Paper
Wednesday, July 13, 2005
This presentation is part of : Teaching Evidence-Based Nursing
Creating a Learning Environment That Supports Evidence-Based Nursing Practice
Patricia A. Brown, ND, RN, CCRN, Nursing Administration, Westlake Hospital, Melrose Park, IL, USA
Learning Objective #1: Identify factors that impact staff participation in research activities or incorporating theory into professional practice
Learning Objective #2: List educational strategies to increase awareness of research utilization in the review and adoption of best practices

Staff and administrative support for research endeavors is indispensable in generating a climate for nursing practice that is rooted in scientific theory. Education as to the value and importance of nursing research should be directed toward the goal of examining the literature and then incorporating best practices that respect institutional mission and philosophy. A research utilization study was conducted in the critical care setting to improve communication between nurses and family members, increase satisfaction levels of both groups, and address issues surrounding cultural diversity. The research innovation consisted of educational programs developed for nursing and visiting family members. Staff education included a formal in-service and resource binder of current research literature related to family needs, visitation, and the needs of diverse clients. Family education consisted of English and Spanish versions of an informational pamphlet about the healthcare institution and critical care unit. No significant differences were found in satisfaction levels for nurses or family members, or for improved communication as a result of the study. However, it was noteworthy that few nurses had been willing to participate in the educational program, perform data collection, or actively engage in the research process. Further review of the literature revealed that several factors may have contributed to nursing apathy toward evidence-based practices. An educational program that addresses mitigating factors and meets the needs of the nurse unfamiliar with the research process is essential in fostering support for the integration of research into practice.