Learning Objective #1: Describe steps in teaching evidence-based practice in this project, starting with identification of a clinical question to formulation of critically appraised summary

Learning Objective #2: List three outcomes of the project in terms of staff nurse participation and clinical relevance

---

Purpose: To implement a theory-driven approach for advancing the research utilization skills of practicing nurses, specifically regarding how to critically and systematically review evidence to address clinical questions. There were two primary challenges: How to address learning needs stemming from diverse in- and outpatient clinical areas and how to effectively engage nurses with a wide variety of educational backgrounds. Strategy: Benner's model describing the evolution from novice, advanced beginner, competence, proficiency, and finally to expert was used to guide, implement and evaluate the program. The program approach was built around the goal of meeting nurses at their individual skill level and optimizing the teaching/learning capacities of nurses all along the novice to expert continuum in order to advance the collective skill set of nurses within the organization. Nurses with various backgrounds could simultaneously learn and teach within the context of the program, fostering a workplace environment that is intellectually stimulating and clinically relevant. The program included combining knowledge resources in a new way. A bedside nurse paired with Clinical Nurse Specialist and Director of Libraries to review literature, then collaborated with the Nurse Researcher to weigh evidence, and to present their findings in conference setting where all nursing staff were invited to attend (CEUs awarded). The Director of Nursing Services concluded the conference by describing how evidence pertains to institutional practice. A Clinically Appraised Topic was posted on the nursing web site and information was disseminated via nursing committees. Evaluation: Outcomes included formulation and dissemination of a clinical “bottom line,” high levels of involvement in and satisfaction with the conference. Recommendations: Quarterly conferences addressing clinical questions, led by bedside nurse and CNS, facilitated by nurse researcher and attended by wide array of nurses. Continue feedback regarding how the evidence based intervention will occur within our institutional culture.