Building a Foundation for Nursing Science…. A Unique Collaboration between Research & Practice T...
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Transcript of Building a Foundation for Nursing Science…. A Unique Collaboration between Research & Practice T...
Building a Foundation for Nursing Science….
A Unique Collaboration between Research & Practice
Tammy Cosman RN, MN, ACNP &
Karen Antoni RN, MHSc, ACNP
Objectives
Provide background information pertaining to nurses and research
Describe the evolution of the virtual Cardiac and Vascular Nursing Science Unit (CVNSU)
Highlight the impact of the CVNSU
Identify future directions
About Research & Practice…
Disconnect between research scientists and clinicians is well described
Scientists speak a foreign language, publish in different journals, and often present at different conferences than clinicians
Practice change is slow to follow published research findings ….may take up to 10 years! (Amsterdam, 2001)
A Slow Process Cleansing umbilical cords with alcohol
(Medves JM, 1997)
Pressure dressings post cardiac catheterization (Botti M, et al, 1998)
Nursing critically ill patients in supine position (Drakulovic MB, 1999; Dodek P, 2004)
Nurses & Evidence-based Practice Nurses reported their main source of practice
knowledge was through “social interactions” (Estabrooks, et al, 2005; Gerrish, et al, 2004)
17% of nurses said they never personally seek information from journal articles; 58% said that they never seek information from a research report
Primary barrier to the use of research in practice sited by nurses was the lack of value (Pravikoff, Tanner & Pierce, 2005)
Barriers Lack of Value
Organization perceptions of nurses involvement in researchLack of understanding
Lack of understandingElectronic databasesAbility to critique literature/knowledge of research
Difficulty accessing research materialsComputer access and skillsLibrary access
Presence of other goals with a higher priority Resources – monetary and human (mentorship)
(Pravikoff, Tanner & Pierce, 2005)
It started with intent … Relationships between key individuals
Communication and Timing
Research highly valued by individuals, within the program and the organization
Resources
Thoughtful selection of group members
Shared commitment to build nursing research capacity
Creation of the CVNSU
Goal was clear but the ‘how-to’ was not
Should we choose one geographical location,
given there were many units?
Determining the necessary infrastructure
Discussion about member skills & expectations
When should we engage others?
CVNSU Launch
Health Care is Knowledge Based
Explosion of Knowledge
Knowledge is Power
No One ‘Owns’ Knowledge
Mission Statement
To engage nurses in scientific
inquiry across the research
spectrum, from utilization to
generation of evidence.
Raising the Profile HHS Research Newsletter
Biennial Research Report
Seasons: Foundation publication
HHS Insider
Newsletter – Accomplishments at 6 months
Presentation to nursing class of 1951
Web page development
Educational Events
A need identified
“Evidence Based Health Care” course
Mentorship model
EBHC course members
Karen Antoni Pam Benoit
Tammy Cosman Leslie Gauthier
Pam Hewitson Lorene Long
Carol Mantle Kelly O’Halloran
Janina Sheasby Irene Travale
Marion Quirk
Presentations
Canadian Council of Cardiovascular Nurses – October 2005
Heart Rhythm Society, May 2006, Boston International NP/APN Network Conference South Africa
Toronto Critical Care Medicine Symposium, October 2005
Innovations in Health Care Conference, April 2006, Toronto
Publications
Journal of Continuing Education in Nursing
Journal of Neuroscience Nursing
Healthcare Quarterly, Patient Safety Papers
Abstract Submissions
Canadian Council of Cardiovascular Nurses
Vancouver, Canada - October 2006
American Heart Association
Chicago, USA, - November 2006
Nursing Research Day
Hamilton, Canada – October, 2006
Additional Achievements
Advanced Clinical/Practice Fellowship
- Registered Nurses Association of Ontario
Funding for Research study - HHS
Support for Nurses
Vision for the Future
CVNSU sponsored Journal club
Web site
FAQ sheet
Writing workshop
Dedicated administrative support
Linkages to other research experts
Core Committee
Dr. Heather Arthur Susan Gregoroff
Karen Antoni Tammy Cosman
Charlotte Daniels Leslie Gauthier
Sandra Ireland Kelly O’Halloran
Irene Travale
CVNSU Core Committee
Many thanks …Members of the CVNSU
Hamilton Health Sciences
Canadian Association of Advanced Practice Nurses
Clinical Nurse Specialist Interest Group
ReferencesAmsterdam EA, Lasletti I, Diercks D, et al. Reducing the knowledge/practice gap in the management of patients with cardiovascular disease. Rrev Cardiol 2001;5:12-15.
Botti M, Williamson B, Steen K, et al. The effect of pressure bandaging on complications and comfort in patients undergoing coronary angiography: a multicenter randomized trial. Heart Lung 1998;27:360-73.
Canadian Institute for Health Information, Workforce trends of Registered Nurses in Canada, 2004.
Dodek P, Keenan S, Cook D, et al. Evidence-based clinical practice guidelines for the prevention of ventilator-associated pneumonia. Ann Intern Med 2004;141:305-13.
ReferencesDrakulovic MB, Torres A, Bauer TT, et al. Supine body position as a risk for nosocomial pneumonia in mechanically ventilated patients: a randomized trial. Lancet 1999;354:1851-9.
Estabrooks CA, Rutakumwa W, O’Leary KA, et al. Sources of practice knowledge among nurses. Qualitative Health Research 2005;15(4):460-76.
Gerrish K, Clayton J. Promoting evidence-based practice: an organizational approach. Journal of Nursing Management 2004;12:114-123.
Medves JM, O’Brien BA. Cleaning solutions and bacterial colonization in promoting healing and early separation of umbilical cord in healthy newborns. Can J Public Health 1997:88:380-382.
Pravikoff DS, Taner AB, Pierce ST. Readiness of US nurses for evidence-based practice. AJN 2005;105(9):40-51.