Conference Year

2016

Hospital/Entity

Mariners Hospital

Category of Abstract

Other

Quality Improvement - IRB approved

Abstract

The Institute of Medicine (IOM) (1) set a goal that by the year 2020, 90% of all clinical decisions will be supported by accurate, timely, and up-to-date clinical information that reflects the best available evidence. Health care institutions must draw on the best available evidence in providing care to each patient to promote healthy outcomes. The IOM also released a report in 2005 on rural healthcare that emphasizes the importance of evidence-based practice for achieving rural quality healthcare (2) The American Nurses Credentialing Center (ANCC) Model for Magnet ® consists of five evidence-derived components – transformational leadership, structural empowerment, exemplary professional practice, new knowledge, innovations and improvements and empirical outcomes (3). The knowledge, innovations, and improvements component focuses on research and evidence-based practice (EBP) that supports the advancement of practice in the clinical setting. Evidence-based practice involves complex and conscientious decision-making based not only on available evidence but also on patient characteristics, situations, and preferences. Evidence-based practice is important for achieving quality healthcare and positive patient outcomes. Through the identification of barriers to implementation of research and evidence-based practice, nurse leaders can develop a plan to educate and improve the continued use and implementation of evidence-based practice initiatives. This descriptive, quality improvement study utilized questionnaires to identify barriers and facilitators to improve compliance with evidence-based practice initiatives among rural hospitals.

Objective of Presentation

The purpose of this study was to explore the relationships between perceived barriers to research use and the implementation of evidence-based practice among rural hospital nurses. The specific aims were to identify barriers to implementing EBP and to develop an implementation plan for future role-outs of EBP initiatives to increase utilization and compliance.

Summary of Presentation

Patient care and nursing practice are guided by research that supports the best practice for optimal patient outcomes. Patient safety, patient satisfaction, improved outcomes and improved cost-effectiveness are a few of the benefits of evidence-based practice and are imperative in a rural setting. Through the identification of the barriers to research use and the implementation of EBP, a plan can be developed to increase the knowledge base of the nursing staff with regard to the research process, which will improve compliance with future protocol roll-outs. The RNs identified that nursing leadership supported their practice, but physician and interdepartmental push back had negative repercussions to any initiative that was introduced. Through a more structured process of monitoring for compliance, problems associated with implementation can be minimized, and with the implementation of a new IT system, data collection should be more readily available.

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Improving the Use of Evidence-based Practice and Research Utilization through the Identification of Barriers to Implementation in a Critical Access Hospital

The Institute of Medicine (IOM) (1) set a goal that by the year 2020, 90% of all clinical decisions will be supported by accurate, timely, and up-to-date clinical information that reflects the best available evidence. Health care institutions must draw on the best available evidence in providing care to each patient to promote healthy outcomes. The IOM also released a report in 2005 on rural healthcare that emphasizes the importance of evidence-based practice for achieving rural quality healthcare (2) The American Nurses Credentialing Center (ANCC) Model for Magnet ® consists of five evidence-derived components – transformational leadership, structural empowerment, exemplary professional practice, new knowledge, innovations and improvements and empirical outcomes (3). The knowledge, innovations, and improvements component focuses on research and evidence-based practice (EBP) that supports the advancement of practice in the clinical setting. Evidence-based practice involves complex and conscientious decision-making based not only on available evidence but also on patient characteristics, situations, and preferences. Evidence-based practice is important for achieving quality healthcare and positive patient outcomes. Through the identification of barriers to implementation of research and evidence-based practice, nurse leaders can develop a plan to educate and improve the continued use and implementation of evidence-based practice initiatives. This descriptive, quality improvement study utilized questionnaires to identify barriers and facilitators to improve compliance with evidence-based practice initiatives among rural hospitals.