Paper
Friday, July 15, 2005
This presentation is part of : Challenges in the Workplace
Building Capacity for Infusion of Evidence-Based Practice
Robin Purdy Newhouse, RN, PhD1, Sandra L. Dearholt, RN, MS2, Stephanie S. Poe, MScN, RN2, Kathleen M. White, PhD, RN, CNAA, CMAC3, and Linda C. Pugh, PhD, RNC, FAAN3. (1) Nursing Administration, The Johns Hopkins Hospital/University School of Nursing, Baltimore, MD, USA, (2) Department of Nursing Administration, The Johns Hopkins Hospital, Baltimore, MD, USA, (3) School of Nursing, Johns Hopkins University, Baltimore, MD, USA
Learning Objective #1: Discuss four strategies to build organizational capacity for evidence-based practice
Learning Objective #2: Describe one process for completing an evidence-based practice project

Objective: Organizational infrastructure that fosters translation of research into practice is essential to enable clinician engagement in evidenced-based practice. The purpose of plan was to infuse evidence-based practice (EBP) into an academic medical center.

Method: An evidence-based practice model and guidelines were developed by nurse educators and clinicians in collaboration with the Nursing Research and Standards of Care Committees. The model and guidelines were implemented and tested through four educational sessions and projects. Continued educational session and mentor building sessions will be held in 2005. The model, guidelines and tools will be distributed via expanded classes internally. A Nurse-Physician Collaborative project for evidence-based practice was implemented in December 2005. An EBP Fellowship will be awarded in January 2005. A pilot collaboration with the hospital and School of Nursing, which has enabled a process for generation of EBP questions for student use in projects and subsequent evidence summaries for clinical use, was completed in the Fall 2004 semester.

Conclusions: Results have demonstrated that staff nurses are able to effectively use our EBP model with the help of knowledgeable mentors. Multiple strategies have resulted in increased infusion of evidence-based practice.

Implications: With the appropriate organizational infrastructure, leadership support, and time allocation, nurses can conduct evidence-based practice projects. The infrastructure needs to include metrics to monitor successful implementation of recommendations based on evidence-based projects.