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The Genesis of a Consortium to Promote Excellence in Nursing through Evidence-Based Practice. Caroline E. Brown, DEd, WHNP, CNS Associate Professor, San Diego State University Evidence-Based Practice/Research Liaison UCSD Medical Center Laurie Ecoff, MS, RN

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The Genesis of a Consortium to Promote Excellence in Nursing through Evidence-Based Practice


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    1. The Genesis of a Consortium to Promote Excellence in Nursing through Evidence-Based Practice Caroline E. Brown, DEd, WHNP, CNS Associate Professor, San Diego State University Evidence-Based Practice/Research Liaison UCSD Medical Center Laurie Ecoff, MS, RN Director, Research, Education, Professional Practice Sharp Memorial Hospital

    2. Judy Davidson, Scripps Mercy Son Chae Kim, Point Loma Nazarene University Kathy Klimpel, Rady Children’s Hospital Danielle McCallion, Sharp Grossmont Diana Rodriguez, San Diego Unified Schools Barbara Rose, VA San Diego Healthcare System Tanna Thomason, Sharp Memorial Mary Wickline, UCSD Medical Library RecognitionSpecial thanks and recognition to the members of the consortium and their institutions for the program resources

    3. Formation of the Group • Partnership formation – current partners • UCSD Medical Center • Sharp HealthCare System (5 Hospitals) • VA San Diego Healthcare System • Rady Children’s Hospital • Scripps Mercy Hospital & Scripps Chula Vista Hospital • San Diego Hospice • Point Loma Nazarene University • San Diego State University

    4. Consortium Purpose • To foster networks for mutual sharing, innovative thinking and creative problem-solving to move evidence-based practice initiatives into clinical realities. • To inspire clinical excellence through the promotion of evidence-based practice as a community norm. • To test a novel approach to infuse evidence-based practice through interagency partnerships within a community.

    5. Our Vision… To inspire clinical excellence through the promotion of evidence-based practice.

    6. Our Mission • To foster networks for mutual sharing, innovative thinking and creative problem-solving to move evidence-based practice initiatives into clinical realities. • To test a novel approach to infuse evidence-based practice through interagency partnerships within a community. • To promote expertise in evidence-based practice through workshops and other learning opportunities. • To disseminate our experiences and our outcomes.

    7. Theoretical Framework • Rodger’s Theory of Diffusion of Innovation • Organization Change Theory • Evidence-based Practice Models • Iowa model • Rosswurm and Larrabee • Five A’s model, Hayward Evidence-based Information Cycle

    8. Clinical Partners • * Lead Faculty • * Logistic Support • * Identification of • Stakeholders • & Participants Academic Partners Descriptive Research Winter 2006 Clinical Partners

    9. Clarification of Interagency Roles • Lead Faculty to be drawn from • Participating Clinical Partners • Participating Academic Partners • Logistic Support • Coordination of programs • Support for clinical projects • Institutional commitment • Identification of stakeholders and participants • Advance practice nurses • Staff nurses

    10. Determining Funding Structure • Developed a budget • Complete 2 request for proposals: • Sharp funding proposal submitted May 06 (awarded) • UCSD proposal submitted May 06 (awarded) • In-kind support from each participating entity • Proposal developed for the Nursing Leaders.

    11. Budget

    12. Progress to Date: • Descriptive Research Study • Institute Program development and implementation • Program evaluation • Fall Collaborative Research Conference Planning

    13. Descriptive Research Study • Purpose of this research was to explore nursing knowledge, attitudes, and perceived barriers to practicing evidence-based practice at four hospital systems in Southern California with the secondary aim to explore the variations between hospital systems collaborating in the EBP consortium. • Descriptive, prospective, correlational non-experimental design • Data collection completed 12-2006 to 01-2007 • Data analysis complete • Presentation Preparation for a podium presentation at Joanna Briggs International Conference

    14. Development and Implementation of the Institute for EBP • Provide theory and experiential learning opportunities for the advanced practice/staff nurse dyads to implement a clinical practice project • Annual cycle ending with the Fall Evidence-Based Practice Conference • First Cycle: January 2006 through September 2007 • Second Cycle: March 2008 through November 2008 (tentative) • Application process created and revised

    15. Adopting Advancing Consortium Model for Evidence-Based Practice 2007 EBP model by Caroline E. Brown & Laurie Ecoff & The Consortium for Nursing Excellence, San Diego Adapted from Robert Hayward, Evidence-based Information Cycle; Rosswurm and Larrebbe, 1999; Rogers, 1995

    16. Institute Content • Day 1 – Assessing & Asking • Primer on Evidence-Based Practice • Getting Started with EBP: Asking Clinical Questions • Panel Discussion with EBPI graduates • Day 2 - Acquiring • The Nature and Levels of Evidence • Finding the Best Evidence: Searching Literature and Databases

    17. Institute Content • Day 3 – Appraising • Critical Appraisal of the Evidence • Making Sense of the Numbers- Finding and Understanding Research Results • Day 4 - Applying: Moving Ahead: Making your Project a Reality • Defining the Change in Practice- Protocol development • Defining and Measuring outcomes • Integration of Clinical expertise and Population perspectives • Change Strategies • Protecting Human Subjects

    18. Institute Content • Day 5 – Analyzing • Nuts and Bolts of Managing Data • Sustaining change • Day 6 - Advancing:Disseminating your project • Discovering audiences to share finding with • Creating Posters and presentations

    19. Institute Website • A website was created for the consortium and to update participants about the Institute. • The URL is: http://nursing.sdsu.edu/inr/consortium.php

    20. Collaborative Research Day • Morning sessions will include: • A graduation celebration for the Fellows and Mentors • Presentation of exemplar projects by fellow-mentor dyads • Keynote address on “Nurse Innovators” by Kathy Malloch, RN, PhD • Afternoon sessions will include: • research presentations from San Diego area university faculty, students, and recent graduates • Keynote address on “Evidence-Based Leadership” by Kathy Malloch

    21. Next Steps • Partnership clarification • Delineate responsibilities and reaffirm contacts • Determine funding structure • Continued exploration • Program development • Refinement of curriculum based on evaluation findings • Program administration logistics • Defining the group as an entity

    22. For more information: • Caroline E Brown – cbrown@mail.sdsu.edu • Laurie Ecoff – laurie.ecoff@sharp.com