Evidence Based Practice Strategies in Promoting Research.pptx

Evidence Based Practice Strategies in Promoting Research.pptx

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  Evidence Based Practice Strategiesin Promoting Research Dr. Settepalli Jasmin Debora, Professor Cum HOD, Adult Health Nursing Department, FNUR, SGTU
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  Evidence-based practice (EBP) •Evidence-based practice (EBP) is a problem-solving approach that incorporates the best available scientific evidence, clinicians’ expertise, and patients’ preferences and values (Melnyk & Fineout-Overholt, 2004). In two quality-related reports, the Institute of Medicine emphasized the importance of EBP to best practice (Institute of Medicine, 2001) and to the education of healthcare professionals (Greiner & Knebel, 2003).
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  EBP Accreditation Bodies[JACHO] Magnet Recognition from theAmerican Nurses Credentialing Center (ANCC) Principles of EBP into performance appraisals and institutional policies. EBP will be translated into practice. Method for improving clinical practice Patient outcomes Cost-effectiveness patient care
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  How to achievethese Goals a) one-on-one mentoring for advanced practice nurses (APNs) in both acute- and primary-care settings to initiate EBP b) Partnering with community healthcare agencies to establish outcomes management projects c) Mentoring APNs in writing and submitting research grants to answer clinical questions where adequate science did not exist d) Mentoring APNs and staff nurses in disseminating evidence at regional and national professional meetings e) Disseminating the best and latest evidence that could help answer nurses’ clinical inquiries through a listserve and regularly scheduled EBP rounds; and f) Educating nurses, faculty, and administrators at all levels about the EBP process by conducting local, regional, and national workshops, training sessions, conference keynotes, and plenary sessions
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  Barriers to implementingEBP • lack of knowledge of the EBP process • a deficiency of critical appraisal skills to evaluate research • a lack of administrative support for EBP endeavours MENTORING A Advancing R Research and C Clinical practice through close C Collaboration model was created as a mechanism to implement and test the role of the “EBP mentor” and to define other factors that contribute to best practice
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  Strategies • To enhanceintegration of research and clinical practice in acute-care and community healthcare settings, both locally and nationally. • Establishing a cadre of EBP mentors to facilitate EBP
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  • Disseminating thebest evidence from well-designed studies to advance an evidence-based approach to clinical care • Conducting an annual EBP conference • Conducting studies to evaluate the effectiveness of the ARCC model on the process and outcomes of clinical care • Developing computer search strategies
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  • Time toconduct EBP activities • Research consulting and creation of further interaction between clinicians and research centers • The discussion meetings of inter-professional and inter- wards • Identify barriers of EBP implementation and strategies to overcome these barriers. • Monitoring and evaluation of EBP in the organization and providing appropriate solutions
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  Success can beeasily hampered if the entire healthcare team is not cohesive in basing decisions on evidence.
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  • EBP champions •Use of resources • Role definition • EBP mentors • Time and money • Creating a culture that fosters EBP Essentials for implementing EBP in clinical settings
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  Practical strategies forimplementing EBP • EBP rounds • Critically appraised topics • Educational prescriptions • collaboration, learning, and implementation of the EBP process
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  References • Madigan, E.A. (1998). Evidence-based practice in home healthcare. A springboard for discussion. Home Healthcare Nurse, 16(6), 411-415. • Maljanian, R., Caramanica, L., Taylor, S. K., MacRae, J. B., & Beland, D. K. (2002). Evidence- based nursing practice, Part 2: Building skills through research roundtables. Journal of Nursing Administration, 32(2), 85-90. • McCaughan, ,, D., Thompson, C., Cullum, N., Sheldon, TA., & Thompson DR. (2002). Acute care nurses’ perceptions of barriers to using research information in clinical decision-making. Journal of Advanced Nursing, 39(1), 46-60. • Melnyk, B. M. & Fineout-Overholt, E. (2004). Evidence-based practice in nursing and healthcare: A guide to best practice. Philadelphia: Lippincott, Williams & Wilkins