Digital Commons Network^™

Evidence-Based Leaders And Leadership, Bernadette Mazurek Melnyk

Biennial Convention (CONV)

Today's healthcare environment is increasingly complex and ever changing. Evidence-based practice (EBP) has been identified as a critical requirement to achieve the Triple Aim in healthcare. Although it is well established that evidence-based practice (EBP) improves healthcare quality and patient outcomes as well as reduces morbidities, mortality, medical errors, and costs of healthcare services, it is not standard practice by the majority health professionals in healthcare systems. Many healthcare providers, across the care continuum, continue to deliver care based upon tradition, outdated policies and procedures, and information learned years ago in their educational programs. It is essential for healthcare organizations …

Helping Leaders Learn Ebp And Recognize Their Ebp Potential, Lynn Gallagher-Ford

Biennial Convention (CONV)

Session presented on Monday, November 9, 2015:

Today's healthcare environment is increasingly complex and ever changing. Evidence-based practice (EBP) has been identified as a critical requirement to achieve the Triple Aim in healthcare. Although it is well established that evidence-based practice (EBP) improves healthcare quality and patient outcomes as well as reduces morbidities, mortality, medical errors, and costs of healthcare services, it is not standard practice by the majority health professionals in healthcare systems. Many healthcare providers, across the care continuum, continue to deliver care based upon tradition, outdated policies and procedures, and information learned years ago in their educational …

Evaluation Of The Pedi-Csi (Clinical Safety Investigation) Video Vignettes, Judith A. Vessey, Rachel Difazio, Amanda J. Lulloff

Biennial Convention (CONV)

This presentation describes an innovative approach using video vignettes to teach pediatric patient safety to practicing nurses and students. Through a process of self-evaluation, participants learn didactic and affective knowledge that positively influences their practice behaviors. Information regarding free global access will be provided.

Inducements And Discouragements For Students Transitioning From Associate Degree To Baccalaureate Degree In Nursing: A National Study, Karen L. Gorton, Kathleen B. Lasala

Biennial Convention (CONV)

Session presented on Monday, November 9, 2015 and Tuesday, November 10, 2015:

The call to educate more nurses at the baccalaureate level of education has been made (IOM, 2011). Accomplishing this requires innovative access and seamless progression to higher education levels for the associate degree nurse. Understanding the needs of the associate degree nurse should be in the forefront when addressing seamless academic progression. To further understand the needs of the RN to BS/BSN student population, a national study was undertaken to examine the actual items that are considered to be enhancements and barriers by the RN to BS/BSN student …

Faculty Perceptions Of Innovation And Change Dynamics In Interprofessional Education, Jacqueline M. Loversidge, Ada Demb

Biennial Convention (CONV)

Session presented on Monday, November 9, 2015 and Tuesday, November 10, 2015:

The effectiveness of interprofessional teams is critical to the safe and effective delivery of health care. Improvements in team behavior rely on collaboration, and, result in reductions in medical error. Educators in the health professions are consequently encouraged to embed interprofessional education (IPE) into their curricula. However, integrating IPE presents structural, curricular and human factor challenges. Nurses and physicians comprise the dominant dyad in health care teams, therefore insights from nursing and medical faculty are essential for guiding IPE strategy. IPE research has focused heavily on learners, in …

The Leader's Role In Assuring Person And Family Centered Care, Jane H. Barnsteiner

Biennial Convention (CONV)

Session presented on Tuesday, November 10, 2015:

The role of the leader in promoting person and family centered care is to create the systems, processes and structures for providing care that fully engages the person and family in the design, implementation and evaluation of health care. In addition to the above responsibilities, the Joint Commission (2009, p.3) notes: "it is the leaders who establish the organization's culture through their words, expectations for action, and behavior - a culture that values high-quality, safe patient care, responsible use of resources, community service, and ethical behavior; or a culture in which these goals …

Creating A Culture Of Clinical Inquiry: The Role Of The Scholar In Residence, Ruth A. Bryant, Martin Schiavenato

Biennial Convention (CONV)

Session presented on Sunday, November 8, 2015: Integration of research and EBP into clinical practice are deemed a core competency by the IOM and required for Magnet Recognition by the American Nurses Credentialing Center (ANCC). Education and support of the nursing staff, administrative support mechanisms and infrastructure are critical to build and sustain EBP. The Scholar in Residence (SIR) illustrates a viable approach for healthcare institutions to partner with PhD prepared nursing faculty to facilitate clinical inquiry and EBP utilization. This presentation highlights the experience of two individuals serving as Scholar in Residence over a two year period at a …

Implementation Science: A Community (Informed) Perspective, Antonia M. Villarruel

International Nursing Research Congress (INRC)

Session presented on Saturday, July 25, 2015: This session will define implementation science, explore the complexity of competing research models in particular translational and community-based approaches and identify ways of overcoming those complexities in order to positively impact health and well-being in local communities. Tensions between models will be explored together with issues of individual versus population efforts affecting health identified in the 5-tier health impact pyramid. Matters of equity and diversity will be touched upon to provide context for an in-depth discussion of current real-world exemplars and the opportunities and challenges faced by all those involved in these interventions. …

Maternal-Child Health Nurse Leadership Academy, Cynthia Vlasich, Karin C. S. Minnie, Kay Clevenger

International Nursing Research Congress (INRC)

Session presented on Monday, July 27, 2015:

Celebrating over 10 years of success, the Honor Society of Nursing, Sigma Theta Tau international, has advanced the leadership skills of Maternal and child nurses and nurse midwives in its 18-month Maternal Child Health Nurse Leadership Academy (MCH). This academy was developed and continues to be supported in partnership with Johnson & Johnson. MCH is designed to develop and enhance the leadership skills gained and apply them in health systems for long term and sustainable impact. Over the duration of the academy, mentees are paired with mentors and faculty advisors to plan and …

Evidence-Based Practice Beliefs And Implementation Scales: Czech Versions Of The Instruments, Renata Zelenikova, Darja Jarosova

International Nursing Research Congress (INRC)

Session presented on Sunday, July 26, 2015: ABSTRACT: Background: Evidence-Based Practice Beliefs (EBP-B) and Evidence-Based Practice Implementation (EBP-I) Scales are psychometrically sound instruments that can be used to systematically study the effect of EBP educational programs. Czech versions of these instruments were developed and evaluated using a sample population of nursing students. Purpose: The purpose of the study was to test the psychometric properties of the Czech versions of the EBP-B and EBP-I Scales.Methods: Psychometric properties were evaluated using a sample of nursing students (n = 132) completing EBP courses. Item and factor analyses and Cronbach's alpha were computed to …

Implementing Evidence-Based Practice In Real World Practice Settings: Key Strategies For Publishing Ebp Change Projects In Nursing Journals, Bernadette Mazurek Melnyk, Lynn Gallagher-Ford

International Nursing Research Congress (INRC)

Session presented on Saturday, July 25, 2015:

Purpose: It is important to disseminate the outcomes of evidence-based practice (EBP) change initiatives for others to learn from and benefit from projects being conducted in the real world. However, many EBP change projects never make it to publication due to multiple barriers, including perceived inadequate time for writing, lack of mentorship, and inadequate knowledge and skills regarding tactics for successful publication. Therefore, the purpose of this presentation is to describe key strategies for publishing EBP change projects in the journal Worldviews on Evidence-based Nursing.

Methods: This session, conducted by the editor of …

Facilitating Positive Professional Practice Environments, Cathleen S. Opperman

International Nursing Research Congress (INRC)

Session presented on Thursday, July 23, 2015:

Background: Healthcare is challenged to reinvent itself to be quality driven, fiscally sound and evidence based, while its workforce is aging and the population of baby-boomers needing care, is growing. A positive professional practice environment is vital to assure safety of patients and staff, improve professional staff recruitment and retention and sustain an organization's financial viability. Nurse Managers and Leadership are reported as the single greatest influence on the professional practice environment, either positive or negative. This project was to review the literature for definitions, benefits and methods to facilitate positive professional practice …

The Impact Of A Dedicated Educational Model (Deu) On Staff Nurses' Perception Of The Professional Practice Environment, Celia Marie Wells

International Nursing Research Congress (INRC)

Session presented on Friday, July 24, 2015:

While research exists on the benefits of a Dedicated Educational Unit (DEU) for the Student Nurse (SN), there is a shortage of literature regarding the impact of the DEU on the staff nurses/preceptors who participate in DEU education. Nearly 73,000 RNare predicted to leave the nursing profession annually related to retirement, childrearing, career changes or returning to school (T.-C. f. Nursing). Barriers contributing to enrolling greater numbers of students in nursing programs include an aging workforce, a shortage of nursing faculty, lack of clinical placement opportunities, and an education gap which fails to …

Transformational Leadership And Staff Nurses' Intent To Stay, Nourah Abdalaziz Alsadaan

International Nursing Research Congress (INRC)

Session presented on Saturday, July 25, 2015:

Purpose: To examine the relationship between transformational leadership and staff nurses' intent to stay.

Methods: Published research articles between 2000 and 2014 that examined transformational leadership (behaviours) and staff nurses' intent to stay were selected from 6 electronic databases, including the EMBASE, ERIC, PSYCHINFO, SCOPUS, MEDLINE (OVID) and Academic Search Complete. In consultation with a health librarian, databases were accessed using key words: transformational leadership, retention, nurs*

Results: The higher nurses rated their manager as having transformational leadeeship style, the lower was the unit tuRNer rate. Studies indicated that transformational leadership style was …

Designing A Program Plan For Implementing Skin-To-Skin Contact (Ssc) In The Obstetrical Surgical Suite (Ob Or), Jeffrey S. Fouche-Camargo

International Nursing Research Congress (INRC)

Session presented on Sunday, July 26, 2015:

Breastfeeding is associated with numerous health benefits to newboRN There are multiple evidence-based interventions that improve rates of exclusive breastfeeding. One such intervention is providing skin-to-skin contact between the newboRNnd mother immediately following birth. One Maternaly hospital in northeast Georgia implemented this intervention following vaginal births and has decided to expand the intervention to cesarean births performed in their obstetrical surgical suite. In order to safeguard a successful implementation, a formal program plan was developed to include an education plan, small tests of change, and a rollout plan. An evaluation of the facility's …

Culture Of Safety Improvement Project Requires Sustained Organizational Commitment, Jessica Gruendler

DNP and Student Works

Hospital leaders have been directed to focus on assuring patient safety and improving outcomes through the development of a strong safety culture. The Safety Attitude Questionnaire (SAQ) at a small rural hospital showed a decline, over three years, in the perceived safety climate of the organization, by clinical staff. The purpose of this quality improvement project was the implementation of a structured debriefing program, promoting teamwork and collaboration between leadership and front-line staff, to improve the safety culture of the organization, exhibited by an improvement in SAQ scores within one year. Leading safety researchers suggest that developing a culture of …

Increasing Civility In The Workplace, Michelle Y. Pinckney

DNP and Student Works

An All Employee Survey (AES) was conducted throughout a national healthcare facility across the country. As a result of the AES of 2013, it was found that employees at a healthcare facility located in California did not feel that there was civility or psychological safety in the work area.

In actions resulting from the national direction to improve workplace scores for psychological safety and civility among nursing staff as a result of the AES scores this project was developed. How does initiating an educational training project that would be ongoing improve civility and psychological safety in the workplace for staff, …

Nursing Practice Model, Tracy L. Kasten

DNP and Student Works

For a small contemporary hospital, the need for nursing model and employee satisfaction improvement is dire for maintaining service prominence. Addressing and facilitating the immersion of a theory based self-developed nursing model into the culture and practice of a hospital based healthcare organization can facilitate the spark and serve as the catalyst for staff engagement. Uniting health improvement efforts, collaborative cohesion, and culture integration can build integrity and service excellence for this organization. This paper explores the supportive reasoning and action potential of nursing model creation influenced by nursing theory and organizational collaboration.

Exploring Concept-Based Curriculum: A Paradigm Shift To Improving National Licensure Examination (Nclex-Rn®) First Time Pass Rates, Keisha Q. Brooks

DNP and Student Works

This exploratory pilot project proposed that the implementation of a concept-based curriculum should assist the ADN program with improving the first time pass rates for the nursing program.

Lifting Off With Magnetism: Advancing Air Force Nursing Excellence, Deedra L. Zabokrtsky

DNP and Student Works

The aims of this evidence based project were to transform a global organization's practice culture and advance nursing excellence by infusing Magnet characteristics into healthcare settings. A call to action by the Air Force Medical Service senior nursing officer signaled a new strategic focus and triggered a review of evidence specific to Magnet culture, nursing excellence, and patient outcomes. The American Nurses Credentialing Center (ANCC) Magnet credential is synonymous with nursing excellence and quality patient care. Magnet-designated facilities embody a culture that supports nurses. A robust body of literature links Magnet hospitals to increased patient and staff satisfaction, positive clinical …

Engaging Clients Who Use Substances, Registered Nurses' Association Of Ontario

General Submissions: Community and Population-based Materials

This Guideline provides evidence-based recommendations for nurses and other members of the interprofessional team across all care settings who are assessing and providing interventions to individuals who use substances and may be at risk for or experiencing a substance use disorder.

The Changing Role Of The Chief Nursing Executive In An Enculturated Evidenced-Based Practice Environment, Mary G. Nash

International Nursing Research Congress (INRC)

Session presented on Monday, July 28, 2014:

Purpose: This presentation will discuss the transitions that the most senior nurse leader, Chief Nursing Executive (CNE) must make in his/her role to sustain the EBP culture and support mid-level nurse leaders.

Methods: As the most senior nursing leader in the organization, the Chief Nursing Executive (CNE) creates the vision and simultaneously maintains overall accountability for promoting a culture of evidence-based practice within a healthcare organization.

Results: Nursing staff empowerment is reported as a positive outcome of establishing an EBP practice environment. Nursing staff experience a renewed sense of confidence which can translate …

Spotlight On Practice: Achieving Excellence In Service, Accountability, And Professional Leadership, Rani Hajela Srivastava, Jane Paterson, Gabriella Golea, Margaret Gehrs

International Nursing Research Congress (INRC)

Session presented on Sunday, July 27, 2014:

While much has been written about the implementation of Nursing best practice guidelines within hospitals, there is a dearth of evidence on how to support such implementation within a mental health and addictions environment, and in an integrated interprofessional manner. This presentation will describe how one large mental health and addictions academic teaching hospital endeavored to promote best practice guidelines (BPG's) as part of a new strategic direction and practice plan. It will highlight how the unique aspects of organizational culture were considered during the selection, development, implementation, and evaluation of BPG's in …

Ebp Mentors In Action In A Real World Clinical Setting To Improve Care And Outcomes, Jacalyn S. Buck

International Nursing Research Congress (INRC)

Session presented on Monday, July 28, 2014: Purpose: Evidence-based practice mentors have been shown to be critical to effectively integrating and sustaining evidence-based practice and decision-making in clinical organizations. Methods: An exemplar of EBP mentors in action in a large, complex academic organization to improve care, outcomes, and cost will be presented. This healthcare organization had been building a cadre of EBP mentors over the past two years and when faced with a quality challenge, they called upon the knowledge and skills of their EBP mentors to find the best, evidence-based solutions and implement action plans to improve practices and …

New Evidence-Based Practice Competencies For Practicing Nurses And Advanced Practice Nurses: From Development To Real World Implementation, Bernadette Mazurek Melnyk

International Nursing Research Congress (INRC)

Session presented on Sunday, July 27, 2014:

Even though research has supported that evidence-based practice (EBP) improves the quality of healthcare and patient outcomes, long time lags exist between the generation of research and its implementation into real world practice settings with EBP still not being the standard of practice by nurses across the globe. The lack of specific EBP competencies for practicing nurses and advanced practice nurses impedes institutions from implementing and sustaining high-value, low cost evidence-based healthcare. This symposium will describe the development of a set of specific EBP competencies practicing nurses and advanced practice nurses in real …

The Development Of New Evidence-Based Practice Competencies For Practicing Registered Nurses And Advanced Practice Nurses, Bernadette Mazurek Melnyk

International Nursing Research Congress (INRC)

Session presented on Sunday, July 27, 2014:

Purpose: Research supports that evidence-based practice (EBP) promotes high value healthcare, including enhancing the quality and reliability of healthcare, improving health outcomes and reducing variations in care and costs. Even with its tremendous benefits, EBP is not the standard of care that is practiced consistently by clinicians throughout the United States and globe. Although there is a general expectation of healthcare systems globally for nurses to engage in EBP, much uncertainty exists about what exactly that level of engagement encompasses. Lack of clarity about EBP expectations and specific EBP competencies that nurses and …

Creating An Environment Where Ebp Is Reality: Engagement And Critical Contributions Of The Nurse Executive, Mary G. Nash

International Nursing Research Congress (INRC)

Session presented on Monday, July 28, 2014:

Purpose: There are critical components of an organizational culture that must be embraced and imbedded in order for EBP to become a reality. These components must be actualized throughout an organization; however a commitment from the executive level is absolutely essential for success. The critical components include: a philosophy, mission and commitment to EBP; an environment where the spirit of inquiry is encouraged, acknowledged, and rewarded; a cadre of EBP mentors who have in depth knowledge and skills in EBP, mentoring others, and overcoming barriers to individual and organizational change; administrative role modeling …

Effects Of Instructor Immediacy And Online Course Design In Student Satisfaction And Successful Course Completion, Nancy J. Slizewski

International Nursing Research Congress (INRC)

Session presented on Sunday, July 27, 2014:

Background: The withdrawal and failure rates for online classes and student satisfaction of online courses are identified as problems. Aim and Objectives: The aim was to investigate the effects of course design and instructor feedback on student success and satisfaction in online courses.

Method: The literature review supported further investigation of student satisfaction and course completion in online courses and the college approved the project. Student satisfaction with the course and instructor were evaluated utilizing the college's current survey tool. Student course completion was evaluated. Results of the project were compared to the …

The Changing Role Of The Administrator Of Nursing Quality, Evidence-Based Practice And Research In An Enculturated Evidence-Based Practice Environment, Jacalyn S. Buck

International Nursing Research Congress (INRC)

Session presented on Monday, July 28, 2014:

Purpose: This presentation will discuss the transitions in the role of the senior administrator of nursing quality, EBP and research to work successfully in a fully enculturated evidence-based practice environment.

Methods: This includes the process of identifying and selecting nurse leaders to work in this department who support a comprehensive vision of the EBP culture and are able to sustain the enculturation.

Results: The Administrator must leverage the talents of his/her nurse leaders to balance the quality, EBP and research needs of his/her organization. Furthermore, the Administrator must encourage and support collaboration with …

Fostering Healthy Work Environments: Diversity And Health Equity Competencies For Managers, Rani Hajela Srivastava, Kristin Cleverley, Janet Mawhinney

International Nursing Research Congress (INRC)

Session presented on Friday, July 25, 2014:

Although it is well recognized that 21st century health system transformation requires a foundation of equity and cultural competence, this goal continues to be challenging and elusive. Healthcare providers and organizations need to navigate complex, intersectional layers of diversity and social determinants in order to develop effective strategies to achieve equity and quality care for all. The purpose of this interactive presentation is to describe an innovative approach to equity education being used to guide the development of individual and organizational capacity for cultural competence and equity. The initiative was undertaken as part …