Preferred Presentation Format: poster

Objectives: 1. Identify the leadership role of a Clinical Nurse Specialist (CNS) in the development of evidence-based practice guidelines and protocols. 2. Identify the process for changing the nursing focus from tradition to Evidence-Based Nursing Practice (EBNP).

Target Audience: Advanced Practice Nurses, nurse leaders, Faculty

Keywords: CNS, leadership, EBNP

Abstract: Purpose: Describe the development of a CNS role focusing on EBNP among pediatric nursing staff.

Question: How would the development of a CNS role focused on EBNP lead to changes in nursing practice?

Theoretical Framework: The Rosswurm/Larrabee Model for change to Evidence-Based Practice (1999).

Methods: The CNS developed a Unit-Based Nursing Research Council (NRC). Initially, the CNS and members of the NRC developed and distributed staff surveys focusing on change. The CNS,collaborating with a PhD nurse researcher and hospital-based librarian, coordinated education sessions on EBP to unit staff. Analysis of research referrals on patient care issues were led by the CNS. Collaboration with nursing administration focused on staff's involvement in NRC and EBNP.

Results: The CNS provided leadership to the ten member NRC, meeting every 3 weeks. Staff commitment is evident in: attendance at meetings, participation in change surveys, and submission of five referrals for guidance on nursing practice. In addition, two posters were accepted for presentation in a public forum: one on council development and one outlining an EBNP project. Administrative support is evident in compensation to staff for attending research meetings and other related activities.

Significance to nursing: Preliminary evidence supports the transformation of a pediatric nursing unit from tradition to evidence based practice. The NRC encourages nurses to question the care they provide and invites involvement of the bedside nurse in research and evidence-based activities to improve clinical outcomes.