Sunday, November 2, 2003

This presentation is part of : Evidence-Based Nursing: Innovative Implementation Approaches

Evidence-Based Practice: Maximum Impact Using a Partnership Council Infrastructure

Diane Hanson, RN, BSN, MN, CPM Resource Center, Grand Rapids, MI, USA
Learning Objective #1: Describe the call for evidence-based practice in health care, its impact on clinical practice and the current barriers experienced in healthcare organizations when trying to support evidence-based practice initiatives
Learning Objective #2: Describe an international health care consortium’s work of creating tools and processes to support evidence-based practice initiatives by implementing clinical practice guidelines and outcomes engineering within an innovative Partnership Council Infrastructure Model

Evidence-based practice is often talked about and desired as a priority in healthcare organizations. Unfortunately, the reality for healthcare organizations is that the time and resources required to develop, implement and sustain an infrastructure that supports evidence-based concepts is an overwhelming task. Obtaining the evidence, as the first step in the process, can be time consuming and challenging. Even when evidence is readily available, finding meaningful ways to integrate it into care routines and evaluate its effectiveness pose unique challenges without an effective infrastructure to grow and sustain these evidence-based activities. Most healthcare organizations are filled with caring, committed professional caregivers who are busy taking care of complex patients on a daily basis. Expecting them to do more will not be sustainable. Integrating evidence-based practice into daily care routines and linking with an infrastructure that supports learning cultures will create the momentum for maximum impact. An international healthcare consortium has developed and implemented Partnership Council Infrastructures in multiple settings across the USA and Canada to support clinical evidence-based practice, shared decision-making and outcome measurement. The Partnership Councils use clinical practice guidelines to support professional evidence-based practice. They evaluate the council’s impact on initiatives, such as patient safety and patient satisfaction, directly linked to evidence-based practice. The Partnership Councils use Outcomes Engineering as a model via an interactive web-based program. (Kibel, 2002). This allows for tracking and real-time reporting of overall impacts with evidence-based practice initiatives. This presentation, intended for all clinical and leadership roles in healthcare organizations, will demonstrate how evidence-based practice can be initiated, evaluated and sustained using supportive tools and a partnership council infrastructure for maximum impact.

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