role of the mentor in supporting clinicians in research & quality improvement
TRANSCRIPT
The Role of the Mentor in Supporting Clinicians in Research & Quality Improvement Agnes Black, RN MPH Martha Mackay, PhD, RN, CCN(C)
February-18-16 1
Objectives
1) Describe an intervention designed to promote clinicians’ evidence-based practice through involvement in research, QI and evaluation projects
2) Describe the perspectives of the mentors who participated in the program
St. Paul’s Hospital
Holy Family
St. Vincent’s: Honoria Conway - Heather
St. Vincent’s: Brock Fahrni
Youville Residence
St. Vincent’s: Langara
Plus seven community dialysis clinics & Providence Crosstown Clinic
St. John
Hospice
Mount Saint Joseph Hospital
Who We Are Care and Service focused around 6
Populations of Emphasis
Cardiopulmonary
Renal
Mental Health
Specialized Needs in Aging
HIV/AIDS
Urban Health (includes Addictions)
Research Shows that….
Patients’ outcomes improve when clinicians use evidence-based practice (EBP)
Clinicians identify multiple barriers to their use of EBP and engagement with research at the bedside
Mentorship is effective in furthering EBP and research
February-18-16 4
Practice-based Research Challenge
Goals:
•Improve patient care
•Engage point-of-care staff in research, quality improvement, evaluation & evidence-based practice
•Create excitement in workplace around research
Components of Research Challenge
Workshops: literature reviews, research methods, research ethics
Mentorship: one per team
Funding: up to $4000
Participation in First 5 Years
•350 clinicians
•51 mentors
•60 teams funded
Achievements of Funded Teams
•Practice changes leading to improvements in patient care
•66 conference abstracts/grand rounds lectures
•7 manuscripts published; 9 others being prepared
•2 projects expanded and awarded additional funding, including a CIHR Catalyst Grant
•Evaluation of program overwhelmingly positive
Patient- and Family-Centred Care
•Patient/Family Partners’ involvement:
– Research Challenge Advisory Committee
– many individual teams
Project Examples • 3 studies on needs of HIV patients
led to changes in dietitian support & psychological support for this group of patients. Findings published in The Journal of the Association of Nurses in AIDS Care
• Individualized hemophilia treatment reduced bleeds & increased physical activity ; 2 publications being submitted
• Trans-Catheter Aortic Valve Implantation - Program changed approach to better support patients’ decisions; mentors for team awarded CIHR Catalyst Grant; published paper in The European Journal of Cardiovascular Nursing
Mentor Role
•Assistance with reviewing literature
•Guidance during entire proposal-writing process:
– question, methods, analysis
•Ethics applications
Who Were the Mentors?
We recruited mentors from:
•Clinical Nurse Specialists at our organization
•Faculty at local School of Nursing
•Physicians in our organization
•Professional Practice Leaders
with research experience
•PhD students
Mentors’ Perspectives: 14 mentors responded to our survey
Survey Question Strongly Agree or Agree
Number of respondents
Do you think that the experience of participating in the Research Challenge was beneficial to the team members you mentored?
93% 13
Do you feel that participation in the Research Challenge led to an increase in knowledge, attitudes, or practice of research methods among the team members you mentored?
93% 13
Do you feel there was an increase in evidence-informed practice among the team members you mentored?
86% 12
Mentors’ Suggestions for Improvement •Additional support for ethics application
•Clearly define mentor role & expectations
•Promote previous teams’ successes
•Offer end-of-grant KT support, esp with publication
•Extend time frame to complete projects
Key Partners
•Providence Health Care Professional Practice and CNO
•Providence Health Care Research Institute
•UBC School of Nursing
•BC Nurses’ Union
•Health Sciences Association of BC
•Centre for Health Evaluation and Outcome Sciences
•UBC Library
Research Challenge Advisory Committee
Aggie Black: [email protected]
Martha Mackay: [email protected]
Candy Garossino
Sara Charlton
Vicky Bungay (Academic Partner)
Christine Wallsworth (Patient Family Partner)