Learning Objective #1: identify a process that links clinical decision-making with research.

Learning Objective #2: describe resources needed to promote evidence-based practice.

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The purpose of this project was to develop a nursing research infrastructure needed for evidence-based practice (EBF) in a pediatric hospital. The aim was to have a framework by which nurses could answer clinical questions which impacted patient outcomes. In EBF, research findings combined with clinical experience and patient preferences are the basis of patient care decisions. The Stetler Model was used in developing a Nursing Research Council whose goals were to facilitate organized nursing research across levels, to increase research knowledge, skills and abilities,and to promote evidence-based practice. Nursing Research Council members used their clinical expertise to identify these goals. Barriers to research utilization identified were limited time and skills needed to access information, financial limitations, inadequate computer access, lack of knowledge of active research and inadequate resources for data analysis and management. A web-page, database, nursing grand rounds,and other educational offerings meant to remove barriers has not insured participation by the nurses. A mentored team representing nursing management, clinical education, and staff nurses will be organized. Next the Evidence-based Belief Scales will be used to survey NICU nurses. The nurses will be asked to choose one of three topics related to their clinical practice for an evidence-based review. The team will complete the PICO process with the nurses. Upon completion of the EBP process, the EBP Implementation Scale will be administered to measure change. Results of the surveys will be presented in November, 2005 at the Annual Sigma Theta Tau Meeting. Conclusions: Typicaly, gaps have existed between research findings and clinical practice. Evidence-based practice can bridge the gap and improve the quality of patient care and patient outcomes. This project seeks to demonstrate knowledgeable nurses with adequate resources can implement evidence-based principles to support best practice.