| Learning Objective #1: Identify effective strategies to implement evidence-based gerontological nursing in diverse clinical settings | |||
| Learning Objective #2: Identify principles to affect change to advance nursing practice using evidence |
Confusion is a common concern in the elderly population that may be related to dementia, delirium, and/or depression. Early detection and therefore, management of confusion may improve patient care outcomes such as quality of life, length of stay, mortality and morbidity, and caregiving burden. The purpose of this presentation is to describe the implementation of a best practice guideline developed by the Registered Nurses Association of Ontario to screen for dementia, delirium, and depression in the elderly population. Best Practice Guidelines are developed through a systematic process based on available best evidence that enable nurses to articulate and make sound decisions. The implementaiton of this project involve diverse patient populations and practice environments in three major hospital in Metropolitan Toronto including The University Health Network, Mount Sinai Hospital, and Toronto Rehabilitation Institute. Discussion will illustrate the use of evidence based paradigm to advance nursing practice. Implementation strategies including formal education, unit based champions, programatic structures, and senior management involvement that were applied to support the change of practice will be discussed. Relevant outcomes of the project such as nurses knowledge and attitude changes, oraganizational changes, patient's satisfaction will be highlighted.
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