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Learning Objective 1: The learner will be able to articulate evidence in action rounding as an interactive forum, assisting nurses and the interdisiplinary team in applying evidence.
Learning Objective 2: The learner will be able to describe the essential components of evidence in action rounding, and discuss the steps of the process.
Purpose
The purpose of this poster presentation is to describe the development of an innovative interdisciplinary approach to educating team members about evidence-based practice.
Background
Evidence in Action (EIA) Rounds is a unit-based interactive forum that assists nurses and the interdisciplinary team in defining, identifying and applying evidence based practice interventions relative to the management of a selected patient. Using this case study format, patient specific clinical questions and opportunities for improved outcomes are identified and current best practice is explored.
Process
Day 1: (1 hour) Participants identify nurse sensitive indicators and clinical practice questions relevant to a specific patient through team discussion as well as a retrospective and current chart review.
Day 2: (1 hour) Participants meet to discuss relevant findings from review of the literature and current internal standards of care. Opportunities for practice and outcome improvements are identified and an action plan is formulated and implemented. The health sciences librarian is present for on-site demonstration and assistance in finding evidence to support or change practice going forward.
Results
As a result of our evidence in action rounding, there has been enhanced awareness among the nursing staff as well as other disciplines regarding the importance of providing evidence based practice at the bedside. In addition, there has been an increase in the following care interventions: removal of inappropriate indwelling urinary catheters, improvements in fall/fall-injury risk identification, enhancements to turn schedules and bed surfaces for pressure ulcer prevention, administration of appropriate vaccinations, consultations to physical, occupational and wound care specialists, and changes to dietary and pharmacologic interventions.
See more of: Oral Paper & Poster: Evidence-Based Practice Sessions