Learning Objective #1: articulate the process of implementing a transdisciplinary Evidence Based Practice initiative within their own unit.

Learning Objective #2: demonstrate an improvement in acquiring and applying knowledge of clinically relevant topics, measurable through pre-test, post-test, and case scenarios.

---

Purpose: The purpose of this project is to increase staff knowledge of evidence based practice (EBP) in an attempt to provide up to date, evidence-based care to critically ill patients. Description:  Three baccalaureate prepared staff nurses with a shared interest in EBP came together to form an Evidence Based Practice Committee. Our group attended seminars on presentation strategies, how to effectively appraise and perform literature searches, as well as methods of incorporating EBP into clinical areas using the IOWA model. The committee determined an initial presentation on evidence-based practice itself would provide the necessary background for future topics. Our strategy to disseminate current EBP guidelines involved a poster board on which the staff was given the opportunity to propose questions about their clinical practice. Poster presentations and an article library served to increase staff exposure to the content. The first topic discussed was “To Lavage or Not to Lavage:  The Use of Normal Saline in Endotracheal Tube Suctioning.” The misuse of saline lavage was discussed and practice recommendations were given on appropriate suctioning techniques. Other topics have included “Family Presence in Resuscitative and Invasive Procedures” and “Critical Patients, Critical Mouths”. Evaluation and Outcomes: The effectiveness of presentations and poster boards was determined through surveys and anonymous feedback forms. Staff interest was measured through increased participation and greater dialogue regarding EBP. A desire to utilize the information provided and apply it to one’s practice was expressed. Similarly, there was an acknowledgment of a greater need for research to influence decision-making. There was multi-disciplinary attendance to presentations, which increased collaboration among professionals. Practice changes that have occurred include an increase in staff nurses’ willingness to consult the literature when faced with clinical practice issues. Overall, this ongoing project has contributed to our staff’s professional development and has promoted awareness of nursing EBP.