Monday, 18 November 2013
Rita Wilson, RN, MEd., MN
International Affairs and Best Practice Guidelines Programs, Registered Nurses’ Association of Ontario, Toronto, ON, Canada
Irmajean Bajnok, RN, MSN, PhD
International Affairs and Best Practice Guidelines Programs, Registered Nurses' Association of Ontario, Toronto, ON, Canada
Learning Objective 1: Describe an implementation framework to integrate best practice guidelines within an electronic medical record.
Learning Objective 2: Describe the potential benefits of implementing nursing order sets derived from best practice guidelines.
This presentation highlights the results of an environmental scan that was conducted to gain insight into the best approach to harness technology to enable health care organizations to implement Best Practice Guidelines (BPGs) and facilitate sustained use to enhance client health outcomes. The environmental scan included key informant interviews and an online survey which was distributed to organizations implementing clinical BPGs with information technology. The findings revealed large inconsistencies in BPG implementation. Many organizations simply provided links to BPGs on their Intranet sites. Other organizations only embedded the recommended assessments tools within their clinical systems. Very few organizations incorporated the recommended nursing interventions or used technology in any way to support evidence-based nursing practices other than assessment. These organizations were not taking advantage of technology to support implementation of evidence-based interventions and to record the evidence-based plan of care.
The findings from this environmental scan were used to develop a BPG implementation framework that incorporates the use of nursing order sets. This approach is an unprecedented, innovative strategy aimed at transforming nursing practice by leveraging technology to promote knowledge translation and evidence-based decision making. Nursing order sets comprised of specific action-oriented nursing interventions can easily be integrated within clinical systems. Therefore, they offer tremendous potential as an enabler for organizations to more effectively promote evidence-based nursing practice and increase the visibility of nurses’ contribution to client health outcomes.
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