| Wednesday, July 13, 2005: 1:00 PM-2:30 PM | |||
| Clinical Scholars for Evidence-Based Practice: Direct Care Providers Challenge the Status Quo | |||
| Learning Objective #1: Describe an inductive model for direct care nurses that promotes and sustains evidence-based practice in acute care | |||
| Learning Objective #2: Discuss three creative strategies for addressing the challenges of changing a traditional culture to an evidence-based, innovative culture | |||
| There are several evolving organizational models and approaches for implementing evidence-based practice in healthcare environments. The greater challenge is sustaining EBP and routinizing the use of evidence. The organizational framework as proposed by Stetler includes three key elements for sustaining EBP: 1) leadership support for an EBP culture; 2) the capacity to engage in EBP; and 3) the infrastructure to support and maintain the EBP culture. The Clinical Scholar Model for Evidence-Based Practice is an inductive approach for implementing and sustaining the use of internal and external evidence in practice through mentoring. Differing from the classical approach where experts generate and synthesize the knowledge/evidence and facilitate organizations in implementing that evidence in practice, the Clinical Scholar model utilizes the clinical expertise of the direct care provider, i. e. that practice knowledge gained through experience, and cultivates the analytical, reflective, curious mind of the clinician innovator. Developing Clinical Scholar mentors to critique, integrate, implement, and evaluate evidence as applied to practice builds the capacity or cadre of innovators necessary for activating and sustaining an EBP culture. Creating the capacity for evidence-based practice, by itself, is insufficient for changing a traditional culture based on the beliefs of individual practitioners to a culture where criticism is welcomed and patient-centered care is espoused. The Clinical Scholar model, serendipitously, gives the practitioner the confidence to challenge the system by giving them a "voice" to question the status quo. It prepares the Clinical Scholar to deal directly with the challenges found in creating change. Four presentations by Clinical Scholars will provide the context for this symposium. Within each presentation, the steps to initiating an evidence-based change in practice will be presented. Each presenter will describe the rewards and challenges of the infrastructure and the small steps to changing the practice culture in a traditional clinical environment. | |||
| Organizer: | Alyce A. Schultz, RN, PhD, FAAN | ||
| Presenters: | Cynthia Honess, RN, MSN Suzanne Chenoweth, RN, BSN Kathleen M. Keane, RN, BSN Kelly E. Lancaster, RN, BSN Tania D. Strout, RN, BSN | ||
| Challenges to Implementation of EB Change in Nursing Practice Cynthia Honess, RN, MSN, Suzanne Chenoweth, RN, BSN | |||
| Challenges in Implementation of an Interdisciplinary EB Guideline Kathleen M. Keane, RN, BSN | |||
| Challenges in Interdisciplinary Research Studies Kelly E. Lancaster, RN, BSN | |||
| Creating Interdisciplinary Partners for the Future Tania D. Strout, RN, BSN | |||