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Learning Objective #1: Summarize the process used to conduct a clinical trial as a means to involve bedside staff nurses in research.

Learning Objective #2: Analyze successes and lessons learned while conducting research at the bedside.

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Background: In January of 2006, staffs in this community hospital identified characteristics of the organization as a major barrier to research utilization. The single greatest barriers identified included a perceived lack of authority to implement change, a lack of time to read research, and a lack of awareness of the evidence. Previous research has revealed that staffs involved in research related activities are more likely to utilize evidence as a basis for practice. One strategy selected to develop staff participation in research was a clinical trial. Previous studies have indicated that commercial securement devices improve patient outcomes through reduction in accidental dislodgement and unplanned restarts. Design: Prospective comparative study of three securement devices for peripheral IV catheters conducted by bedside nurses. Research Question: Which IV securement device results in increased dwell time and decreased accidental dislodgement of IV catheters in adult surgical patients? Methods: Staff Registered Nurses (RN) in the pre-operative area initiated the IV insertion. IV site preparation was done according to hospital protocol. The staff RN on the inpatient surgical unit maintained and monitored the IV for complications. A convenience sample of (N=25) comprised of adult patients scheduled for admission post-operatively was included in the study. Data collection began September 1, 2006 and ended November 20, 2006. Results: The results of the research project will be taken to the Value Analysis committee to make recommendations for change in practice congruent with the evidence. Recommendations: Conducting a clinical trial at the bedside has inherent challenges. The staff feedback was invaluable in regards to conducting research. This information will be used for future program planning to further expand the research experience and participation of bedside staff members.