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Wednesday, 31 January 2007 - 10:00 AM
Skin Champions Improving Practice
Educational Objectives:
This session will provide an overview of a successful evidence-based practice council at an academic magnet facility.
Summary of presentation:
Evidence-based practice (EBP) is most meaningful when bedside nurses believe the evidence and adopt changes into practice. Nurses’ attitudes, beliefs and perceived barriers to EBP adoption have been identified in the literature. Our Change agents model EBP, provide peer influence and assist in altering group norms. Champions of change councils at our facility have been an effective means to disseminate EBP and enhance adoption of EBP by bedside nurses.
The champions of change councils are guided by advanced practice nurses and driven by bedside nurses’ questions and understanding of EBP. The skin care champions of change council has existed since 1999. Since its initiation, skin care practices, nurses’ knowledge about pressure ulcer prevention and treatment, and patient outcomes have improved as a result of efforts to more effectively disseminate and model EBP. The council members also participate in quarterly pressure ulcer prevalence studies throughout this tertiary care center. Our hospital acquired pressure ulcer prevalence rates have consistently remained below the NDNQI benchmark in both our critical care and medical/surgical units. The council members have conducted research on skin care practices, implemented numerous EBP skin assessment and pressure ulcer prevention algorithms, evaluated skin and wound care products, and reduced hospital expenses ($194,400) associated with therapeutic surface products.
Implications for practice:
Effective adoption of EBP occurs when the user of the evidence believes the evidence will improve patient outcomes. The champions of change model EBP in their home unit. Modeling and sharing of EBP provides necessary peer influence and assists in positively altering the group norm to a practice that is more evidence-based.
- Participant will describe how champions of change can facilitate evidence-based practice.
- Participant will identify effective strategies used to improve patient outcomes related skin integrity.
This session will provide an overview of a successful evidence-based practice council at an academic magnet facility.
Summary of presentation:
Evidence-based practice (EBP) is most meaningful when bedside nurses believe the evidence and adopt changes into practice. Nurses’ attitudes, beliefs and perceived barriers to EBP adoption have been identified in the literature. Our Change agents model EBP, provide peer influence and assist in altering group norms. Champions of change councils at our facility have been an effective means to disseminate EBP and enhance adoption of EBP by bedside nurses.
The champions of change councils are guided by advanced practice nurses and driven by bedside nurses’ questions and understanding of EBP. The skin care champions of change council has existed since 1999. Since its initiation, skin care practices, nurses’ knowledge about pressure ulcer prevention and treatment, and patient outcomes have improved as a result of efforts to more effectively disseminate and model EBP. The council members also participate in quarterly pressure ulcer prevalence studies throughout this tertiary care center. Our hospital acquired pressure ulcer prevalence rates have consistently remained below the NDNQI benchmark in both our critical care and medical/surgical units. The council members have conducted research on skin care practices, implemented numerous EBP skin assessment and pressure ulcer prevention algorithms, evaluated skin and wound care products, and reduced hospital expenses ($194,400) associated with therapeutic surface products.
Implications for practice:
Effective adoption of EBP occurs when the user of the evidence believes the evidence will improve patient outcomes. The champions of change model EBP in their home unit. Modeling and sharing of EBP provides necessary peer influence and assists in positively altering the group norm to a practice that is more evidence-based.
References:
Titler, M., & Everett, L. (2001). Translating research into practice. Critical Care Nursing Clinics of North America, 13(4), 587-601.
Titler, M., Kleiber, C., Steelman, V., Rakel, B., Budreau, G., Everett, L., et al. (2001). The Iowa Model of evidence-based practice to promote quality care. Critical Care Nursing Clinics of North America, 13(4), 497-509.
Stetler, C. (2003). Role of the organization in translating research into evidence-based practice. Outcomes Management, 7(3), 97-103.
PDF file
See more of Take the Points on Pressure Ulcer Prevention
See more of The NDNQI Data Use Conference (January 29-31, 2007)