Staff Nurse Opportunities in Research and Evidence-Based Practice

1. Staff Nurse Opportunities in Research and Evidence-Based Practice June Rondinelli, RN, BSN Anna Omery, RN, DNSc CNAA-BC Kaiser Permanente Southern California Research Program

2. Purpose • Describe innovative programs and venues for staff nurse involvement offered through Kaiser Permanente Southern California Nursing Research Program

3. Background • Research to practice gap • Call to increase evidence-based practices • Promote positive patient outcomes • Improve utilization of resources

4. Staff Nurse Clinical Skills • Clinical competence • Knowledge of patient values and preferences • Individualized patient care • Part of the equation for evidence-based care

5. Staff Nurse Research Skills • Different skill sets, desires, and levels of involvement • Cite common barriers to research use: • Lack of time • Critical appraisal skills • Organizational support • Access

6. Innovative Programs and Venues Kaiser Permanente Southern California Nursing Research Research Evidence StaffNurse ClinicalSkills Barriersto ResearchUse Data Collector Research Team Member Co-Chairs of committees Co-Investigators Research Residency Program Journal Clubs

7. Data Collectors • Following protocols • Before and after implementation of evidence-based clinical practice change • Statistical analysis

8. Dedicated Research Team • Local medical facility dedicated team with regional support • Roles • Members • Co-chairs • Co-investigators • Primary investigator • Research liaison

9. Dedicated Research Team • Activities • HIPAA and Human Subjects Protection Training • Education to increase skill set • Developing studies and EBP projects • Literature reviews • Evaluating evidence • Review of IRB proposals

10. Dedicated Research Team • Http://nursingpathways.kp.org/scal/ • PowerPoint available • Research • Innovations

12. Interested in Nursing Research? • Nurses --have a voice in your practice. • Fontana Nursing Research (NRC) Committee is dedicated • to supporting ongoing nursing research to establish Best • Practices that will promote and improve patient outcomes. • Our members recognize that research is the basis for • knowledge development. • Through nursing research, a scientific-based approach to • patient care has refined and improved nursing practice. • Nora Moti RN, MSN2005 - 2007

13. Nursing Research Residency • Open to Southern California Kaiser Permanente staff RNs • Released from 20-30 clinical hours per week that are replaced with paid research hours • Work with Nurse Scientists and Advance Practice Nurses (APNs) • Focus on one active study • Formal application due March 3rd 2008 • Assigned April through November

14. Residency Opportunities • Attend regional and local facility dedicated research team meetings • Access to databases, systematic reviews and research texts • Data collection, spreadsheets, and code books • Complete integrated reviews • Formation of IRB applications • Presentations and conference attendance • Abstract writing

15. Research Residency Journaling • http://nursingpathways.kp.org/scal • Click on Research • Click on Residency • Click on “Residents online”

17. MaryJo Pulmano’s Reflections:  Week 1 Today is my first day of the Nursing Research Residency. I am overwhelmed with excitement. It is as though I have stepped into a world that I have always dreamed of exploring . . . the world of research. As a nurse, there are a million concepts I yearn to learn and a thousand questions that are still left unanswered. Today, it is as though someone has handed me a basket where I can throw all my questions into. But this time, I feel empowered to find the answers. This is the beauty of research. • Kristin Cominski's Weeks 1 & 2 ReflectionsWhen I applied for the Nursing Research Residency, I did so because I am passionate about incorporating change based on research into clinical practice. As a clinician, I believe I am not only responsible for staying current with what is deemed as best practice, but also for contributing to the existing body of nursing knowledge at some level. The Nursing Research Residency has already proved to be a rare opportunity to do both.

18. Journal Clubs • Ownership by staff • Topics generated by members • Regularly scheduled presentations • Open discussions • PowerPoint available

19. Ten Steps to Developing a Successful Journal Club Joyce Johnson, Ph.D., RN, C

20. Outcomes Summary • Increased knowledge of the systematic process of research and evidence-based practice • Terminology • Methodology • Analysis • Significance

21. Outcomes Summary • Contributing to the body of nursing science • Increased culture of evidence-based practice • Professional growth • Personal satisfaction

22. Model of Research to Practice Gap Staff Clinical Skills Investigators Data Collectors “ATwoWayLadder” Dedicated Research Team Journal Clubs Research Residency Research EBP Skills MaryjoPulmanoRN 2007ResearchResident

23. Exemplars • “If it wasn’t for the residency, I would have never thought about going back to school” • “I regained the passion for nursing I had when I first graduated” • “Staff are reading the article during their downtime” • “Other staff nurses are asking me if they could still join the club” • “I always learn something new at research meetings”

24. Conclusion • Many opportunities • Open for new ideas • How to get involved? • Talk to fellow staff • Talk to your manager • Involvement in projects

25. Questions Dr Anna Omery, RN, DNSc CNAA-BC Director of Nursing Research Program Southern California Kaiser Permanente Anna.K.Omery@kp.org June Rondinelli, RN, BSN Project Manager II Patient Care Services Kaiser Permanente Southern California June.L.Rondinelli@kp.org http://nursingpathways.kp.org/scal