:
5-Jun-2017
Other Identifiers:
INRC17PST507
Conference Date:
2017
Conference Name:
28th International Nursing Research Congress
Conference Host:
Sigma Theta Tau International
Conference Location:
Dublin, Ireland
Description:
Event Theme: Influencing Global Health Through the Advancement of Nursing Scholarship

Full metadata record

DC FieldValue Language
dc.language.isoen_USen
dc.type.categoryFull-texten
dc.formatText-based Documenten
dc.typePosteren
dc.evidence.levelN/Aen
dc.research.approachN/Aen
dc.titleCreating a Culture of Evidence-Based Practice: A Journey From Vision to Outcomesen_US
dc.contributor.authorBuck, Jacalyn S.en
dc.contributor.authorLabardee, Ruth M.en
dc.contributor.departmentEpsilonen
dc.author.detailsRuth M. Labardee, DNP, RNC, CNL, Professional Experience: Dr. Ruth Labardee is the Associate Director of Nursing Evidence-Based Practice and Standards at The Ohio State University Wexner Medical Center. Her clinical background resides in post-surgical and mother-infant nursing. She has extensive experience in nursing which includes staff nurse, nursing educator, nursing supervisor and manager of nursing quality. Dr. Labardee received her Doctor of Nursing Practice (DNP) degree from The Ohio State University. She is currently overseeing nursing policy review and leading the implementation of evidence based practice at her organization. She is certified as a Clinical Nurse Leader (CNL) and has attained her Six-Sigma Yellow Belt Certification. Author Summary: Dr. Ruth Labardee has over 25 years of experience in bedside nursing, nursing quality, policy management and evidence-based practice implementation. She earned her Doctor of Nursing Practice (DNP) from The Ohio State University, with a strong focus on implementing evidence-based practice into healthcare. She is a state of Ohio leader for the Association of Women’s Health, Obstetric and Neonatal Nurses (AWHONN), and is a member of Sigma Theta Tau International: Epsilon Chapter.en
dc.identifier.urihttp://hdl.handle.net/10755/621418-
dc.description.abstract<p>In this turbulent era of healthcare reform, organizational success will be defined in terms of collaborative teams delivering evidence-based, patient-centered care which results in safe, high quality patient outcomes (IOM, 2010). The development of evidence-based practice (EBP) knowledge and skills, design of EBP infrastructures, and promotion of a widespread EBP culture is a strategy that can effectively thrust organizations toward achieving these goals (Melnyk & Fineout-Overholt, 2015). In light of the importance placed on promoting EBP in nursing, there is a gap in the literature identifying effective organizational EBP models that provide a foundation for which evidence-based clinical care is developed and supported (Flodgren, Rojas-Reyes, Cole, & Foxcraft, 2012).</p> <p>This presentation describes the ongoing journey within a large academic health system to create a culture in which EBP flourishes. The design of an infrastructure where nursing quality and EBP have a natural synergy was a key strategy in creating the new EBP paradigm. An important tactic in our journey was the sound integration of EBP into the role of the Clinical Nurse Specialist (CNS). The CNS has a strong link to clinical practice and is linked to the daily challenges faced by the direct care nurse. They have the have the skill set to evaluate the current body of literature and determine if there is sufficient evidence to support practice change. In addition, the CNS is able to lead EBP change through their work with interdisciplinary teams, formulating policies and procedures, and measuring process and outcomes (Campbell & Profetto-McGrath, 2013; Melnyk, Gallagher-Ford, & Fineout-Overholt, 2016). The CNS’s were realigned to report to Health System Nursing Quality, Research, EBP Department. This realignment created a structure that promoted the translation of evidence into bedside practice while aligning with specific quality initiatives at the unit level to improve outcomes. The CNS job descriptions were redesigned to incorporate the EBP competencies assigned to the Advanced Practice Nurse and these competencies are incorporated into their annual performance evaluations.</p> <p>Specific EBP implementation strategies as well as key steps for successful development and support of EBP experts and leaders will be discussed: (1) creation of an EBP strategic plan; (2) a key leadership role dedicated to EBP; the Associate Director of EBP Standards and Practice; (3) the development of a cadre of EBP mentors who are immersed in EBP across the health system; (4) re-design of our shared governance councils to include a Research, EBP & Innovation Council where EBP mentors are selected to serve as mentors on all shared governance councils to promote EBP and ensure decisions are based on evidence and best practices (5) creation of a collaboration site to house our fluid EBP database; (6) quarterly EBP mentor meetings to sustain engagement and update mentors on initiatives across the medical center; (7) CNS membership on the policy and procedure committees.</p> <p>Outcomes from this innovative infrastructure redesign inclue: (1) nurse driven CAUTI protocol; (2) CLABSI protocol; (3) skin to skin in the labor and delivery operating room; (4) nasal CPAP suctioning protocol in the NICU; (5) implementation of the ABCDE Bundle in the ICU setting; (6) implementation of the Yale Swallow Protocol; (7) creation and implementation of care coordinator role.</p> <p>Creating an infrastructure that supports and nurtures the EBP process and structure is essential in achieving safe, high quality patient outcomes (Melynk & Fineout-Overholt, 2015). Nurse leaders are key individuals to redesign systems within their health care organizations to promote EBP and attain positive outcomes.</p>en
dc.subjectClinical Nurse Specialisten
dc.subjectEvidence-based Practiceen
dc.subjectEvidence-based outcomesen
dc.date.available2017-06-05T20:09:45Z-
dc.date.issued2017-06-05-
dc.date.accessioned2017-06-05T20:09:45Z-
dc.conference.date2017en
dc.conference.name28th International Nursing Research Congressen
dc.conference.hostSigma Theta Tau Internationalen
dc.conference.locationDublin, Irelanden
dc.descriptionEvent Theme: Influencing Global Health Through the Advancement of Nursing Scholarshipen
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