Wednesday, July 9, 2003

This presentation is part of : Models to Improve Care

Education to Support Evidence-Based Practice by Staff Nurses

Laura Cullen, MA, RN, Advanced Practice Nurse and Marita Titler, PhD, RN, FAAN, Director of Nursing Research, Quality and Outcomes Management. Department of Nursing Services and Patient Care, University of Iowa Hospitals and Clinics, Iowa City, IA, USA
Learning Objective #1: The learner will be able to describe the components of a staff nurse evidence-based practice internship program.
Learning Objective #2: The learner will be able to discuss the benefits of a staff nurse evidence-based practice internship program.

Nurse’s value using scientific evidence to guide practice. Implementation of evidence-based practice (EBP) within a clinical setting is complex and requires support, as well as expertise. Analysis of our EBP culture identified that nurses within the organization valued use of research in practice, but needed additional support. One approach to address these needs was development of a staff nurse EBP internship at the University of Iowa Hospitals and Clinics.

Program Description: The major objective of this program is to stimulate innovative thinking by staff nurses regarding use of evidence to improve patient outcomes. Nurses applied by identifying a clinically relevant topic, and garnering support from their manager and advanced practice nurse. The competitive application resulted in acceptance of six nurses. The program provided didactic content, group discussion and work sessions. Content included an EBP overview, application of the Iowa Model, and strategies for EBP implementation and evaluation. Interns received paid clinical release time and free CEU’s. Intern’s topics included fall risk assessment, family transition from PICU, family pet visitation, sedation for mechanically ventilated adults, bowel sounds assessment and guided imagery.

Evaluation and outcomes: Course evaluations indicate the interns understand the process (4.5 on 1-5 scale). 100% of interns report their objectives being met. The internship was an opportunity for professional growth (4.8 on 1-5 scale). Additionally, one intern wrote that the internship is “recognition that staff nurses observe issues which need to be addressed through the EBP process and the internship provided the support”. Another wrote, “It has given me a huge self-esteem boost and I hope this internship continues for more and more nurses”. Patient outcomes include improved satisfaction, decreased ventilation time and reduced anxiety. The program was even featured on a local newscast during national nurses week. Given the positive results, organizational commitment to the internship continues.

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Sigma Theta Tau International
9 July 2003