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Clinical Safety & Effectiveness Cohort # 7 Utilization of Evidence-Based Practice Resources by Junior Nursing Students
Educating for Quality Improvement & Patient Safety 1
DISCLOSURE Danet Lapiz‐Bluhm, BSN, PhD has no relevant financial relationships with commercial interests to disclose. Christine Gaspard, MSLS has no relevant financial relationships with commercial interests to disclose. Katherine Prentice, MSIS, AHIP has no relevant financial relationships with commercial interests to disclose.
Other key players: • Nursing Research and Evidence‐Based Practice (NURS 3402) Students • Information Desk Library staff and Mobile Library staff volunteers • Jonquil Feldman, MALS, AHIP* • Dr. Rosemary Waluluƚ – NURS 3402 Faculty • Dr. Peter Guarneroƚ – NURS 3402 Faculty • School of Nursing, Office of Admissions and Student Services • Center for Patient Safety & Health Policy Team: Jan Patterson, MD, Amruta Parekh, MBBS, Leticia Bresnahan, MBA * UT HSC Briscoe Library ƚ
UT HSC School of Nursing
What We Are Trying to Accomplish? OUR AIM STATEMENT
Our aim is to increase utilization of evidence‐based practice (EBP) resources by 25% among junior level (semester 2) students at the UT Health Science Center School of Nursing in 3 months.
Why Focus on Evidence‐Based Practice? Integrates the best research evidence with clinical expertise and the patient’s unique characteristics (Sackett)
CS&E Presentations: SON Faculty Librarians’ Meeting
May 20, 2011 May 23, 2011
CS&E Graduation Presentation
June 24, 2011
January 13, 2011 – April 15, 2011
Background • From bench science to clinical use, the translation to use takes on average 17 years (IOM). • EBP is designed to ensure quality and safe patient centered care. • EBP tools have been used to achieve the National Patient Safety Goals. • Training and ongoing education on EBP must be integrated within the curriculum. 7
Background • The American Association of Colleges of Nursing (AACN) has mandated scholarship on EBP where nursing students should receive training on accessing evidence based literature and appropriate practice utilization. (AACN, 2008) • Existing nursing curriculum includes the tenets of research but little data is available on actual student awareness and utilization of EBP. • We aim to measure student knowledge, utilization and satisfaction with EBP. 8
Background • Since lack of knowledge, access to and utilization of EBP literature are barriers to effective clinical decision making, our project goal is to address these issues. • Patient safety and quality of care will be improved. • Nursing students will become champions of EBP in future clinical care.
How Will We Know That a Change is an Improvement? Always a challenge for education projects • Types of measures Surveys
• How you will measure Frequency of self‐reported utilization Self‐reported satisfaction
• Specific targets for change Satisfaction Utilization 10
What Changes Can We Make That Will Result in an Improvement? • Library orientation class Library services Getting Help Evidence‐Based Practice resources Hands‐on practice • Library access and help Mobile Library and Information Desk • Blackboard Course Resources 11
Selected Process Analysis Tools • Brainstorming • Fishbone
• Flowchart 12
Selected Decision Making Tools Pareto Diagram ‐ to better identify barriers to utilization