A System-Wide Collaborative Nursing Research Council

Monday, 18 November 2013: 10:00 AM

Patricia Robin McCartney, PhD, RN, FAAN
Department of Nursing, MedStar Washington Hospital Center, Washington DC, DC

Learning Objective 1: Describe the role the Nursing Research Council as part of the collaborative governance structure in implementing change in a large health care system.

Learning Objective 2: Discuss the process for using the findings from a system-wide Evidence Based Practice (EBP) survey to change organizational culture for the adoption EBP.

Purpose: To present how a system-wide collaborative Nursing Research Council examined findings from an evidence-based practice survey and identified implications for enculturating EBP into daily practice.

Significance: Collaborative governance provides an opportunity for nurses to advance the quality of nursing practice. Quality care is built on a shared vision, framework, and skill set for evidence-based practice among nursing leaders and direct care nurses.

Methods: A non-experimental design, employing an online survey, “Nurses’ Perceptions and Readiness for Evidence-based Practice Survey,” was used to assess registered nurses’ beliefs, perceptions of organizational readiness, and implementation of EBP across a 9 hospital health care system (Mylenk & Fineout-Overholt, 2004, 2008). Council members collectively wrote the IRB approved proposal, recruited nurses to complete the survey, analyzed the data, identified implications, and disseminated the findings.

Findings: Over 1600 nurses responded (23% response rate) from urban, community and specialty hospitals. While mean scores for beliefs were high, the mean scores on perceptions of organizational readiness, and implementation identified opportunities for improvement. Statistically significant different mean scores were found for the characteristics of basic nursing education, highest education, certification, and administrative, support, or leadership roles. Nurses in leadership roles held more positive beliefs toward EBP, organizational readiness for EBP, and implementation of EBP compared to direct care nurses.

Implications: The findings provide direction for the Nursing Research Council to support leadership’s role in developing and facilitating a collaborative action plan for cultivating and mentoring the use of EBP across the system. Methods may include didactic workshops, journal clubs, grand rounds, and hospital councils to develop direct care RNs’ EBP knowledge and skills. Leaders will also encourage certification and promote the availability of current EBP resources.