Wednesday, July 9, 2003: 1:00 PM-2:30 PM

Facilitating Evidence-Based Practice in a Shared Governance Nursing Organization

Learning Objective #1: Describe the synergistic relationship between evidence-based practice and a shared governance organizational model
Learning Objective #2: Identify strategies for promoting evidence-based practice within an urban health care system employing diverse professional nurses
Evidence-based practice (EBP) requires inquisitive professionals who question the status quo and critically examine opportunities for improvement. EBP is an important model for outcomes management and continuous quality improvement within health care systems. Nurses engaged in EBP need solid decision making skills with the ability to ask relevant questions, critique research studies, and examine research findings within the context of clinical practice and patient preference. This skill set is best nurtured within an environment that encourages critical thinking and autonomous decision-making. Bureaucratic, top-down organizational structures may encourage passivity and dependency within employees, major barriers to establishing a responsive, dynamic work environment. Shared governance encourages engagement and participation, qualities critically important to sustaining an evidence-based practice model in nursing. Within a shared governance model, nurses are supported in their efforts to contribute to the nimbleness of the practice setting as it is challenged to meet diverse patient care needs while operating with limited fiscal resources. Nurses are encouraged to critically think, weigh options, and debate possibilities. These proficiencies are similar to the skills demanded by EBP nursing. This symposium describes the logical consistency of incorporating EBP within a shared governance organizational model. The discussion will highlight the benefits and challenges of redesigning an existing shared governance organizational model to improve its connectedness to evidence-based nursing practice. Administrative and clinical perspectives will be offered to establish the possibilities inherent in a combined shared governance and EBP nursing models. Targeted strategies for enhancing the EBP expertise of the nursing staff will be discussed. A model for using a participatory ad hoc design to explore clinical concerns within the network using EBP strategies will be offered with an exemplar detailing a newly designed bariatric EBP program. Suggestions for EBP implementation within the context of a shared governance organizational model will be shared and discussed.
Organizer:Patti Rager Zuzelo, EdD, RN, CS, Associate Director of Nursing for Research and Associate Professor
 Improving Nursing Care of the Bariatric Patient: An Exemplar of Evidence-Based Practice in Action
Peggy Seminara, BSN, RN, Nurse Manager, Patti Rager Zuzelo, EdD, RN, CS, Associate Director of Nursing for Research and Associate Professor
 Promoting Evidence-Based Practice within a Shared Governance Nursing Organization
Patti Rager Zuzelo, EdD, RN, CS, Associate Director of Nursing for Research and Associate Professor
 Shared Governance and Evidence-Based Practice: A Model for Organizational Excellence
Terry McGoldrick, MSN, RN, Chief Nurse Executive
 The Challenges and Opportunies of Shared Governance and Evidence-Based Practice: A Staff Nurse Perspective
Heather Karbach, BSN, RN, Staff Nurse

International Evidence-Based Practice Preconference
Sigma Theta Tau International
9 July 2003