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Capstone EBP

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by

Malissa Richter

on 23 August 2014

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Transcript of Capstone EBP

The Problem
Barrier 1
Lack of time due to heavy/full workload
Barrier 3
Nurses perception of their role; nurses see their role as providing care to patients rather than researching best practice(s).
Barrier
4
No incentive to change current practices.
Goal 2

Despite healthcare providers showing positive attitudes towards evidence based practice and wishing to gain increased knowledge and skills,
there are significant barriers preventing implementation in
practice (Stevens, 2013).
Agenda
Pre- Quiz
Define evidence based practice
Identify a related problem
Identify main goal
Discuss barriers and subsequent SMART goals
References
Conclusion
Post- Quiz
Implement support programs
within Jacksonville hospitals
to reduce resistance to change by 2020.
Goal 3
Research articles will be more application focused based on research findings and will use less atypical medical jargon to contribute positively to patient care by 2020.
Goal 1
Hospitals in Jacksonville will require
monthly nurse-led interdisciplinary
evidence based practice demonstration education classes by 2016.
Barriers to Evidence
Based Practice
"From Roots to Results"

Evidence Based
Practice
EBP is defined as conscientious and judicious use of current best evidence in conjunction with clinical expertise and patient values to guide healthcare decisions (Titler, 2008).
Main Goal
Reduce barriers to
implementation of
evidence based practice.
Barrier 2
Nurses perception of their role; nurses see their role as providing care to patients rather than researching best practice(s).
Barrier 5
Lack of initiative within hospital organizations to implement programs capable of leading evidence based practice changes.
Goal 1
Hospitals in Jacksonville will require
monthly nurse-led interdisciplinary
evidence based practice demonstration education classes by 2016.
Goal 5
Jacksonville hospitals will initiate programs to lead employees in utilizing Evidence Based Practices within their organizations by 2020.
TEAMSTEPPS
Nurse-led EBP interdisciplinary Care Council
Goal 4
Hospitals in Jacksonville will implement an incentive program for all employees involved in direct patient care who utilize suggested evidence based practices.
Presented by,
Chamberlain College of Nursing
BSN Students:
Tara Adams,
Ariel Gauthier,
Jasmine James
Malissa Richter
"Improving the workplace requires staff to be involved and innovations to be maintained" (Mitchell, 2012).
"There are many ways of implementing change. However, plan change, which is a purposeful, calculated and collaborative effort to bring about improvements with the assistance of a change agent is the most commonly adopted" (Mitchell, 2012).
TEAMSTEPPS
The evidence-based program, Team Strategies and Tools to Enhance Performance and Patient Safety carries with it proven effectiveness of reducing patient safety issues and the program is available with highly-developed training and learning materials.
MODELS OF CHANGE
Early in the EBP movement, nurse scientists developed models to organize our thinking about EBP. A number of EBP models were developed by nurses to understand various aspects of EBP. The ACE Star Model of Knowledge Transformation (Stevens, 2004) was developed to offer a simple yet comprehensive approach to translate evidence into practice.

The ABC'Skins Holds It All Together
When Mary Ann Greene (center) asked nurses to develop projects using evidence-based practice, wound/ostomy care nurses Cindy Walker (left) and Rachel Moseley (right) focused their projects on improving pressure ulcer rates and patient satisfaction
References


Guirgis, F., Gerdik, C., Wears, R., Kalynych, C., Sabato, J., & Godwin, S. (2014). Naloxone Triggering the RRT: A

Human Antidote?

Guirgis, F., Gerdik, C., Wears, R., Williams, D., Kalynych, C., Sabato, J., & Godwin, S. (2013). Proactive rounding

by the rapid response team reduces inpatient cardiac arrests.Resuscitation, 84(12), 1668-1673.

Hauck, S., Winsett, R., & Kuric, J. (2012). Leadership facilitation strategies to establish

evidence-based practice in an acute care hospital. Journal of Advanced Nursing, 664-674.

Hewitt-Taylor, J., Heaslip, V., & Rowe, N. (2012). Applying research to practice: Exploring the barriers. British

Journal of Nursing, 21(6), 356-359.

Kim, S., Brown, C., Ecoff, L., Davidson, J., Gallo, A., Klimpel, K., & Wickline, M. (2013).

Regional Evidence-Based Practice Fellowship Program: Impact on Evidence-Based Practice

Implementation and Barriers.Clinical Nursing Research, 22(1), 51-69.

Mitchell, G. (2013). Selecting the best theory to implement planned change. Art & Science,

20(1), 32-37.

National Implementation Plan. (2013, November 1). Retrieved July 24, 2014. Retrieved from: http://teamstepps.ahrq.gov/

aboutnationalIP.htm

Stevens, K., (May 31, 2013) "The Impact of Evidence-Based Practice in Nursing and the Next Big Ideas" OJIN: The

Online Journal of Issues in Nursing Vol. 18, No. 2, Manuscript 4.

Full transcript