Integrating EvidenceBased Practice Using A Dedicated Research Team: Tools for Success

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Integrating Evidence-Based Practice Using A
Dedicated Research Team Tools for Success

• Cecelia L. Crawford, RN, MSN
• Project Manager
• Evidence-Based Nursing Practice

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Keys to Fostering EBP

• A Strategic Approach
• Nursing leadership - EBP cornerstone
• Expert consultants
• Research team formation
• Long-term development
• Culture of inquiry as a norm
• Deliver quality patient care

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Dedicated Teams A Blueprint for Success

• Strategic Infrastructure Design
• Phases of a Research-Driven Team
• Development design
• Design implementation team
  formation
• Team activities Review/evaluation of evidence
• Dissemination of information

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Phase I

• Development Design
• Dedicated Team Foundations
• Organizational mission, vision, values
• Structure framework
• Centralized resources
• Policies procedures
• Tools templates

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Research
VISION
KP nursing research recognized as an
international leader.
Research synergy is embedded throughout the
organizational culture
Nursing research standards are integrated
throughout the continuum of care
Nurse Scientists are integrated throughout the
organization
M I S S I O N
Nursing research is fully integrated into the
collaborative research agenda with KP

Nursing practice is evidence based, wherever it
is practiced
CHALLENGES
Establish internal and external funding for
nursing research projects
5.
SUPPORTS
4.
75 of evidence-based Scal project findings will
be implemented across the Scal Region
3.
Institutionalization of the research residency
and fellowship programs.
2.
Integration of nursing research standards
wherever patient care is delivered.
1.
Implementation of the nursing research standards
at 100 of the medical centers.
B O L D S T E P S
VALUES
Standards need to include

-Templates for procedure development that are
evidenced based -Templates for
local communication plans
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Phase II

• Dedicated Team Formation
• Team charter
• A document outlining team principles, functions,
  organization
• Team mission, vision, values
• Strategic compass
• Purpose
• Boundaries
• Ideology

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Team Mission, Vision, Values

• Riverside Medical Center
• Mission
• Develop EB professional nursing standards
• Outcomes
• Support EB nursing practice standards
• Resource advisory group
• Collaborate to improve patient care
• Network with regional NRC
• Deliverables
• Present EBP recommendations
• Develop an EBP project

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Phase II

• Dedicated Team Formation
• Implement research standards
• Individualize policies procedures
• Develop team goals

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Team Goals

• Baldwin Park Medical Center
• Nursing Research Committee
• Goals
• Study evaluation of nursing practice
• Improvement of patient care
• Objectives
• Increase knowledge of nursing research
• Develop nursing research/EBP Projects
• Provide venues to share results
• Partnerships with academia regional NRC

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Phase III

• Team Activities
• Review Evaluation of Evidence
• Quantitative evaluation grading
• Qualitative evaluation grading
• Table of evidence
• Summary of evidence

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Quantitative Evidence Table
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Summary of the Evidence

• Conclusions
• 1 to 2 paragraph overarching summary statement
• Key Summary of Evidence
• 3 to 5 bulleted statements of the most important
  evidence
• Recommendations
• 3 to 5 bulleted statements
• Organizational, leadership, nursing practice
  elements

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EBP Enculturation

• Leadership
• Mentoring
• Role modeling
• Expert dedicated team members
• Journey along the EBP continuum
• Transdisciplinary Esprit de Corp
• Embed the EBP process

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Phase IV

• Dissemination of Information
• Dedicated Team Celebration
• Conference presentations
• Poster sessions
• Article publication
• Newsletters
• Awards Recognition

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Key Discoveries

• Dedicated Team Notebook
• Centralized team resource
• Printed materials CD-ROM
• Accessible available
• Make it a living document

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Key Discoveries

• Nurse Leaders
• Defining characteristics
• Research/EBP passion
• Risk takers
• Strategic vision
• Skill sets
• Mentors
• Communication skills

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Key Discoveries

• Transdisciplinary approach
• Medical librarian
• Respiratory care practitioners
• Multimedia experts
• Partnerships
• Schools of Nursing
• Hospitals ambulatory clinics
• Local regional nursing research linkage
• Project managers, liaisons, consultants

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EBP comes alive with a dedicated team!
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References

• Newhouse, R. P. (2007). Creating infrastructure
  supportive of evidence-based nursing practice
  Leadership strategies. Worldviews on
  Evidence-Based Nursing. 4(1)21-29.
• Wilson, C., Sylvanus, T. (2005). Generating
  enthusiasm for nursing research. Journal of
  Nursing Administration, 35(5), 220-222.

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• Contact information
• Cecelia.L.Crawford_at_kp.org
• 626-405-5802
• Cecelia L. Crawford, RN, MSN
• Project Manager III
• Evidence-Based Nursing Practice
• Kaiser Permanente
• Nursing Research Program