| Learning Objective #1: The learner will be able to: Describe exemplars illustrating the ways CNS use evidence to support decision-making in their practice. | |||
| Learning Objective #2: The learner will be able to: Identify approaches that effectively support and facilitate the ideal role of CNS as champions, facilitators, conduits and intermediaries for knowledge. |
Design: This pilot study was carried out using qualitative methods, specifically a descriptive, exploratory design.
Population, Sample, Setting: The population of interest for this study are Clinical Nurse Specialists (CNS). A sample of 9 CNSs was recruited from one of the largest Health Regions in Alberta, Canada. Purposive and snowballing sampling were utilized to obtain the sample.
Methods: This study was approved by the University Ethics Review Committee within the Health Region. Data were collected using semi-structured interviews. The interviews were audio taped, transcribed, and loaded onto NUD*IST 6. Data were coded using the structured questions, and a preliminary inspection of the open–ended responses. The analysis phase of the study involved searching for recurring themes that reflected both commonalities as well as variations among the participants. Verbatim extracts from the interviews are used as exemplars to illustrate the main analytical themes revealed in the research. Some of the data, by its very nature (e.g., sources of evidence, facilitators and barriers), were tabulated.
Findings: Some data from this study (i.e. facilitators and barriers) confirm findings of previous studies. CNS reported the use of a variety of sources to obtain evidence, but tended to prefer interpersonal and interactive sources such as colleagues. CNS shared a variety of examples where they used evidence in their practice and the challenges they encountered in the process.
Conclusions: The CNS are in key positions to facilitate evidence-based practice, acting as champions, facilitators, conduits or intermediaries for knowledge transfer and utilization. However, much work remains to be done in organizations to effectively support the enactment of this role.
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Back to Evidence-Based Nursing: Strategies for Improving Practice
Sigma Theta Tau International
July 21, 2004