promotion of evidence based practice: surgical nursing
Post on 25-Dec-2021
4 Views
Preview:
TRANSCRIPT
Evidence Based Nursing
Promotion of Evidence Based Practice: Surgical Nursing Journal Club
Department of Surgery Pamela Youde Nethersole Eastern Hospital
Lui KL, Lau KY, Fung PW, Tang CN
Evidence Based Nursing
Introduction • Healthcare practice is increasingly focused on
delivering care that is based on empirical evidence or research findings published in the literature.
• As the primary providers of patient care services, nurses develop guidelines, protocols, and procedures in our individual practice settings based on research evidence.
• As nurses we care for patients everyday and perform interventions that should stimulate questions about the evidence supporting our practice
2
Evidence Based Nursing
Evidence based practice begins with…..
• A Spirit of Inquiry – An ongoing curiosity about the best evidence to guide clinical
practice – It involves nurses who routinely ask questions about their
clinical practice while care is being delivered to patients
(Melnyk, Fine-overholt, Stillwell & Williamson, AJN 11/2009)
Evidence Based Nursing
Nursing Inquiry • Why am I doing a treatment this way? • Is there any evidence to support this practice? • Are these the best outcomes we can achieve? • Can an intervention be done more efficiently or
cost-effectively? • Can we improve patient or nurse satisfaction?
Evidence Based Nursing
Three Forms of Nursing Inquiry
Evidence Based Nursing
EBP is an Explicit Process: • Identifying a focused practice question • Identifying the best evidence to answer the
question (uses research and other types of evidence)
• Critically appraising the evidence • Applying the evidence to practice • Evaluating the practice change • Disseminating the findings
Evidence Based Nursing
Our current situation • Numerous literatures have suggested that
staff nurses have difficulty in interpreting research articles because of the complexity, academic, and statistical language.
Evidence Based Nursing
The benefits of a journal club • Critical appraisal skills are developed • Participants keep update of current nursing
literature • Research & evidence-based practice are
developed • The needs of continuing nursing education are
met • Presentation skills are developed • Academic debate is stimulated
Bowles, et.al 2013
Evidence Based Nursing
• The implementation of a journal club is one approach to help nurses integrate research findings into clinical practice and provide evidence-based care.
• In January 2016, the Surgical Nursing Journal Club was established which aims in both educating nurses and improving clinical practice.
Evidence Based Nursing
Our Team Members • Facilitator Team
– Mr. LUI Ka Lok, Gilbert, NC (Urology)
– Mr. CHEUNG Yee Sing, Leo, APN (Colorectal CCM)
– YIP Mei Lin, Jessie, APN (Breast)
– Mr. TSE On Ho, Ronald, APN (Vascular)
– Mr. SHE Hoi Fan, Alex, APN (Surgery)
– Mr. CHUNG Pak Ho, Gary, APN (Surgery)
– Ms. LO Ka Man, Karman, APN (Surgery)
• Management Team – Ms. LAU King Yim, Kara,
DOM – Ms. FUNG Siu Yin, WM – Ms. TANG Wai Ngun, WM – Ms. FUNG Po Wan, Maria,
WM – Ms. FUNG Siu Kin, WM – Ms. SO Wai Ling, WM – Ms. LOK Mei Ling, Priscilla,
WM – Mr. POON Chi Sing, Eric,
WM
Evidence Based Nursing
Evidence-based Practice
Evidence Based Nursing
Objective • To consolidate the evidence based nursing
(EBN) & surgical nursing care through journal sharing & literature appraisal.
• To disseminate the learning outcomes by sharing the journal & literature appraisal results with other readers.
Evidence Based Nursing
Characteristics of successful journal clubs
• Held at regular intervals • Held at a set time convenient for the members • Attendance register is held • The attending nurses share common clinical
interests • A nominated chair to chair the meeting & guide
members in choosing of journal articles • The papers are read in good time before the
meeting • Food is available at the meeting
13 Bowles, et.al 2013
Evidence Based Nursing
Methodology • The journal club held once every quarter & all
nursing staff of surgical department were encouraged to join.
• Senior nursing staffs who had acquired basic EBN knowledge such as completion of EBN training / workshop were recruited as facilitators.
• Each surgical ward takes turns to assign a presenter to prepare one journal article related to surgical nursing practice for pre-reading & present in the journal club under the guidance of the facilitator.
Evidence Based Nursing
15
Evidence Based Nursing
Methodology • Facilitators gave comments, provide
guidance to facilitate discussions and compilation of the final appraisal report.
• The appraisal report had been posted up in our department training website for dissemination as critical appraisal topics (CATs).
Evidence Based Nursing
Result • From January 2016 to December 2017,
Seven journal clubs had been held. • A total of 143 nursing staff attended the
journal club and completed the questionnaire.
Evidence Based Nursing
Topic Presented Date Presenter Facilitator Speaker Topics
27.1.2016 URO team Gilbert Lui, NC(Uro) APN Winnie Yeung Can normal saline be used to fill the balloon of a Foley catheter? The experience of a prospective randomized study in China
11.5.2016 E10 ward Jessie Yip, APN(Breast) E10 RN Chan Ching Ching Cryotherapy is Effective on Post Op Laparotomy Incision for Pain Control
27.7.2016 F10 ward R Tse, APN(Vascular) F10 RN Eric Fung Influence of Aspirin Therapy in the Ulcer Associated with Chronic Venous Insufficiency
7.12.2016 B8 ward Gary Chung, APN(B8)
B8 RN Tracy Kung A prospective randomized trial comparing transurethral prostatic resection and clean intermittent self-catheterization in men with chronic urinary retention
29.3.2017 A8 ward WY Tan, APN(A8) A8 RN Yeung Tsz Yan Bariatric Surgery verus Conventional Medical Therapy for Type 2 Diabetes
5.7.2017 E8 ward Karmen Lo, APN(E8) E8 RN Lam Chun Ki E8 RN Lee Siu Ho Max
Effective of Chewing Gum against Postoperative Ileus after Pancreaticoduodenectomy – A Randomized Controlled Trial
4.10.2017 D8 ward Leo Cheung, Colorectal CCM
D8 RN Hui Ka Ying A RCT evaluation a new 2L PEG solution plus ascorbic acid vs 4L PEG for bowel cleansing prior to colonoscopy
Evidence Based Nursing
Evidence Based Nursing
20
Evidence Based Nursing
21
Evidence Based Nursing
22
Evidence Based Nursing
23
Evidence Based Nursing
24
Evidence Based Nursing
25
Evidence Based Nursing
26
Evidence Based Nursing
0
1
2
3
4
5
6
Q1Do you agree that thelectures have achievedtheir stated objectives?
Q2 Do you agree thelecture contents are
adequate?
Q3 Do you agree thatthe speakers have
enhanced your learningon their lectures?
Q4 Do you agree thatthe lecture duration is
appropriate?
Q5 Do you agree thatthe lecture are useful?
Q6 Do you agree thatyou are satisfied with
the lectures as a whole?
Overall result
Overall result
Evidence Based Nursing
Conclusion • The feedbacks from participants provided solid
evidence in supporting the journal club. • Establish of journal club can improve our nursing
staff’s ability to – critically evaluate published research; – encourage them how to make presentation; – promote evidence-based practice; – familiarize nurses with research; – have impact on changes in nursing practice and indicate
the multi-role of surgical nurses in delivery of professional performance in both clinical care and academic advancement.
Evidence Based Nursing
Conclusion • Although day-to-day working environment is
challenging, continuous learning opportunities should always be provided for enriching staff competence, confident under sharing and learning which ultimately benefit patient with quality and safety.
Evidence Based Nursing
Acknowledgement • Dr. C. N. TANG, COS, Department of Surgery,
PYNEH • Ms. K. Y. LAU, DOM, Department of Surgery,
PYNEH
Evidence Based Nursing
Thank You!
top related