| Principal Investigator: | Susan M. Bejciy-Spring, MS, RN, BC, CMSRN, CNS |
| Co-Principal Investigators/Collaborators: | Jill Niese (Presenter), Jerry Mansfield |
| Organization: | The Ohio State University Health System |
Abstract
Problem
Our vision to provide world-class personalized nursing care reinforces a strong commitment to evidence-based practice (EBP). Creative approaches are necessary to assist nurses in becoming informed consumers of evidence to guide and advance their practice.
Evidence
Organizational infrastructure and multimodal approaches are known to have an impact on the integration of evidence into practice.1–3 Research studies demonstrate that educational interventions are related to changes in nurse practice at the bedside and may be related to decreasing adverse events.4–8 Alert systems and bulletins are used by nursing organizations and other healthcare disciplines to communicate critical information impacting patient care.
Strategy
A menu of health-system based communication processes was developed to increase nurses’ awareness of research and EBP and assist them in translating evidence-based practice changes to directly and positively impact patient care.
Practice Change
The Clinical Practice Alert! is a practice advisory that provides a concise directive of EBP changes that are to be implemented immediately to protect patients. The Nursing EBP News Flash is a news brief highlighting recently published clinical research and EBP findings. The EBP Questions from the Bedside is a bulletin that summarizes best practices and evidence-based guidelines that address pertinent clinical questions.
Evaluation/Results
Feedback regarding the bulletins has been positive. Nursing staff and leadership have expressed interest in continuing these bulletins as methods to transmit timely evidence-based information and cultivate our culture of EBP. Examination of audit data indicates that the Clinical Practice Alert! has been successful in communicating practice change directives and the evidence supporting the change. Research findings published in the Nursing EBP News Flash have led to policy revisions.
Recommendations/Lessons Learned
In recognition of the need for wide and varied methods of circulation, these bulletins are distributed to nursing leadership, advanced practice nurses, and nursing staff in a range of formats. To promote quick and easy identification by the nursing staff, the bulletins are each printed in a consistent and distinctive format.
Bibliography
- 1Grol, R. and Grimshaw, J.E.M. (2003). From best evidence to best practice: effective implementation of change in patients’ care. The Lancet, 362, 1225–1230.
- 2Rycroft-Malone, J., Harvey, G., Kitson, A., McCormack, B., Seers, K. and Titchen, A. (2002). Getting evidence into practice: ingredients for change. Nursing Standard, 16, 38–43.
- 3Melnyk, B.M., Fineout-Overholt, E., Stillwell, S.B., and Williamson, K.M. (2009). Evidence-based practice: Step by step: Igniting a spirit of inquiry. American Journal of Nursing, 109(11), 49–52.
- 4Dinc, L. and Erdil, F. (2000). The effectiveness of an educational intervention in changing nursing practice and preventing catheter-related infection for patients receiving total parenteral nutrition. International Journal of Nursing Studies, 37, 371–379.
- 5Flynn, E.R., Wolf, Z.R., McGoldrick, T.B., Jablonski, R.A., Dean, L.M., and McKee, E.P. (1996). Effect of three teaching methods on a nursing staff’s knowledge of medication error risk reduction strategies. Journal of Nursing Staff Development, 12, 19–26.
- 6Gould, D. and Chamberlain, A. (1997). The use of a ward-based educational teaching package to enhance nurses’ compliance with infection control procedures. Journal Clinical Nursing, 6(1), 55–67.
- 7Lin, P.C., Chiang, H.W., Chiang, T.T., and Chen, C.S. (2008). Pain management: evaluating the effectiveness of an educational programme for surgical nursing staff. Journal of Clinical Nursing, 17(15), 2022–2031.
- 8Lundgren, A. and Wahren, L.K. (1999). Effect of education on evidence-based care and handling of peripheral intravenous lines. Journal of Clinical Nursing, 8(5), 577–585.