F 15 Impact Measurement: Quantifying the Effect of Evidence-Based Practice Change

Monday, November 2, 2009: 3:30 PM-4:45 PM
Description/Overview: Evidence-based practice (EBP) methods have gained recognition as key components to provision of excellent interdisciplinary healthcare. Magnet recognition, the Doctor of Nursing Practice (DNP) degree, and endorsement of EBPs by payers, professional organizations and government agencies have fueled widespread acceptance of EBP methods. But lacking in these methods has been clear direction on quantifying the "impact" of EBP on patient, nursing services and hospital outcomes. In fact, most EBP studies are conducted using relatively simple quality improvement techniques that lack the ability to attribute a causal relationship between the practices adopted and the results achieved. Additionally, the ability to implement practice changes that are long-lasting, resilient and genuinely accepted by practitioners remains a daunting task, especially when evidence that demonstrates a shift toward improved results is lacking to garner support. Yet, since Codman’s call for measurement of “end-results” in 1917, to Donabedian’s and Ellwood’s frameworks for quality management in the 1980s, quantification of “performance impact” associated with the methods used to provide healthcare has been advocated. If healthcare agencies are to continue to value the significant workload and staff costs associated with adoption of an EBP culture, inclusion of methods that measure the impact of this work must be embraced. This symposium provides direction for EBP “impact measurement.” Impact study designs will be described, compared and contrasted using actual case examples from a variety of clinical practice settings, and benefits associated with the conduct of phase IV effectiveness studies will be discussed. Methods for incorporation of impact measurement in DNP curricula will be described, as will a focus on creating cultures of excellence that enable nurses at all levels to understand the impact of their contribution. Interactive methods are incorporated to enable participants to begin the impact design process.
Learner Objective #1: Discuss rationale supporting the measurement of evidence based practice (EBP) "impact."
Learner Objective #2: Design methods of EBP "impact measurement" that can be incorporated into diverse clinical practice settings.
Diane M. Breckenridge, RN, MSN, PhD, School of Nursing and Health Sciences and Nursing Department, La Salle University and Abington Memorial Hospital, Philadelphia, PA
Symposium Organizer
Anne Wojner Alexandrov, PhD, RN, CCRN, FAAN, School of Medicine, Department of Neurology, University of Alabama at Birmingham, Birmingham, AL
3:30 PM
Impact Measurement and the Doctor of Nursing Practice (DNP)

Joseph White, MSN, RN
Cardiovascular Services, University of Alabama-Birmingham Medical Center, Birmingham, AL
Shannon Graham, MSN, RN, AOCN
Oncology Services, University of Alabama- Birmingham Medical Center, Birmingham, AL

4:10 PM
Impact Measurement: Quantifying EBP Effectiveness

Anne Wojner Alexandrov, PhD, RN, CCRN, FAAN
School of Medicine, Department of Neurology-Comprehensive Stroke Center, University of Alabama at Birmingham, Birmingham, AL