Evidence Based Practice Fellowships: Academic-Practice Partnerships for Advancing Nurse Practice and Patient Outcomes

Sunday, 17 November 2013: 3:05 PM

Lisa Hopp, PhD, RN, FAAN
School of Nursing, Purdue University Calumet, Hammond, IN

Learning Objective 1: Discuss how academic-clinical partnerships foster evidence based practice fellowships that develop front line staff and clinical leaders to solve high priority clinical problems.

Learning Objective 2: Analyze the challenges and facilitators to building evidence based practice clinical fellowships and implementing evidence in complex clinical contexts.

Over the last decade, nursing educators have worked to embed evidence-based practice in curricula. Yet gaps exist in the education of the workforce prepared prior to the infusion of evidence-based practice in nursing education.  Three Joanna Briggs Institute Collaborating centers have developed and implemented clinical fellowships to address the development needs of clinicians. Because of the collaborative nature of the centers, each fellowship shares common elements but each uses somewhat different models and strategies to fit their unique contexts. All of the programs focus on designing and implementing practical, evidence-based solutions for high priority, patient-centered clinical problems. They develop fundamental evidence-based practice skills that include defining problems, asking questions, searching and appraising evidence, implementing it and evaluating outcomes.  However, each center uses a somewhat different model to design their programs. The Texas Christian University Center prepares frontline staff through a series of workshops based on the Iowa Model; mentors employed in the fellow’s facility work with them throughout implementation. The New Jersey Center develops nurses’ fundamental skills but focuses on developing expert facilitators based on the framework, Promoting Action on Research Implementation in Health Service. The Indiana Center blends aspects of both programs. Teams of frontline staff and clinical leaders, acting as facilitators, attend an intensive on-campus workshop; Center faculty members serve as mentors throughout the implementation of projects.

This symposium will address three key aspects of these Centers’ experiences. First, we will address how to build academic-clinical partnerships and their added value for both the academic and clinical centers.  Second, we will discuss the curricula, models and costs of the programs.  Finally, we will share our experiences with the challenges of implementing evidence and the impact of our programs on nursing practice and patient outcomes.