E 14 Promoting Evidence-Based Practice Through a Collaborative Model of Evidence Translation

Tuesday, 23 July 2013: 3:30 PM-4:45 PM
Description/Overview: At American Nurses Credentialing Center (ANCC) Magnet designated facilities, patient care decisions are typically made by nurses at the council level within the organization. The council structure in our facility includes Practice, Research and Quality Councils that share a common goal to improve clinical outcomes utilizing evidence-based practice (EBP). According to the literature, when quality improvement (QI) and EBP are distinct approaches, patient care at the bedside often fails to translate the relevant research evidence and utilize QI outcome data that could help focus efforts to strengthen and sustain EBP at the bedside. To assure the effectiveness and efficiency of EBP, nursing councils cannot work in silos, but rather a collaborative process is needed for reviewing, communicating, implementing EBP and monitoring the outcomes of evidence-based patient care policies, practice guidelines and standards of care. The first presentation of this symposium is an overview of the starting point and development of the Collaborative Model of Evidence Translation (CoMET) model. This project was initiated by a group of staff nurses who were also members of the nursing research council. The staff nurses developed an algorithm to streamline the collaboration and knowledge translation processes between the nursing research, quality and practice councils utilizing the Promoting Action on Research Implementation in Health Services (PARIHS) framework. The second presentation describes the formation of the Evidence-Based Practice Committee from the nursing research, quality and practice council members and the groups experience through a qualitative study during which they critically analyzed the scientific evidence to make recommendations for staff education and outcomes monitoring. The third presentation introduces the implementation of the CoMET model using a select practice initiative, the use of buffered lidocaine as local anesthesia for IV insertion. The steps of staff education, facilitation of learning and outcomes measurement demonstrating sustainability are discussed.
Learner Objective #1: 1. The learner will identify the benefits of mixed methods for bridging the gap between research and practice while developing and testing a translation model.
Learner Objective #2: 2. The learner will be able to discuss the benefits of a conceptual framework as a scientific basis for an evidence translation model.
Organizers:  Kristiina Hyrkas, PhD, LicNSc, MNSc, RN, Center for Nursing Research and Quality Outcomes, Maine Medical Center, Portland, ME
Moderators:  Tracey L. Yap, PhD, RN, WCC, CNE, School of Nursing, Duke University, Durham, NC
Improving Outcomes Through Nursing Council Collaboration

Gertrude Kent, RN, BSN
Maine Medical Center, Portland, ME

Collaboration and its Role in Knowledge Translation at the Council Level in a Magnet Organization: A Qualitative Study to Better Understand the Collaboration Experience

Kelly E. Lancaster, RN, MSN, CAPA
Dept of Nursing, Ambulatory Surgery Center, Brighton Campus, Maine Medical Center, Portland, ME

Effectiveness of the Collaborative Model of Evidence Translation (CoMET) on Practice Uptake, Sustainability, and Patient Satisfaction Outcomes

Debbie Michaud, RN
Department of Patient Care Services, Maine Medical Center, Portland, ME
Kristiina Hyrkas, PhD, LicNSc, MNSc, RN
Center for Nursing Research and Quality Outcomes, Maine Medical Center, Portland, ME