©2014 chamberlain college of nursing, llc. all rights reserved. 0914ccn strategies to overcome...
TRANSCRIPT
©2014 Chamberlain College of Nursing, LLC. All rights reserved. 0914ccn
Strategies to Overcome Barriers to
Evidence-Based Practice: What Nurse Leaders
Need to Know!
Douglas M. Turner, PhD, MSN, RN, CNE, NE-BC, NEA-BCPatricia Fedorka, PhD, RNC-OB, C-EFM, CNE
DNP Faculty • Chamberlain College of Nursing
©2014 Chamberlain College of Nursing, LLC. All rights reserved. 0914ccn
2
Mandatory Disclosure
I have no financial relationships to discuss and I will not discuss off label use and/or investigational use
in my presentation.
©2014 Chamberlain College of Nursing, LLC. All rights reserved. 0914ccn
3
Presentation Objectives
• By the end of this presentation, the participant will be able to:
– Identify the most common barriers toimplementation of evidence-based nursing practice at the microsystems level
– Describe effective strategies to overcome barriers to the implementation of evidence-based nursing practice at the microsystems level
– Devise a plan that best promotes evidence-based practitioners in a specific facility/organization
©2014 Chamberlain College of Nursing, LLC. All rights reserved. 0914ccn
4
The Process
2. Formulation
of PICOT Question
3. Evidence Review
4. Implementation
of Evidence
5. Evaluation
& Monitoring
1. Problem
Identification
©2014 Chamberlain College of Nursing, LLC. All rights reserved. 0914ccn
5
The Problem: Nursing Care Not Based on Evidence
Safe Effective
Care
Current Best
Practice
Barrier-Free
Setting
Direct-Care
Buy-In
Support of
Leaders
©2014 Chamberlain College of Nursing, LLC. All rights reserved. 0914ccn
6
The PICOT Question
In nurses practicing at themicrosystems level what
are barriers to the adoptionof evidence-based practice
as well as strategies to overcome the identified
barriers?
©2014 Chamberlain College of Nursing, LLC. All rights reserved. 0914ccn
7
Systematic Review Process
Evidence Review
• CINAHL
• Cochrane Reviews
• Joanna Briggs Institute Library
• PubMED
Process
• Evidence Collected
• Meta-synthesis
• Barriers Identified
• Strategies Identified
©2014 Chamberlain College of Nursing, LLC. All rights reserved. 0914ccn
8
The Evidence
Motivation
Knowledge
Time
©2014 Chamberlain College of Nursing, LLC. All rights reserved. 0914ccn
9
The Answers
Encouragement
Support
Time
©2014 Chamberlain College of Nursing, LLC. All rights reserved. 0914ccn
10
The Implications & Recommendations
KSA’s
• Meaningful professional development
• Opportunities to work with skilled evidence-based practitioners
• Sincere encouragement
• Realistic support
• Meaningful recognition
Time
• Realistic support
• Negotiable release from direct-care
• Support to producing measurable outcomes (accountability)
©2014 Chamberlain College of Nursing, LLC. All rights reserved. 0914ccn
11
Where to Go From Here
Assessment
• Barriers
• Perceptions
• General knowledge and skill levels
Planning
• Strategies
• Motivation
• Professional development
©2014 Chamberlain College of Nursing, LLC. All rights reserved. 0914ccn
12
Summary
• By the end of this presentation, the participant will be able to:
– Identify the most common barriers toimplementation of evidence-based nursing practice at the microsystems level
– Describe effective strategies to overcome barriers to the implementation of evidence-based nursing practice at the microsystems level
– Devise a plan that best promotes evidence-based practitioners in a specific facility/organization
©2014 Chamberlain College of Nursing, LLC. All rights reserved. 0914ccn
13
Questions?
©2014 Chamberlain College of Nursing, LLC. All rights reserved. 0914ccn
14
References
Boström, A.-M., et al. (2012). "Commentary on Brown CE, Ecoff L, Kim SC, Wickline MA, Rose B, Klimpel K and Glaser D (2010) Multi-institutional study of barriers to research utilisation and evidence-based practice among hospital nurses. Journal of Clinical Nursing 19, 1944-1951." Journal of Clinical Nursing 21(19/20): 2995-2996.
Breimaier, H. E., et al. (2011). "Nurses' wishes, knowledge, attitudes and perceived barriers on implementing research findings into practice among graduate nurses in Austria." Journal of Clinical Nursing 20(11/12): 1744-1756.
Brown, C. E., et al. (2010). "Multi-institutional study of barriers to research utilisation and evidence-based practice among hospital nurses." Journal of Clinical Nursing 19(13/14): 1944-1951.
Brown, C. E., et al. (2009). "Nursing practice, knowledge, attitudes and perceived barriers to evidence-based practice at an academic medical center." Journal of Advanced Nursing 65(2): 371-381.
Dalheim, A., et al. (2012). "Factors influencing the development of evidence-based practice among nurses: a self-report survey." BMC Health Services Research 12(1): 367-376.
Egerod, I. and G. M. Hansen (2005). "Evidence-based practice among Danish cardiac nurses: a national survey." Journal of Advanced Nursing 51(5): 465-473.
Gerrish, K., et al. (2007). "Factors influencing the development of evidence-based practice: a research tool." Journal of Advanced Nursing 57(3): 328-338.
©2014 Chamberlain College of Nursing, LLC. All rights reserved. 0914ccn
15
References
Hannes, K., et al. (2007). "Barriers to evidence-based nursing: a focus group study." Journal of Advanced Nursing 60(2): 162-171.
Kim, S. C., et al. (2013). "Regional Evidence-Based Practice Fellowship Program: Impact on Evidence-Based Practice Implementation and Barriers." Clinical Nursing Research 22(1): 51-69.
Koehn, M. L. and K. Lehman (2008). "Nurses’ perceptions of evidence-based nursing practice." Journal of Advanced Nursing 62(2): 209-215.
Mills, J., et al. (2011). "Factors affecting evidence translation for general practice nurses." International Journal of Nursing Practice 17(5): 455-463.
Nai Ming, L., et al. (2010). "The place and barriers of evidence based practice: knowledge and perceptions of medical, nursing and allied health practitioners in malaysia." BMC Research Notes 3: 279-286.
Omer, T. (2012). "Research Utilization in a Multicultural Nursing Setting in Saudi Arabia: Barriers and Facilitators." Journal of Nursing Research (Lippincott Williams & Wilkins) 20(1): 66-73.
Solomons, N. M. and J. A. Spross (2011). "Evidence-based practice barriers and facilitators from a continuous quality improvement perspective: an integrative review." Journal of Nursing Management 19(1): 109-120.
©2014 Chamberlain College of Nursing, LLC. All rights reserved. 0914ccn
16
References
Tagney, J. and C. Haines (2009). "Using evidence-based practice to address gaps in nursing knowledge." British Journal of Nursing 18(8): 484-489.
Vanhook, P. M. (2009). "Overcoming the barriers to EBP." Nursing Management 40(8): 9-11.
Wallis, L. (2012). "Barriers to Implementing Evidence-Based Practice Remain High for U.S. Nurses." American Journal of Nursing 112(12): 15-15.
Wang, S.-C., et al. (2012). "Psychometric testing of the Chinese evidence-based practice scales." Journal of Advanced Nursing 68(11): 2570-2577.
Winch, S., et al. (2005). "Read, Think, Do!: a method for fitting research evidence into practice." Journal of Advanced Nursing 50(1): 20-26.
Yadav, B. L. and G. M. Fealy (2012). "Irish psychiatric nurses' self-reported barriers, facilitators and skills for developing evidence-based practice." Journal of Psychiatric & Mental Health Nursing 19(2): 116-122.