No matter whether it is called research-based or evidence-based, or even data-driven, there is an ever-increasing need to base nursing practice on fact rather than tradition. The nursing leadership in our Medical-Surgical Department has supported and encouraged multiple efforts to introduce a research focus in our department. Endeavors have been practical and useful, and have ranged from department-wide quality improvement projects to actual clinical inquiry. One of our largest projects is an annual Medical-Surgical Department prevalence survey, in which we visit each patient and quantitatively assess care given. Another departmental effort has been implementation of national initiatives, such as pain management, pressure ulcer prevention, and early stroke intervention. Research into practice has included investigation of the use of thromboembolic stockings and our neurological assessment techniques. We have also made efforts to implement research-based practice from the literature, such as dobhoff tube care and back safety for nurses. Each project has been aimed at improving patient outcomes through investigation and implementation of interventions based on best evidence. Baseline data are routinely collected, as are outcome data, so that we can monitor our efforts at change. Findings are not reported in isolation, but used to guide educational efforts, skills fairs, and policy or procedure changes. This presentation will review our efforts and outcomes in implementing a research-focused practice, and will offer practical suggestions for those wishing to do the same.
Back to Initiating Evidence-Based, Data-Driven Change in a Medical Surgical Nursing Department
Back to 14th International Nursing Research Congress
Sigma Theta Tau International
10-12 July 2003