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Strategies to Promote Evidence-Based Practice

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Strategies to Promote Evidence-Based Practice

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    1. Strategies to Promote Evidence-Based Practice Paul-Andrew Cromer, Cortney Rochester, Daniel Dunlap & Tina Webb Consultants: April Loeffler & Jan Emory

    2. PICO Question What strategies are most effective in facilitating the utilization of Evidence-Based Practice by staff nurses in a clinical setting?

    3. PICO Format Population: Staff nurses Intervention: Strategies for implementation Comparison: Effectiveness of strategies Outcome: Utilization of Evidence-Based Practice

    4. Why is this a Problem Poorly defined concept (Davies, Edwards, Gifford, et.al., 2007) Lack of statistical data (Baker, Brownson, & Dodson, 2010) Lack of research (Baker, Brownson, & Dodson, 2010)

    5. Importance to Nursing Quality of care for patients (Barrett, Buckner, Eaton, et.al., 2008) More streamline approach to care (Otto & Valadez, 2007) Consistency of care (Otto & Valadez, 2007) Increased patient satisfaction (Chang & Chang, 2010)

    6. Magnitude Affects all levels of health care Affects lives of patients

    7. Other Areas of Application All clinical areas are within the magnitude of Evidence-Based Practice.

    8. Comparison through Inclusion Criteria Research in the last eight years Based on all clinical settings Strategies for utilizing Evidence-Based Practice

    9. Summary of Literature Baker, Brownson & Dodson, (2010): Training Role models Organizational support Political barriers Barrett, Buckner, Eaton, Fraser, Hart, Hooks, Morrow & Sharrer, (2008): Computer based learning Cummings & Germain, (2010): Autonomy Professional relationships Resource accessibility

    10. Summary of Literature Davies, Edwards, Gifford, Griffin & Lybanon, (2007): Support Influence policy revision Monitoring quality indicators Henderson, Holzhauser, Winch & Vries, (2006): Role modeling User friendly accessible resource manuals In-service sessions

    11. Summary of Literature Pape, (2003): Apply real world nursing strategies Scott, (2008): Researcher led meetings Opinion leader meetings Multidisciplinary meetings Printed materials Xiaoshi, (2008): Organizational approach Leadership skills are necessary

    12. Summary of Literature Pros: Effective strategies Solutions to overcome barriers Cons: One strategy is not always enough Length of time of the study Attitudes

    13. Significant Findings Effective Ineffective Active Interactive Role modeling Access to organization resources Researcher led meetings Computer based learning Passive Approaches Handouts Posters Emails

    14. Barriers to the utilization of Evidence-Based Practice Lack of resources (Pape, 2003) Political, structural and management (Baker, 2010) Evidence-Based Practice is poorly defined (Davies, Edwards, Gifford, et.al., 2007)

    15. Implementing Effective Strategies More funding in training, implementation and evaluation (Baker, Brownson, & Dodson, 2010) More cooperation, flexibility, understanding and support (Pape, 2003) Working closely with state legislation (Baker, Brownson, & Dodson, 2010) Increase availability and quality of data (Baker, Brownson, & Dodson, 2010)

    16. Student Project Recommendation with Rationale Meetings (Scott, 2008) Multidisciplinary committees (Scott, 2008) Autonomy (Cummings & Germain, 2010) Professional relationships (Cummings & Germain, 2010) Resource accessibility (Pape, 2003)

    17. Implementation of Practice Change Use a team approach (Henderson, A., Holzhauser, K., Winch, S., Vries, S., 2006) Use real world nursing strategies (Pape, T., 2003) Take away passive strategies and replace with active and interactive strategies (Scott, S., 2008)

    18. Plan for Evaluating Impact of Practice Change Measures of practice that change success Survey nurses Budget auditing Measure of patient outcome Patient satisfaction Improved quality of care Example decrease infection rates

    19. Further Research Other approaches to study the problem Development of theories Development of models What should additional research include How to change attitudes Cost savings for facilities Benefits of patient outcomes

    20. Questions???

    21. References Aldeyab, M., Baldwin, N., McElnay, J., Scott, M., McNally, M., & Kearney, M. (2011). Strategy for improving and maintaining compliance with adequate hospital hand hygiene practices. Journal of Hospital Infection, 77(1), 87-88. Retrieved from EBSCOhost. Baker, E., Brownson, R., Dodson, E. (2010). Use of evidence-based interventions in state health departments: a qualitative assessment of barriers and solutions. Journal of Public Health Management and Practice, 16(6), 9-15. Barrett, D., Buckner, M., Eaton, L., Fraser, D., Hart, P., Hooks, D., Morrow, B., Sharrer, R. (2008). Effectiveness of a computer-based educational program on nurses’ knowledge, attitude, and skill level related to evidence-based practice. World Views on Evidence-Based Nursing, 5(2), 75-84. Bleich, M., & Kosiak, C. (2007). Managing, leading and following. In P. Yoder- Wise (Ed.), Leading and managing in nursing (pp. 3-26). St. Louis, MO: Mosby Elsevier. Chang, C., & Chang, H. (2010). Motivating nurses’ organizational citizenship behaviors by customer-oriented perception for evidence-based practice. Worldviews on Evidence-Based Nursing/Sigma Theta Tau International, Honor Society of Nursing, 7(4), 214-225. doi:10.1111/:1741- 6787.2010.00188.x Chen, Y., Chou, P., Liu, C., & Wang, F. (2009). Incidence rate and variable cost of nosocomial infections in different types of intesnsive care units. Infection Control and Hospital Epidemiology, 30(1), 39-46.

    22. References Cummings, G. & Germain, P. (2010). The influence of nursing leadership on nurse performance: a systematic literature review. Journal of Nursing Management, 18, 425-439. Davies, B., Edwards, N., Gifford, W., Griffin, P., Lybanon, V. (2007). Managerial leadership for nurses’ use of research evidence: an integrative review of literature. Worlds Views on Evidence-Based Nursing,126-146. Henderson, A., Holzhauser, K., Winch, S., Vries, S. (2006). The motivation of health professionals to explore research evidence in their practice: an intervention study. Journal of Clinical Nursing, 15, 1559-1564. Otto, D. & Valadez, A. (2007). Developing the role of a manager. In P. Yoder- Wise (Ed.), Leading and managing in nursing (pp. 45-58). St. Louis, MO: Mosby Elsevier. Pape, T. (2003). Evidence-based nursing practice: to infinity and beyond. The Journal of Continuing Education in Nursing, 34(4), 154-161. Pine, R., & Tart, K. (2007). Return on investment: benefits and challenges of a baccalaureate nurse residency program. Nurse Economics, 21(5), 13- 18, 39. Scott, S. (2008). Getting research into practice which strategies work. Nursing for Women’s Health, 12(3), 204-207. Xiaoshi, L. (2008). Evidence-based practice in nursing: what is it and what is the impact of leadership and management practices on implementation. Nursing Journal: Tai Tokerau Wananga, 12, 6-12. Zalon, M. (2007). Translating research into practice. In P. Yoder-Wise (Ed.), Leading and managing in nursing (pp. 407-432). St. Louis, MO: Mosby Elsevier

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