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Recommended Citation
Pufundt J, Sheehan E. Leveraging Shared (Professional) Governance for EBP Implementation. Evidence Based Practice podium presentation at Elevating Nursing Excellence: Purpose, Profession, Passion; Advocate Health Midwest Region Nursing Research & Professional Development Conference 2024; November 13, 2024; virtual.
Presentation Notes
Evidence Based Practice podium presentation at Elevating Nursing Excellence: Purpose, Profession, Passion; Advocate Health Midwest Region Nursing Research & Professional Development Conference 2024; November 13, 2024; virtual.
Abstract
Background and/or Rationale
Organizations can optimize care and improve patient outcomes by creating a culture of evidence-based practice (EBP). This organization recognized the opportunity to reduce practice variation and improve quality of care through the integration of EBP. The purpose of this initiative was to implement and sustain a culture of EBP, leveraging the (then) Shared Governance (SG) structure within a Magnet organization.
Purpose
To implement and sustain a culture of EBP within a Magnet organization.
Implementation Plan
The ARCC model was the guiding framework. An EBP subcommittee was established within the existing SG structure. Nurses in all roles were part of the subcommittee, co-led by a clinical nurse and APRN- Clinical Nurse Specialist. A three-year strategic plan was drafted having three key areas to support EBP: structural support for implementation, resources, and education for all nursing roles. Baseline EBP cultural readiness, beliefs, implementation, mentorship, and competency were evaluated, and initial education and skill building was provided in partnership with a nationally recognized EBP nurse expert. Resources for EBP mentors and clinical nurses were created for each EBP step. Additional education and skill-building occurred over the years including a mentor development program and EBP steps workshops. An initiative tracking and mentorship structure was created to support clinical nurses and EBP mentors through the EBP, QI, and research initiatives.
Outcomes
Improvement in EBP competency and implementation scores occurred. Other improvements were the number of EBP initiatives in progress (0 to 21), EBP Mentors to lead initiatives (0 to 28), and clinical nurses and nurse leaders educated (10% and 90%, respectively) and involved in EBP initiatives (0 to 27).
Implications for Practice
EBP is a problem-solving process to translate evidence into practice, improving care and patient outcomes. Creating a strategic plan and leveraging SG to provide structural support, education, and resources for EBP is effective for sustaining organizational EBP culture.
Document Type
Oral/Podium Presentation
Publication Date
11-13-2024
Leveraging Shared (Professional) Governance for EBP Implementation
Background and/or Rationale
Organizations can optimize care and improve patient outcomes by creating a culture of evidence-based practice (EBP). This organization recognized the opportunity to reduce practice variation and improve quality of care through the integration of EBP. The purpose of this initiative was to implement and sustain a culture of EBP, leveraging the (then) Shared Governance (SG) structure within a Magnet organization.
Purpose
To implement and sustain a culture of EBP within a Magnet organization.
Implementation Plan
The ARCC model was the guiding framework. An EBP subcommittee was established within the existing SG structure. Nurses in all roles were part of the subcommittee, co-led by a clinical nurse and APRN- Clinical Nurse Specialist. A three-year strategic plan was drafted having three key areas to support EBP: structural support for implementation, resources, and education for all nursing roles. Baseline EBP cultural readiness, beliefs, implementation, mentorship, and competency were evaluated, and initial education and skill building was provided in partnership with a nationally recognized EBP nurse expert. Resources for EBP mentors and clinical nurses were created for each EBP step. Additional education and skill-building occurred over the years including a mentor development program and EBP steps workshops. An initiative tracking and mentorship structure was created to support clinical nurses and EBP mentors through the EBP, QI, and research initiatives.
Outcomes
Improvement in EBP competency and implementation scores occurred. Other improvements were the number of EBP initiatives in progress (0 to 21), EBP Mentors to lead initiatives (0 to 28), and clinical nurses and nurse leaders educated (10% and 90%, respectively) and involved in EBP initiatives (0 to 27).
Implications for Practice
EBP is a problem-solving process to translate evidence into practice, improving care and patient outcomes. Creating a strategic plan and leveraging SG to provide structural support, education, and resources for EBP is effective for sustaining organizational EBP culture.
Affiliations
Advocate Children's Hospitals, Oak Lawn and Park Ridge