Promoting Structural Empowerment:

Creating a Regional

Evidence-Based Practice Consortium of

Academic and Practice PartnersSession C710

Rhonda Maneval, D.Ed., RNTemple University, Philadelphia , PA

Sarah Harne-Britner, MSN, RN, ACNS-BC PinnacleHealth System, Harrisburg, PA

Carolyn Kreamer, PhD, RN, CNEMessiah College, Mechanicsburg, PA

2013 ANCC National Magnet Conference®

Paula Coe, MSN, RN, NEA-BCYork Hospital, Wellspan HealthYork, PA

Jane Oyler, MSN, RN, NEA-BCGettysburg Hospital, Wellspan Health Gettysburg, PA

Objectives

• Identify strategies for developing a regional evidence-based practice (EBP) consortium.

• Discuss the benefits of implementing a regional EBP consortium.

Why is Nursing EBP Important?• Ensuring the best patient outcomes

• Positions nurses as knowledge workers with professional autonomy

• Facilitates and encourages innovation

The Journey Begins in 2002

• PinnacleHealth System in pursuit of Magnet designation

• No formal research department

• Need to develop research and EBP skills in nurses

• Workgroup formed to search literature for strategies to develop EBP and research skills.

Building a Partnership

PinnacleHealth System Messiah College

Shared Vision

Practicing NursesIncrease knowledge of research

process and apply research to actualclinical problems in their practice

Nursing StudentsDemystify the research process and

apply research to actual clinicalproblems to their future practice

Research Roundtable Program2003-2004

• Purpose: to learn about the research process by working on a clinical issue

• Incorporated a research experience in a one-semester 3-credit nursing course

• Group activity involving practicing nurses, advance practice nurses, faculty and senior nursing students

• Research proposal draft developed

Revised Roundtable Program2005

• Program focus changed to evidence-based practice process

• Workgroups utilize the IOWA Model of EBP to Promote Quality Care to examine a clinical question.

• Each group completes critical appraisal of four articles and presents preliminary findings.

Evidence-Based Practice Projects

• Oral care and pneumonia prevention

• Body positioning and prevention of gastroesophageal reflux

• Lighting in the NICU

• UTI prevention & catheter securing device

• IV insertion and local analgesia

• Medication adherence in the elderly

• Deactivation of ICD at end of life

• Total knee blocks and the incidence of skin breakdown

Research Projects• Medication Calculation Skills of Practicing Nurses and Senior Nursing Students

• Improving Hand Hygiene Adherence among Nursing Staff

• The Exploration of the Lived Experience of the Graduate Nurse making the Transition to Registered Nurse during the First Year of Practice

• Comparison of External BP Measurements in the Upper Arm and Ankle in Adult Patients Undergoing Cardiac Catheterization

Research Projects

• Thermoregulation: The Effect of Servo-Control vs. Air Control on the Weight Gain of Premature Infants in Incubators

• Predictors of Upper Extremity Deep Vein Thrombosis in Patients with Peripherally Inserted Central Catheters

• Compassion Fatigue in Oncology Nurses (proposal being developed)

Impact of Research Roundtable

• Completion of 8 research and 15 EBP projects

• Interdisciplinary and interdepartmental collaboration

• Use entire project (RRT) format as model for unit based committees

• Enculturation of the concept of clinical inquiry

• Partnership with academia

Nurse Student

Academic

Partner

Practice

Partner

Impact of Research Roundtable

• Provided rationale for curricular change

• Opportunity for students to continue interest in projects beyond the semester commitment, e.g., collect data for ongoing projects, presentations

• Mentoring facilitators expanded faculty scholarship.

Nurse Student

Academic

Partner

Practice

Partner

Impact of Research Roundtable

• Enhanced professional development

• Enhanced confidence and knowledge about relevance of research and EBP

• Interactive teaching strategy - linked to relevance in clinical practice

• Students equal partners in the process - empowering

Nurse Student

Academic

Partner

Practice

Partner

Building on Success• Mentored healthcare and academic institutions in development of similar programs

• Identified potential to share EBP projects and research on a broader scale

• Idea for regional EBP consortium proposed as next step

Perfect Fit with ANCC Magnet® Model

Perfect Fit with ANCC Magnet® Model

Structural Empowerment

Planning Phase• Regional EBP consortium concept discussed with Research Council members and nursing leadership

• Added as goal in the Nursing Strategic Plan (2008)

• Nursing Research Consultant, led development of consortium in collaboration with Research Council

The Regional Consortium

Healthcare Organizations

Academic Institutions

Community members

Key Components of Success

Timeline

2009

First SCEBP Consortium meeting held in September

2010

Purpose, bylaws and structure formalized

2011

Committees operationalizedEducational presentations

2012

Website developed and launched

http://scpaebpconsortium.com/

Consortium Priorities

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Improve patient outcomes

Provide mentoring opportunities

South Central EBP Consortium Becomes A Reality

Membership• Open to any nurse or nursing student within the south central region of Pennsylvania

• Join by completing form on the website

Membership is free

Structure• Quarterly meetings held quarterly on Friday afternoons 1-3 PM.

• Healthcare and academic institutions rotate hosting the meetings.

• Each meeting includes presentations of EBP or research projects followed by formal business agenda.

Committees

EBP Toolkit

Executive

Mentorship

Program

Speakers Bureau

Website

SCP-EBPC Outcomes• 14 Consortium Meetings held over the past

4 years.

• 32 Presentations provided by students (UG and Graduate), Staff nurses, Advance practice nurses, and faculty– Original Research including dissertations (8)– EBP Projects (24)

• Members attending other organization’s research conferences and presenting.

• Enhanced communication among local nurses

• Increased exposure to educational opportunities, encouraging degree advancement.

Presentations• ED Nurse Perception of Disaster Preparedness

(Qualitative research)

• Delirium Assessment in Trauma Surgical ICU (EBP project)

• Finding a Pain Assessment Tool for the Non-verbal and Cognitively Impaired Child (EBP Project)

• The Impact of Evidence-Based Practice on Kidney Transplant Education (EBP Project)

• Learned helplessness, hardiness, and risk-taking as factors related to prescriptive practice among nurse practitioners (Quantitative research)

• Management of Post-Opioid induced Pruritus in the Post C-Section Mother (EBP Project)

Moving Forward• Multi-site EBP and Research Initiatives

• Opportunities to collaborate on Research Conferences

• Grow membership in order to continue to improve the quality of nursing care throughout the region through the dissemination of research and EBP.

Structural Empowerment and the Consortium

• A forum where colleagues support the goals and objectives in their respective organizations

• Cost-effective way to share best practices and accelerate translation into practice

• Improves the quality of nursing care

• Promotes collegiality of nurses across the region.

Contact Information• Rhonda Maneval, D.Ed, RN

– rmaneval@temple.edu

• Sarah Harne-Britner, MSN, RN, ACNS-BC– sharne-britner@pinnaclehealth.org

• Carolyn Kreamer, PhD, RN, CNE– kreamer@messiah.edu

• Paula Coe, MSN, RN, NEA-BC– pcoe@wellspan.org

• Jane Oyler, MSN, RN, NEA-BC– joyler@wellspan.org