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

1. Integrating Evidence-Based Practice Using A Dedicated Research Team: Tools for Success Cecelia L. Crawford, RN, MSN Project Manager Evidence-Based Nursing Practice

2. 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 (Wilson & Sylvanus, 2005; Newhouse, R. P., 2007)

3. 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

4. Phase I Development Design Dedicated Team Foundations • Organizational mission, vision, values • Structure & framework • Centralized resources • Policies & procedures • Tools & templates

5. Research Nursing practice is evidence-based by all nurses. Nursing practice is evidence-based by all nurses. Nursing practice is evidence-based by all nurses. 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 5. Establish internal and external funding for nursing research projects 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

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

8. 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 Team Mission, Vision, Values

9. Phase II Dedicated Team Formation • Implement research standards • Individualize policies & procedures • Develop team goals

10. 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 Team Goals

11. Team Activities: Review & Evaluation of Evidence Quantitative evaluation & grading Qualitative evaluation & grading Table of evidence Summary of evidence Phase III

14. Quantitative Evidence Table

15. 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

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

17. Phase IV Dissemination of Information • Dedicated Team Celebration • Conference presentations • Poster sessions • Article publication • Newsletters • Awards & Recognition

18. Key Discoveries Dedicated Team Notebook • Centralized team resource • Printed materials & CD-ROM • Accessible & available • Make it a “living document”

19. Key Discoveries Nurse Leaders Defining characteristics Research/EBP passion Risk takers Strategic vision Skill sets Mentors Communication skills

20. 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

21. EBP comes alive with a dedicated team!

22. 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.

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