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NAHRS Program
Implementing Evidence-Based Practice in the Real World
Monday, May 22, 2006 2:00 PM – 3:30 PM
Secondary sponsors: Hospital Libraries Section Chiropractic Libraries Section African American Medical Librarians Alliance SIG
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Program Moderator
Sheila Hofstetter, AHIP, Science Reference Librarian, Health Sciences, Noble Science and Engineering Library, Arizona State University, Tempe, AZ
Presentation Speakers and Abstracts
Title: Building a Culture of Best Practice Requires Collaboration Among Librarians, Scientists, & Clinicians (PDF file)
Abstract:
Dr. Ellen Fineout-Overholt, co-author of Evidence-Based Practice in Nursing and Healthcare: A Guide to Best Practice, will discuss how collaboration among librarians, scientists & clinicians is essential to advancing a culture of best practice. Foundational issues such as a common definition of evidence-based practice (EBP) and knowledge of the steps of and barriers to EBP will be discussed. The roles of librarian, scientist, and clinician in using EBP to improve healthcare will be described, with the Arizona Consortium for the Advancement of EBP (AZCAEP) as a case study to demonstrate outcomes that can be achieved through collaboration
Invited speaker: Ellen Fineout-Overholt, Director, Center for Advancement of Evidence-Based Practice; Assocate Professor, Clinical Nursing, College of Nursing, Arizona State University, Tempe, AZ.
Title: It Takes Two: Librarians and Nurses Collaborate to Establish a Magnet Hospital Evidence-Based Nursing Project (PowerPoint file)
Abstract:
Objective: Inspired by the Pravikoff study in AJN, September 2005, about nurses relying on colleagues to answer clinical questions, two librarians and three nurses at a large magnet hospital collaborated to assist interested nursing staff to become familiar with evidence-based nursing skills.
Methods: At a nursing magnet hospital, the Medical Library serves a large nursing and medical staff and provides several electronic bibliographic databases for medical literature and information. Two staff librarians offered their expertise to a core nursing group of two clinical nurse specialists and a nurse practitioner charged with establishing and promoting evidence-based research among the clinical nursing staff. The goal is to educate the nurses to develop clinical questions, then find answers using evidence-based practice. Their original research is to be presented at a Nursing Symposium held in conjunction with Nurses Week. The librarian-nurse team organized three research pre-conferences covering question building and database searching skills. These sessions offer nursing CE credits for the participants. The librarians are available for consultations as the nurses develop their research topics. Steps in the project launch are discussed. Specific roles for librarians are elaborated and suggestions for future collaborative projects are proposed. Collateral impact on the library is considered.
Contributed paper speaker: DeDe Leshy, Irene Lovas, Cedars-Sinai Medical Center, Los Angeles, CA
Title: The Hospital Library as Magnet Force" for a Research and Evidence-Based Nursing Culture: A Case Study of Two Magnet Hospitals in One Health System " (PowerPoint file) plus Further Readings (PDF file)
Abstract:
Objective: With two Magnet award-winning hospitals in a five hospital health care system, the hospital library's role seemed large enough. What more could be done to enhance the research culture and provide expertise for the development of evidence-based practice in the "real world" of nursing?
Methods: Answers were many: get involved in two separate research committees and one system-wide research collaborative; work with those committees reviewing ("scrubbing up/editing") nursing research proposals before submission to the IRB; justify adding lots of nursing e-resources and including links to them in the new online catalog; teach basic evidence-based practice concepts to onsite critical care and emergency nursing academies; and participate in the development of a model for evidence-based practice in one Magnet hospital. This case study reveals the value of an active participatory role for the hospital librarian in the shift to a research and evidence-based culture in two Magnet hospitals, underscoring the value of the parent organization's investment in library-based electronic resources as well as adequate professional library staffing.
Contributed paper speaker: Diane R. Rourke, AHIP, Baptist Health South Florida, Miami, FL.
Title: Strategies for Creating an Evidence-Based Practice Nursing Culture (PowerPoint file)
Abstract:
Purpose/Setting/Participants/Resources:
The purpose of our project was to develop a strategic action plan to create a nursing culture that values and utilizes evidence-based practices for the delivery of nursing care. This paper summarizes how to identify and develop educational interventions for fostering an evidence-based nursing culture at a university-affiliated public hospital in [location]. These interventions were implemented via collaboration between nurse educators and a medical librarian.
Brief Description:
To evaluate nursing culture and readiness for evidence-based practice, the nurse educators utilized the PARIHS (Promoting Action on Research Implementation in Health Services) framework and adapted the RNAO’s (Registered Nurses Association of Ontario) Action Template. A descriptive survey was developed from the PARIHS framework and was used to assess cultural readiness for evidence-based practice. The RNAO template was used for identifying educational interventions. The nursing educators and medical librarian then collaborated on targeted educational interventions, such as selecting evidence-based filters for Ovid CINAHL, creating a unique evidence-based practice (EBP) certificate program consisting of collaborative continuing education classes, and brainstorming on other educational activities for the busy nurse clinician and researcher, such as an EBP online discussion list and an online journal club.
Results &
Conclusions:
Inter-
and intra-collaboration between nursing educators and the medical librarian
have led to the successful creation and/or modification of educational
assessments and interventions to bring about a change in nursing culture
towards using EBP in clinical practice. Our survey results suggest that
intensive educational strategies are resulting in a higher rate of evidence-based
practice change, and that nurses’ knowledge and skills about evidence-based
practice are above the national average.
Contributed paper speakers: Tanya Feddern, AHIP, University of Miami Miller School of Medicine, Louis Calder Memorial Library, Miami, FL, Kathryn M. Ewers, Jackson Health Systems, Miami, F.