MaryJo Vetter, MS, RN, NPC, Education and Clinical Development, Visiting Nurse Service of New York, New York, NY, USA
VNSNY has a long history of devoting resources and placing
great emphasis on quality of care and practice improvement. When approached by Pace University
to engage in an initiative to support field nurses in operationalizing
evidence based practice, the question arose: How would this be different from
what we are already doing? It was
obvious that in order for leadership to commit time and effort to a study,
which tested a model of integrating EBP into the practice environment (the Advancing
Research and Clinical Practice through Close Collaboration or ARCC model), they
would need enough information to differentiate between quality improvement initiatives
and EBP innovations in practice.
Succinct communication and substantiation of the value of this work for
the organization, the nursing profession and the specialty of home health care
was required. Relating EBP integration
to ANCC's characteristics of a
magnet organizations provided a provocative and influential framework
for discussion. Once senior management
approval was secured, program commitment was addressed. At this level, linking EBP to attaining
agency specific quality targets proved to be successful in achieving buy-in to
participate in the study. As the work progressed,
direct observation of the effect that working on solving a clinical problem had
on the nursing staff's sense of professionalism and enthusiasm for their job
reinforced the wisdom of the decision to partner with an academic institution
to make EBP a reality for staff nurses.