Paper
Wednesday, July 21, 2004
9:30 AM - 10:00 AM
Wednesday, July 21, 2004
2:30 PM - 3:00 PM
This presentation is part of : Posters
Evidence-Based Initiative in U.S. Military Nursing: Research to Practice
CDR Patricia Ann Watts Kelley, DNSc, RN, FNP, GNP, TriService Nursing Research Program, Bethesda, MD, USA
Learning Objective #1: Describe the conceptual framework adapted from Donabedian's orginal which guided this research to practice evidence based study in the military
Learning Objective #2: Describe three unique Evidence Based Practice Research Initivites which resulted from this study (1)An Evaluation of Applying Evidence to the Delivery of Health Care for Beneficiaries Receiving Ventilator Care,(2)Deploying Evidence Practice Initiatives at an US Air Force and US Naval Hospital, and (3) An Army/Navy Nursing Evidence-Based Performance Improvement Project

Need/Problem- Congress dedicates billions of dollars annually to scientific investigation. However, there is no guarantee that current scientific evidence will be translated into practice to improve patient care (Berg, Atkins, & Tierney,1997). The growing consumer-focused movement of the last 15 years, together with vastly improved access to health care information (e.g., through the Internet), have raised the general public’s expectations of quality and cost managed care. Consumer expect to be actively involved in the clinical decision-making process. Like its civilian counterpart , the military health care system is currently in an era of unprecedented accountability, requiring delivery of the highest quality of health care at the lowest cost. Military health care providers are challenged to demonstrated increased effectiveness and efficiency. Nurses represent the largest number of clinicians in the military health care system and they are critical agents in this new wave of care delivery philosophy based on research and evidence (Closs & Cheater, 1999; DeBourgh,2001).

Purpose- To stimulate interest in the new paradigm of EBP and to provide a strong infrastructure that enables a sustainable EBP movement in military nursing practice. Conceptual Framework- Adapted from Donabedian’s original work structure-process-outcome with quality of care being the outcome variable.

Methods- Descriptive correlational design which measure the eight study aims.

Conclusions- The application and incorporation of EBP into day to day nursing practice have important implications for nursing research, nursing practice and patient education.

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Sigma Theta Tau International
July 21, 2004