Connecting the Staff Nurse to Research: A Nursing Research Residency Program

1. Connecting the Staff Nurse to Research: A Nursing Research Residency Program June Rondinell, RN, BSN Project Manager, Regional Research Team Staff Nurse, Perinatal Services Baldwin Park Medical Center Southern California Kaiser Permanente

2. Background • A gap exists in translating research evidence into practice • Staff nurses cite common barriers to research use • Time • Confidence in critical appraisal skills • Authority to change practice • Organizational structure and support • Access Hutchinson and Johnston (2006)

3. Formation: Nursing Research Residency • Vision of Dr. Anna Omery • Champions, sponsors, and funding • Integration with mission and present program

4. Research mission 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” Institutionalization of the research residency and fellowship programs. 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

5. Structure: Nursing Research Residency • Work side-by-side with nurse researchers • Job Sharing • 20-30 staff hours • Paid research hours • Time frame • Five months • August - December • Open to all employed staff RNs

6. Application • Spring Announcement • Resume • Letter of managerial support • Personal statement of intent • Research team reviews applicants based on set criteria • Selected residents announced in the summer

7. Activities • Participates in an active research study of interest to the resident • Completes human subject protection training • Attends research committee meetings

8. Activities • Access to a variety ofdatabases and systematic reviews • Data collection and dataentry into spread sheets • Collaborates on proposal writing • Participates in professional presentations and conferences

9. Key Discoveries: Tools and Journaling • Research textbook • For each resident • Orientation folder • Transitions into a personal portfolio • Weekly journaling • Resident’s thoughts and activities • On Nursing Research website http://nursingpathways.kp.org/scal/research/index.html

10. Roque "Jun" Garvida’s Reflections: Week 12 We had a dry run of our podium presentation during our monthly research meeting at Panorama City. Everyone was pleased with our presentation and shared their ideas to make it better. We were so fortunate to have Ms. Cecelia Crawford. She was essential in finalizing our Local Happenings for the web page, as well as the conference PowerPoint (PPT), especially our EBP Project summary of findings and recommendations. On behalf of the NRC at Panorama City, I would like to express our deepest gratitude to Ms. Crawford for her continued support to our council. She has helped us better understand what research and EBP is all about. I am also proud of our council members for their enthusiasm and passion. It is such a fantastic group with great teamwork. As the Labor Co-Chair, I find that delegation of tasks is important to accomplish things on time and prevent stress overload. I would also like to acknowledge Ms. Robin Gemmill for volunteering to compose our entry on Local Happenings for the research website, and Ms. Jennifer Boquiren-Quitevis for her expertise on creating and editing our PPT. Although I was in Las Vegas for a conference, I was able to attend the Research Team meeting via teleconference. It is a great way to be involved in a meeting if you cannot be physically present, although sometimes it is hard to understand when they speak soft or when the group is loud. This research residency has given me a tremendous opportunity to be involved in many things. It is a great avenue to network with people in the business, which can also be related to many areas in the industry. At the union conference I attended, they were talking about labor issues, which needs to be backed up by research when presented to the politicians. One of the presentations was about cardiac disease and depression, which is related to the research study I am involved with. I also met Carol Cranfill for the first time. We briefly discussed my literature review on lift teams and patient outcomes. I will present this topic at the upcoming National Patient and Mobility Forum on November 8th. These are just few examples of the benefits of being a research resident and I believe there are more to come. I am so excited — our EBP conference is getting closer and busier.

11. Key Discoveries: Multiple Outcomes • Increased knowledge of systematic process of research • Use of the Iowa Model of Evidence-Based Practice to Promote Quality Care (Titler, 2002) • Value of mentoring and networking

12. Key Discoveries: Multiple Outcomes • Participation on facility research committee • Application of new skills in the work setting • Influence on fellow staff nurses to participate in research and evidence-based projects • Professional growth and possible new career opportunities

13. Residents Comments “Reignited my passion for nursing” “I gained a new outlook on the nursing profession” “Developed personal skills- i.e.- public speaking, organizing presentations” “It was an opportunity for a bedside nurse to learn the foundation of research so we could take these skills and apply them at the bedside”

14. Questions Contact information: Dr. Anna Omery Director, Kaiser Permanente S. California Nursing Research Program Anna.K.Omery@kp.org June L. Rondinelli Project Manager, Kaiser Permanente S. California Nursing Research Program June.L.Rondinelli@kp.org

15. References • Fink, R., Thompson C. J., & Bonnes, D. (2005). Overcoming barriers and promoting the use of research in practice. Journal of Nursing Administration, 35(3), 121-129. • Hutchinson, A. M., & Johnston, L. (2006). Beyond the BARRIERS scale. Journal of Nursing Administration, 36(4), 189-199. • Titler, M.G. (2002). Use of research in practice. In G. LoBiondo-Wood & J. Haber (Eds.), Nursing research: Methods, critical appraisal and utilization (5th ed.) (pp. 411-444). St. Louis, MO: Mosby.