Poster Presentation
Wednesday, 19 July 2006
9:30 AM - 10:00 AM
Wednesday, 19 July 2006
2:30 PM - 3:00 PM
This presentation is part of : Poster Presentations I
Pressure Ulcer Prevention in Critically Ill Children: Bringing Evidence-Based Practices to the Bedside
Margot Thomas, RN, MScN1, Judy Rashotte, RN, MScN2, and Diane Gregoire, RN, MScN, ET2. (1) Pediatric Intensive Care Unit, Children's Hospital of Eastern Ontario, Ottawa, ON, Canada, (2) Nursing, Children's Hospital of Eastern Ontario, Ottawa, ON, Canada
Learning Objective #1: discuss the impact of unit-based, multiple intervention programming on nurses' use of evidence-based practice.
Learning Objective #2: describe how personal, unit and organizational activities impact on the use of EBNP related to pressure ulcer prevention in a pediatric intensive care unit.
Introduction: Sigma Theta Tau International (2004) has defined evidence-based nursing practice (EBNP) as “an integration of the best evidence available, nursing expertise, and the values and preferences of the individuals, families and communities who are served.” Educational sessions combined with additional interventions have been proposed as strategies to promote EBNP in clinical settings. However, the effectiveness of such programs in changing nurses’ attitudes and practices has not been fully explored. The purpose of this poster presentation is to present a preliminary report of a study currently examining the impact of the implementation of a two-part, unit-based, multiple-intervention program on pediatric intensive care unit (PICU) nurses’ use of EBNP to prevent pressure ulcers.

Aim:  (1) Is there a difference in nurses’ use of evidence-based pressure ulcer nursing practices in a PICU following the implementation of education-directed strategies only versus implementation of a combination of educational and other innovative strategies? (2) Is the change in nurses’ use of these practices sustained 6 months following the implementation of the program’s interventions? (3) Does the implementation of the two parts of the program change nurses’ values and attitudes towards EBNP?

Framework: Ottawa Model of Research Use provides the conceptual framework. Personal, unit, and organizational components, drawn from elements of the Socioecological Model and the Multiple Intervention Framework, guide the interventional program.

Design:  Repeated measures design of a convenience, non-random sample of nurses in one Canadian PICU.

Methods: (1) Nurses’ self reported use of EBNP implemented to prevent pressure ulcers, (2) observed use of EBNP, and (3) self-reported values and attitudes towards evidence-based pressure ulcer nursing practices are measured pre and post implementation of the program. Changes measured using descriptive statistics and the nonparametric sign test.

Conclusion:  Findings are foundational to other initiatives related to enhancing EBNP.

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See more of The 17th International Nursing Research Congress Focusing on Evidence-Based Practice (19-22 July 2006)