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Clinical Nurse Specialists: Value Added!. Barbara Wheeler RN, MN, IBCLC, RLC St. Boniface General Hospital 21 November 2008. The Strong Model . Ackerman, M.H. et al. (1996). The CNS Role. Practice Education Leadership Research

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Clinical Nurse Specialists: Value Added!

Barbara Wheeler RN, MN, IBCLC, RLC

St. Boniface General Hospital

21 November 2008

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The Strong Model

Ackerman, M.H. et al. (1996)

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The CNS Role

  • Practice

  • Education

  • Leadership

  • Research

    • CNS role: “recognized as ideal to bridge the research gap between academia and clinical practice”(Nelson, et al., 2007)

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Importance of Nursing Research

  • To provide scientific accountability & a foundation for evidence-based practice

  • To evaluate the efficacy of nursing practice

  • To advance the practice of nursing, and ultimately,

  • To improve clinical outcomes

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St. Boniface General Hospital

SBGH: 10 Clinical Nurse Specialists

  • Cardiac Sciences

  • Gerontology

  • Medicine

  • Palliative Care

  • Surgery

  • Woman & Child Program

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SBGH CNS Research

  • Staff knowledge & attitudes regarding implementation of the Hospital Elder Life Program (HELP) (B. Tallman)

  • The effectiveness of probiotic yogurt in preventing antibiotic associated diarrhea in hospitalized patients (K. Jabusch)

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SBGH CNS Research

  • Testing the Breastfeeding Self-Efficacy Scale (BSES) among mothers of ill or preterm infants

  • What really happens after they go home? Human milk feeding after NICU discharge(B. Wheeler)

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SBGH CNS Research

  • Parents in the NICU: Development of a satisfaction survey (B. Wheeler)

  • The effects of post-operative pain education on selected patient outcomes for urgent coronary bypass surgery (A. Fedorowicz)

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SBGH CNS Research

  • Urinary drainage following continence surgery: Development of Canadian best practice guidelines (B. Lewthwaite)

  • What do nurses know about post-operative nausea and vomiting? (B. Lewthwaite)

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SBGH CNS Research

  • Factors related to patient satisfaction in a Family Medicine Residency Teaching program (J. Parker)

  • Late-Preterm Infant Research-Based Practice Project (B. Wheeler)

    • AWHONN: 15 sites in the US and Canada

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Our Current Project…

  • Planning implementation of the WRHA Pain Assessment & Management Clinical Practice Guideline (CPG)

  • CNS group: an opportunity to:

    • improve pain management,

    • improve patient satisfaction, and

    • to decrease LOS

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“Pain” Project

  • Goal: explore knowledge & attitudes nurses (~700 +) have re: pain assessment & management

    • i.e. baseline knowledge level

  • Research Tool: a well-validated 22 item true/false questionnaire

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Our current project…

  • Study findings will guide implementation of the CPG at SBGH

    • Identify knowledge gaps

    • Design appropriate education sessions

    • Generate interest in learning about pain


  • Introduce CPG