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Learning Objective 1: utilize Champions to improve nursing care
Learning Objective 2: engage in ongoing quality assurance
York Central Hospital (YCH) has engaged in numerous Best Practice Guideline (BPG) implementation projects in partnership with the Registered Nurses Association of Ontario (RNAO), which has earned them distinction as a Best Practice Spotlight Organization (BPSO) candidate. However, spreading and sustaining innovations in healthcare service delivery is a major challenge for every organization and requires on-going evaluation to confirm and ensure success. Our research project illustrates a planned evaluation of the current multi-faceted implementation strategy of the BPGs for stroke and pediatric asthma. This research supports the goals of BPSO by establishing and utilizing effective approaches to evaluate implementation activities utilizing structure, process, and outcome indicators, and identifying effective strategies for system-wide dissemination of BPG implementation and outcomes. To maintain accountability with RNAO and YCH, our evaluation includes formative and summative components. YCH uses Knowledge Transfer Teams (KTT) made up of nurses and other interprofessional team members directly involved in client care. We examine the design and delivery (process) of this program as well as its outcomes. Focusing on implementation and outcome aspects of program evaluation ensure depth as well as breadth of in our collected data. Qualitative and quantitative methodologies in a time series design are being used to collect data over a 12-month period at increments of 3, 6, and 9 months. Perceived barriers and limitations in implementing BPGs, the effectiveness of BPG teaching, and the extent to which e-learning technology is used to facilitate the implementation of BPGs are being analyzed. The impact of BPGs on clients and staff are also analyzed by measuring client satisfaction and clinical outcomes along with staff self-efficacy and satisfaction with client care. This project will contribute to the understanding of how nurses can take an active role in increasing quality of care as related to the sustainability of BPGs.
See more of: Oral Paper & Poster: Evidence-Based Practice Contest