SYMPOSIUM
Wednesday, 19 July 2006: 10:00 AM-11:30 AM
Evidence-Based Decision Making: From Bedside to Boardroom
Learning Objective #1: Describe the ways in which research evidence can be used effectively to inform clinical and administrative decision-making.
Learning Objective #2: Discuss the ways in which performance improvement processes can lead to formal research investigations of clinically relevant questions.
This symposium highlights the ways in which research evidence can be used to influence clinical and administrative decision-making. Three examples of successful evidence-based performance improvement activities are drawn from an academic health science center (AHSC) that serves both inpatients and outpatients in a variety of specialized settings. In the first example, presenters describe the use of nationally benchmarked (National Database for Nursing Quality Indicators [NDNQI]) care delivery outcome indicators to develop an evidence-based action plan for standardizing care delivery to patients at risk of pressure ulcer development. In examining quarterly NDNQI data, nurses determined the hospitalís pressure ulcer prevalence demonstrated the need to bring the prevalence rate to within the desired range for hospitals of comparable size. A review of the literature resulted in the development of evidence-based standards of practice and the subsequent investigation of their impact on care delivery outcome. In the second paper, presenters discuss the findings of an evidence-based pain assessment instrument development study that evolved from a performance improvement process designed to improve the management of pain and sedation in intubated critically ill adults. This study compared the use of a research-based tool to one designed for use with children, which was perceived by nurses as undesirable for use with nonverbal adults. The findings of this study have resulted in the implementation of this pain assessment tool in over 30 hospitals in the U.S., Canada, Europe and Australia. The third presentation focuses on the testing of an ambulatory nursing level of care delivery intensity scale for determining nurse resource needs in a busy outpatient cancer center. The validation testing of this instrument resulted in the identification of the need for additional nurse resources to manage the needs of patients treated in the center and the subsequent approval of additional full-time equivalent positions.
Organizer:Gail L. Ingersoll, EdD, FAAN
 Using Evidence to Standardize Care Delivery Processes in At-Risk Patients
Nancy Freeland, RN, MS, Cindy Berry, RN, BS, Barry Evans, RN, MS, Mary Comerford, RN, MS, Michelle Atkinson, RN, Amy Cioppa, RN, Corinne Kiseleski, RN, Holly Moynihan, RN, Brenda Pavlik-McGowan, RN, Lisa Wallin, RN, MS, Cheri Witscheber, RN, Gail L. Ingersoll, EdD, FAAN
 Evidence-Based Measurement of Pain in Nonverbal Critically Ill Adults
Deborah Wegman, RN, BSN, Nancy Freeland, RN, MS, Margaret Odhner, RN, Gail L. Ingersoll, EdD, FAAN
 Data-Based Decision-Making concerning Nursing Resource Needs
Shannon Phillips, RN, MS, AOCNS, Catherine Lyons, RN, MS, CNAA, Charlene Peters, RN, Colleen Tantalo, RN, Kathleen Castellano, RN, Gail L. Ingersoll, EdD, FAAN, Daniel Hatch