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Sunday, November 1, 2009: 3:25 PM
Learning Objective 1: understand the importance of evidence-based Nursing Practice Guidelines for implementing changes in practice for alcohol related issues.
Learning Objective 2: identify educational strategies for evidence-based Nursing Practice Guidelines implementation.
Nursing Practice Guidelines provide a systematic approach for patient care, advancing the standard of practice and improving patient/family outcomes. Evidence-base guidelines may identify the need for practice and programmatic changes. Creative educational strategies are essential when multiple changes need to be implemented across an institution in a relatively short timeframe.
The University of Wisconsin Hospital & Clinics Nursing Practice Council identified alcohol withdrawal as a clinical issue and priority for nursing in 2007. Intranet based Nursing Practice Guidelines were developed to provide 24 hour, seven day a week, holiday and weekend accessibility to evidence-based practices. The Iowa Model of Evidence-Based Practice for nursing research served as the framework for guideline development.1 Problem and knowledge-focused triggers were identified. A thorough literature search and internal/external consultation with experts provided the foundation for guideline recommendations and curricular/educational design.
Nurses across the institution were educated by the Senior Clinical Nurse Specialist-Psychiatric Liaison, Trauma Program Specialist and Trauma Program Manager on the most reliable and valid methods for assessing alcohol health related issues, implementing symptom triggered interventions, brief interventions and follow-up. An interdisciplinary team developed and presented interactive, case driven workshops for nursing care providers of adults and children over 10 years of age, in inpatient and emergency care settings. Additionally, unit-based education was provided by Advanced Practice Nurses. Intranet resources and web-based video, informational packets, posters, algorithms, screen shots, and patient educational links (Health Facts for you) were used to prepare 800 nurses for implementing the new alcohol screening tools (CAGE + Consumption and CRAFFT); Clinical Institute Withdrawal Assessment of Alcohol Scale, Revised (CIWA-AR) with three medication order sets (Trauma/Burn, Low Dose, Standard); and Brief Intervention/follow-up through a new electronic medical record. Evaluation of the changes is currently in progress. Initial provider reports indicate improved patient/family outcomes and nursing knowledge.
Nursing Practice Guidelines for Alcohol Related Issues is a priority. One of the co-authors of this guideline will be consulting with the International Society of Mental Health Nursing to update the care practices of the patient and family experiencing alcohol related issues. Creative web-based, multi-media educational strategies mediated by Advanced Practice Nurses can make guidelines a reality, facilitate evidence-based changes and improve outcomes for patients and families confronting alcohol related issues.
The University of Wisconsin Hospital & Clinics Nursing Practice Council identified alcohol withdrawal as a clinical issue and priority for nursing in 2007. Intranet based Nursing Practice Guidelines were developed to provide 24 hour, seven day a week, holiday and weekend accessibility to evidence-based practices. The Iowa Model of Evidence-Based Practice for nursing research served as the framework for guideline development.1 Problem and knowledge-focused triggers were identified. A thorough literature search and internal/external consultation with experts provided the foundation for guideline recommendations and curricular/educational design.
Nurses across the institution were educated by the Senior Clinical Nurse Specialist-Psychiatric Liaison, Trauma Program Specialist and Trauma Program Manager on the most reliable and valid methods for assessing alcohol health related issues, implementing symptom triggered interventions, brief interventions and follow-up. An interdisciplinary team developed and presented interactive, case driven workshops for nursing care providers of adults and children over 10 years of age, in inpatient and emergency care settings. Additionally, unit-based education was provided by Advanced Practice Nurses. Intranet resources and web-based video, informational packets, posters, algorithms, screen shots, and patient educational links (Health Facts for you) were used to prepare 800 nurses for implementing the new alcohol screening tools (CAGE + Consumption and CRAFFT); Clinical Institute Withdrawal Assessment of Alcohol Scale, Revised (CIWA-AR) with three medication order sets (Trauma/Burn, Low Dose, Standard); and Brief Intervention/follow-up through a new electronic medical record. Evaluation of the changes is currently in progress. Initial provider reports indicate improved patient/family outcomes and nursing knowledge.
Nursing Practice Guidelines for Alcohol Related Issues is a priority. One of the co-authors of this guideline will be consulting with the International Society of Mental Health Nursing to update the care practices of the patient and family experiencing alcohol related issues. Creative web-based, multi-media educational strategies mediated by Advanced Practice Nurses can make guidelines a reality, facilitate evidence-based changes and improve outcomes for patients and families confronting alcohol related issues.