SYMPOSIUM
Wednesday, July 13, 2005: 3:00 PM-4:30 PM
Creating a Culture of Excellence Through Shared Governance and the Implementation of Evidence-Based Practice at the Alaska Native Medical Center
Learning Objective #1: Describe the journey of evidence-based practice implementation in a shared governance environment that led to becoming a Center of Excellence for Evidence-Based Practice
Learning Objective #2: Discuss the systems necessary for successful EBP including: the role of nursing leadership, the role of the nursing staff president, and the EBP nurse internship
Alaska Native Medical Center (ANMC) mission is "to provide the highest quality health services to all Alaska Natives." In the year 2000, the Department of Nursing embarked on a journey to implement evidence based nursing practices. Steps included, establishing a collaborative nursing research link with the University of Alaska-Anchorage School of Nursing, selecting an academic advisor for evidence-based practice (EPB) activities, launching a needs assessment and conducting an EBP model search. This symposium overviews the journey of integrating evidence into care delivery in an organization that serves Alaska Natives, and the challenges and benefits in making this practice part of the professional culture. The blunt end, sharp end model will be utilized to illustrate the different roles in an ENP program, and the importance of each. The blunt end is the role of nursing leaadership in EBP. The sharp end is the staff involvement, and the EBP internship. The EBP efforts bring the two ends together. The first paper discusses the governance structure and the role of nursing leadership in enacting a practice culture, through transformational leadership, that supports the point-of-care nurse to excel. The second paper discusses the unique role and influence that the President of the Nursing Saff has in effecting change and being the linker to multiple decision-making teams throughout the organization. The importance of this role in EBP is discussed. The third paper discusses the partnership with the University of Iowa Hospitals and Clinics(UIHC)in creating ANMC as a Center of Excellence in Evidence-based Practice. This paper discusses implementation of the UIHC EBP staff nurse internship at ANMC, taught by faculty from UIHC and ANMC. The challenges and benefits of importing this program to ANMC and being sensitive to ethnic differences will be addressed.
Organizer:Karen Y. Wainwright, RN, MPH, CCRP, CMC
Presenters:Julie McNulty, RN, MSN
Lorraine Jewett, RN, MSN
Rebecca Hamel, RN, BSN, CPAN
Karen Y. Wainwright, RN, MPH, CCRP, CMC
Rona Johnson-Kurzejeski, RN, BSN
 Launching the Evidence-Based Practice Internship: Becoming a Center of Excellence
Karen Y. Wainwright, RN, MPH, CCRP, CMC, Rona Johnson-Kurzejeski, RN, BSN
 The Role of Nursing Leadership in Creating a Climate for Evidence-based Practice: Expectations of Nursing Excellence
Lorraine Jewett, RN, MSN, Julie McNulty, RN, MSN
 The Role of the President of the Nursing Staff and the Clinical Nurses Spreading Innovation
Rebecca Hamel, RN, BSN

Third International Evidence-Based Nursing Preconference
Promoting Evidence-Based Nursing: Innovation for Nursing Practice
Sigma Theta Tau International
13 July 2005
Hawaii’s Big Island