ABSTRACT
BACKGROUND: Although it is widely known that evidence-based practice (EBP) improves healthcare quality, reliability, and patient outcomes as well as reduces variations in care and costs, it is still not the standard of care delivered by practicing clinicians across the globe. Adoption of specific EBP competencies for nurses and advanced practice nurses (APNs) who practice in real-world healthcare settings can assist institutions in achieving high-value, low-cost evidence-based health care. AIM: The aim of this study was to develop a set of clear EBP competencies for both practicing registered nurses and APNs in clinical settings that can be used by healthcare institutions in their quest to achieve high performing systems that consistently implement and sustain EBP. METHODS: Seven national EBP leaders developed an initial set of competencies for practicing registered nurses and APNs through a consensus building process. Next, a Delphi survey was conducted with 80 EBP mentors across the United States to determine consensus and clarity around the competencies. FINDINGS: Two rounds of the Delphi survey resulted in total consensus by the EBP mentors, resulting in a final set of 13 competencies for practicing registered nurses and 11 additional competencies for APNs. LINKING EVIDENCE TO ACTION: Incorporation of these competencies into healthcare system expectations, orientations, job descriptions, performance appraisals, and clinical ladder promotion processes could drive higher quality, reliability, and consistency of healthcare as well as reduce costs. Research is now needed to develop valid and reliable tools for assessing these competencies as well as linking them to clinician and patient outcomes.
Subject(s)
Advanced Practice Nursing/standards , Clinical Competence , Evidence-Based Nursing/standards , Nurse Practitioners/standards , Nursing Faculty Practice/standards , Quality of Health Care/economics , Adult , Data Collection , Female , Health Care Costs , Health Knowledge, Attitudes, Practice , Humans , Mentors , Middle Aged , Patient Outcome Assessment , Reproducibility of ResultsABSTRACT
This clinical paper presents the evolution of a Point of Care Scholars (POCS) program, which embodies three components of the Magnet model: exemplary professional practice, new knowledge, innovations, and improvements, and empirical outcomes. The drive to achieve Magnet designation and redesignation provides a focused approach on innovation. The innovative POCS program is structured to introduce new knowledge to point-of-care staff with improvements that will lead to quality outcomes. Empirical outcomes of the POCS program include practice and policy changes, improved safety, program cost, dissemination, professional advancement, and program satisfaction.
Subject(s)
Evidence-Based Nursing/education , Pediatric Nursing/education , Quality Improvement , Staff Development/methods , Child , Curriculum , Health Plan Implementation , Hospitals, Pediatric , Humans , Mentors , Ohio , Program EvaluationABSTRACT
This article describes the process of incorporating evidence into policies and procedures, resulting in the establishment of evidence as a basis for safe practice. The process described includes use of the Rosswurm and Larrabee model for change to evidence-based practice. The model guided the work of evidence-based practice mentors in developing a template, system, and educational plan for dissemination of evidence-based policies and procedures into patient care.
Subject(s)
Diffusion of Innovation , Education, Nursing, Continuing/organization & administration , Evidence-Based Nursing , Nursing Research , Safety Management/organization & administration , Data Collection , Documentation , Evidence-Based Nursing/education , Evidence-Based Nursing/organization & administration , Hospitals, Pediatric , Humans , Information Dissemination , Mentors , Models, Nursing , Needs Assessment/organization & administration , Nursing Research/education , Nursing Research/organization & administration , Ohio , Organizational Innovation , Organizational Policy , Outcome Assessment, Health Care , Point-of-Care Systems/organization & administration , Practice Guidelines as Topic , Professional Staff Committees/organization & administration , Research DesignABSTRACT
With the understanding that parents are the vital link to the child, nurses can develop plans of care based on research. Family functioning must be assessed as families attempt to deal with the stress involved in the hospitalization of a child with sepsis. Instruments and surveys may be helpful in developing a plan of care. These plans of care can have a major impact on the successful coping of parents. The stress of hospitalization may have long-term effects on children and families. Future research is needed to develop additional interventions that can be applied while the child is hospitalized and after discharge to aid the family in coping with stress.
