Developing Future Evidence-Based Practice Leaders

Monday, 18 November 2013

Barbara K. Giambra, MS, RN, CPNP
Mary Ellen Meier, MSN, RN
Patti P. Besuner, MN, RN
Center for Professional Excellence and Business Integration, Cincinnati Children's Hospital Medical Center, Cincinnati, OH

Learning Objective 1: The learner will be able to describe the importance of support for leading change.

Learning Objective 2: The learner will be able to list the changes made to the Point of Care Scholar program.

Purpose

It is imperative that Health Care is based on evidence to effectively change outcomes for patients, families, and health care organizations.  Clinicians often need education, mentoring and time allocated to adequately complete the steps of the Evidence-Based Practice (EBP) process and lead teams to, make practice changes or create evidence through research if a gap in knowledge is discovered. Our existing Point of Care (POC) Scholar program was designed to educate and train clinicians in the EBP process over a 12 month period of time.  Despite the allocation of time, clinician/scholars were faced with  challenges when leading practice change efforts or attempting to access resources to develop research proposals.

Methods

Previous scholars’ feedback was systematically collected along with leadership input to revise our POC Scholar program. The new program was created by the EBP mentors based on previous experiences and review of the literature, then discussed with current scholars and leadership to build consensus.  The revisions streamline the clinicians’ work to achieve a care recommendation sooner and provide stronger mentorship for leading implementation and evaluation of practice changes or creating a research proposal all in a significantly shortened time frame. 

Results

Evaluation of this work is ongoing.  We anticipate measuring leadership and Scholar satisfaction with the revised program, as well as the number of EBP care recommendations presented to shared governance councils, number of practice changes successfully accomplished and number of research proposals submitted to the IRB within the shortened program time frame. 

Conclusion

It is anticipated that the revised POC Scholar program will result in substantial improvements in the time clinicians spend getting to a care recommendation and leading implementation and evaluation of best practices or designing research studies.