{"id":331,"date":"2024-11-06T15:43:19","date_gmt":"2024-11-06T15:43:19","guid":{"rendered":"https:\/\/iims.uthscsa.edu\/isrn\/?page_id=331"},"modified":"2024-11-06T15:43:19","modified_gmt":"2024-11-06T15:43:19","slug":"merging-bedside-nurses-intuition-based-practice-with-evidence-based-practice","status":"publish","type":"page","link":"https:\/\/iims.uthscsa.edu\/isrn\/resources\/ereading-room\/abstracts\/merging-bedside-nurses-intuition-based-practice-with-evidence-based-practice\/","title":{"rendered":"Merging Bedside Nurses’ Intuition-Based Practice with Evidence-Based Practice"},"content":{"rendered":"

[vc_row][vc_column width=”2\/3″][vc_column_text css=””]<\/p>\n\n\n\n\n\n
Principal Investigator:<\/td>\nJo Hanson, RN, MSN, CNS, OCN<\/td>\n<\/tr>\n
Co-Principal Investigator\/Collaborator:<\/td>\nMarcia Grant<\/td>\n<\/tr>\n
Organization:<\/td>\nCity of Hope<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

Abstract<\/h2>\n

Problem<\/h3>\n

It is widely accepted that health-care providers must understand and utilize principles of Evidence-Based Practice (EBP) to provide the highest quality patient care. For bedside nurses, competing role priorities and limited EBP knowledge impede merging their Intuition-Based Practice (IBP) with EBP.<\/p>\n

Evidence<\/h3>\n

The 2001 Institute of Medicine report, Crossing the Quality Chasm, called for fundamental changes to close the gap in quality health care and recommended an evidence-based decision-making approach. Despite this recommendation, most bedside nurses continue to use IBP.<\/p>\n

Strategy<\/h3>\n

Small, interactive one-day EBP workshops were designed, using Principles of Adult Learning, for teams of bedsides nurses. Workshop format included: nationally recognized EBP expert nurse presentations; computer hands-on “finding the evidence” training by medical librarian; quality improvement considerations by QI director; and a facilitated period for teams to develop their unit-based project. Nursing Research provided long-term, 9-12 month, follow-up project support.<\/p>\n

Practice Change<\/h3>\n

Participants’ level of EBP knowledge increased, promoting the integration of EBP with their current IBP.<\/p>\n

Evaluation<\/h3>\n

Quantitative measures included pre\/post-workshop knowledge and attitudes (K&A) surveys and post-workshop evaluations. A qualitative data analysis describes EBP concepts in the project plans.<\/p>\n

Results<\/h3>\n

Seventy RNs completed one of four EBP workshops. Evaluation scores were positive: 4.9 (1-5 scale, 5=best): Overall opinion; thought provoking and stimulating; and meets expectations. K&A post-surveys revealed a better understanding of EBP concepts: Participants found it easier to translate evidence from guidelines into clinical practice; felt they could influence improvement in patient-care processes; and were satisfied with their team’s ability to focus on outcomes of care rather than tasks. Project analysis showed most teams developed and implemented a succinct plan utilizing the EBP process.<\/p>\n

Recommendations<\/h3>\n

For bedside nurses, building a streamlined workshop which merges EBP with IBP and includes development of a unit-based project is an effective first step in educating this busy, hard to reach population.<\/p>\n

Lessons Learned<\/h3>\n

Team developed unit-based EBP projects provide immediate reinforcement to newly acquired knowledge.<\/p>\n

Bibliography<\/h3>\n