Paper
Wednesday, July 21, 2004
This presentation is part of : Support for Evidence-Based Practice
Realizing APN-Level Evidence-Based Practice Efforts: A Multiple-Skill Development Model
Clare M. Hopkins, PhD, RN, Nursing, Nursing, Carlow College, Pittsburgh, PA, USA
Learning Objective #1: Describe the benefits of broadening evidence-based practice (EBP) skills to include acquiring entrepreneurial skills to persuade adoption of EBP proposals into policy/procedure changes
Learning Objective #2: Apply a nursing education model to teach graduate students how to develop, implement and market an evidence-based practice change

Objective:

To test a nursing education model to facilitate development of the multiple research-related critiquing, implementation, and entrepreneurial skills needed by masters students to promote effective EBP efforts.

Design:

Piloting a two-course research experience model, students honed critiquing skills for evaluating evidence through an integrated literature review, developed implementation skills by designing and presenting an EBP-change proposal to health care personnel (HCP), and developed entrepreneurial skills for promoting agency adoption of the change through an agency assessment and an evaluation of post-presentation HCP responses.

Population:

Graduate nursing students in a Southwestern Pennsylvania college.

Method:

Teaching/learning strategies included didactic methods to summarize topics, interactive group work to hone collaborative and entrepreneurial skills, and assignments to hone critical-thinking and presentation skills prior to presenting the proposal to HCP. A wrap-up session was used to discuss the process and realities of attempts to implement EBP change.

Findings:

Using this model, examples of students’ EBP change efforts included both fall-risk assessment and prevention strategies and staff hand-washing techniques/education in Long Term Care facilities, self-scheduling in an ICU, acrylic nail use by hospital HCP, and efforts to create NP roles in a same-day surgery unit and a specialty plastic surgery practice.

Conclusions:

To realize EBP efforts, graduate students must develop a range of research-related skills. The use of one nursing education model that added entrepreneurial skills to facilitate agency “buy-in” for EBP change has been found to increase student interest both in evaluating research findings and in conducting EBP efforts. The model has been implemented as a capstone experience in the pilot institution.

Implications:

Advanced practice nurses play a pivotal role in bringing research into clinical practice. Nurse educators can facilitate APN student development into this role through the use of models that teach multiple research-related skills for evaluating and selling EBP to HCP.

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Sigma Theta Tau International
July 21, 2004