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Bridges EJ, Whitney JD, Walsh E, Christiansen P, Chu F, Kelly MJ, Lynch T, Marsh R, McCarthy M, Orn M, Poppe A, Selchow J, Unger N, White S, Wolkow C. Advancing a Nursing Culture of Inquiry: Strategies for the Community. AACN Adv Crit Care 2024; 35:265-271. [PMID: 39213630 DOI: 10.4037/aacnacc2024444] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 09/04/2024]
Affiliation(s)
- Elizabeth J Bridges
- Elizabeth J. Bridges is Professor Emeritus, University of Washington School of Nursing and University of Washington Medical Center, 1959 NE Pacific, Box 357266, Seattle, WA 98195
| | - JoAnne D Whitney
- JoAnne D. Whitney is Professor Emeritus, University of Washington School of Nursing, and Research Scientist, Harborview Medical Center, Seattle, Washington
| | - Elaine Walsh
- Elaine Walsh is Nurse Scientist, Seattle Children's, and an Associate Professor, University of Washington School of Nursing, Seattle, Washington
| | - Pamela Christiansen
- Pamela Christiansen is Perianesthesia Clinical Nurse Specialist, Seattle Children's, Seattle, Washington
| | - Frances Chu
- Frances Chu is Medical Librarian, Providence Library Service, Providence Swedish First Hill Campus, Seattle, Washington
| | - Mary Jo Kelly
- Mary Jo Kelly is Procedural Clinical Nurse Specialist, Providence Swedish Medical Centers, Seattle, Washington
| | - Terry Lynch
- Terry Lynch is Critical Care Clinical Nurse Specialist/Educator, Valley Medical Center, Seattle, Washington
| | - Rebekah Marsh
- Rebekah Marsh is Clinical Nurse Educator-Acute Care/Telemetry, Harborview Medical Center, Seattle, Washington
| | - Mary McCarthy
- Mary McCarthy is Nurse Scientist, Center for Nursing Science and Clinical Inquiry, Madigan Army Medical Center, Tacoma, Washington
| | - Margaret Orn
- Margaret Orn is Nurse Educator, Virginia Mason Franciscan Health, Seattle, Washington
| | - Anne Poppe
- Anne Poppe is Director of Nursing for Education and Specialty Rehabilitation and Nurse Scientist, Veterans Affairs Puget Sound Health Care System, and Assistant Clinical Professor, University of Washington School of Nursing, Seattle, Washington
| | - Joy Selchow
- Joy Selchow is Nurse Manager, Virginia Mason Medical Center, Seattle, Washington
| | - Nancy Unger
- Nancy Unger is Clinical Teaching Associate, Division of General Surgery, University of Washington Medical Center, Seattle, Washington
| | - Suzanne White
- Suzanne White is President, Seattle Nursing Research Consortium Board of Directors, Seattle, Washington
| | - Cathy Wolkow
- Cathy Wolkow is Clinical Nurse 2, Intensive Care Unit, University of Washington Medical Center Northwest, Seattle, Washington
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Horning MA, Taylor-Pearson ZA. Nurse leaders as influencers of knowledge to practice. Worldviews Evid Based Nurs 2024; 21:230-233. [PMID: 38647037 DOI: 10.1111/wvn.12726] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/18/2024] [Revised: 02/27/2024] [Accepted: 03/01/2024] [Indexed: 04/25/2024]
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Russell-Babin K, Friesen MA, O'Brien AM, McLaughlin MK, Messing J, Mowery B, Bettencourt AP, Graling PR. A Nurse-Led Implementation Science Specialist Program. Am J Nurs 2023; 123:38-45. [PMID: 37988023 DOI: 10.1097/01.naj.0000997228.84722.c7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2023]
Abstract
ABSTRACT A well-known challenge in health care is integrating evidence into practice. Implementation science (IS) is a growing field that promotes the sustainable application of evidence-based practice (EBP) to clinical care. Health care organizations have an opportunity to support sustainable change by creating robust IS infrastructures that engage nurses in the clinical environment. Integrating IS into a nursing shared governance model is an ideal vehicle to empower direct care nurses to sustain EBP. Importantly, an IS infrastructure may also promote nurse retention and increase interdisciplinary collaboration. This article, the first in a series on applying IS, describes how a multisite health care organization developed a systemwide nurse-led IS Specialist program within a shared governance model.
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Affiliation(s)
- Kathleen Russell-Babin
- Kathleen Russell-Babin is vice president of professional practice at Inova Health System in Falls Church, VA, where Mary Ann Friesen and Bernice Mowery are nursing research scientists, Maureen Kirkpatrick McLaughlin is an implementation science consultant, Jonathan Messing is an advanced practice provider manager, and Paula R. Graling is vice president of nursing, perioperative services. Anne-Marie O'Brien is an associate professor of nursing at Sonoma State University in Rohnert Park, CA. Amanda P. Bettencourt is an assistant professor in the University of Pennsylvania School of Nursing in Philadelphia and an implementation science consultant. Contact author: Paula R. Graling, . The authors have disclosed no potential conflicts of interest, financial or otherwise
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Quiñoz Gallardo MD, Barrientos-Trigo S, Porcel-Gálvez AM. Effectiveness of the best practice spotlight organizations program to reduce the prevalence of pressure injuries in acute care settings for hospitalized patients in Spain: A quasi-experimental study. Worldviews Evid Based Nurs 2023; 20:306-314. [PMID: 36894521 DOI: 10.1111/wvn.12631] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/10/2022] [Revised: 12/29/2022] [Accepted: 01/21/2023] [Indexed: 03/11/2023]
Abstract
BACKGROUND Pressure injuries are a major public health problem because of their impact on morbidity and mortality, quality of life, and increased healthcare costs. The Centros Comprometidos con la Excelencia en Cuidados/Best Practice Spotlight Organization (CCEC/BPSO®) program provides guidelines that can improve these outcomes. AIMS This study aimed to assess the effectiveness of the CCEC/BPSO® program in improving the care of patients at risk of pressure injury (PI) at an acute care hospital in Spain. METHODS A quasi-experimental regression discontinuity design in three periods was used: (1) baseline (2014), (2) implementation (2015-2017), and (3) sustainability (2018-2019). The study population was comprised of 6377 patients discharged from 22 units of an acute care hospital. The performance of the PI risk assessment and reassessment, the application of special pressure management surfaces, and the presence of PIs were all monitored. RESULTS Forty-four percent of patients (n = 2086) met the inclusion criteria. After implementing the program, the number of patients assessed (53.9%-79.5%), reassessed (4.9%-37.5%), the application of preventive measures (19.6%-79.7%), and the number of people identified with a PI in implementation (1.47%-8.44%) and sustainability (1.47%-8.8%) all increased. LINKING EVIDENCE TO ACTION The implementation of the CCEC/BPSO® program achieved improved patient safety. Risk assessment monitoring, risk reassessment, and special pressure management surfaces were practices that increased during the study period and were incorporated by professionals to prevent PIs. The training of professionals was instrumental to this process. Incorporating these programs is a strategic line to improve clinical safety and the quality of care. The implementation of the program has been effective in terms of improving the identification of patients at risk and the application of surfaces.
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Affiliation(s)
- María Dolores Quiñoz Gallardo
- Virgen de las Nieves Hospital, Granada, Spain
- Research Group Ee-12 Hygia linked to Health Research Institute (ibs.Granada), Granada, Spain
- Research Chair in Health Care and Results (INVESCARE) Virgen de las Nieves Hospital and Department of Nursing Universidad de Sevilla (Code 4477/1155), Seville, Spain
| | - Sergio Barrientos-Trigo
- Department of Nursing, Faculty of Nursing, Physiotherapy, and Podiatry, Universidad de Sevilla, Seville, Spain
- Research Group under the Andalusian Research CTS 1050 Complex Care, Chronicity, and Health Outcomes, University of Seville, Seville, Spain
| | - Ana María Porcel-Gálvez
- Research Chair in Health Care and Results (INVESCARE) Virgen de las Nieves Hospital and Department of Nursing Universidad de Sevilla (Code 4477/1155), Seville, Spain
- Department of Nursing, Faculty of Nursing, Physiotherapy, and Podiatry, Universidad de Sevilla, Seville, Spain
- Research Group under the Andalusian Research CTS 1050 Complex Care, Chronicity, and Health Outcomes, University of Seville, Seville, Spain
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Corrêa BLMDAL, Santana RF, Rocha GDS, Bandeira TM, Carmo TGD, Carvalho ACSD. Quality improvement in the implementation science paradigm in professional programs: scoping review. Rev Gaucha Enferm 2023; 44:e20220159. [PMID: 37585956 DOI: 10.1590/1983-1447.2023.20220159.en] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/30/2022] [Accepted: 02/06/2023] [Indexed: 08/18/2023] Open
Abstract
OBJECTIVE To map knowledge regarding Quality Improvement in the implementation science paradigm in graduate nursing education in professional programs. METHOD This is a scoping review, conducted from October to December 2021, following the assumptions established by the Joanna Briggs Institute and the PRISMA-ScR protocol. RESULTS 18 studies were selected. Being, 7 articles (38.8%) about the implementation strategies and development of Quality Improvement projects for graduate nursing students. The included studies emphasize Quality Improvement as a methodological strategy capable of capturing a problem in practice, to be solved without losing scientific rigor, and emphasize the importance of obtaining Quality Improvement skills in professional programs. CONCLUSION Implementation science and Quality Improvement projects advance professional programs to improve and develop quality health care.
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Affiliation(s)
- Bruna Luísa Melo de Aquino Lemos Corrêa
- Universidade Federal do Fluminense (UFF), Programa de Cooperação Interinstitucional UFF/UFAC, Mestrado Profissional em Enfermagem Assistencial. Niterói, Rio de Janeiro, Brasil
| | - Rosimere Ferreira Santana
- Universidade Federal do Fluminense (UFF), Escola de Enfermagem Aurora de Afonso Costa. Niterói, Rio de Janeiro, Brasil
| | - Greiciane da Silva Rocha
- Universidade Federal do Acre (UFAC), Centro de Ciências da Saúde e do Desporto. Rio Branco, Acre, Brasil
| | - Tatiany Marques Bandeira
- Universidade Federal do Fluminense (UFF), Programa de Cooperação Interinstitucional UFF/UFAC, Mestrado Profissional em Enfermagem Assistencial. Niterói, Rio de Janeiro, Brasil
| | - Thalita Gomes do Carmo
- Universidade Federal do Fluminense (UFF), Mestrado Profissional em Enfermagem Assistencial(MPEA). Niterói, Rio de Janeiro, Brasil
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Chipps E, Zadvinskis IM. Optimizing the Role of the Hospital-Based Nurse Scientist in a Changing Nursing Environment: Recommendations for Nurse Leaders. Nurs Adm Q 2023; 47:118-125. [PMID: 36745183 DOI: 10.1097/naq.0000000000000568] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/18/2023]
Abstract
Nurses and nurse leaders directing clinical organizations can elevate scholarly inquiry by employing a PhD-prepared hospital-based nurse scientist (HBNS). This individual will shape the culture of clinical inquiry, leading and driving efforts to close the gap between knowledge and practice. As the nursing workforce struggles to recover from the COVID-19 pandemic, now more than ever, collaborations between HBNSs and nurse leaders are essential to explore and test new nursing care delivery systems. Given the national shortage in the PhD-prepared nurse scientist talent pool, attracting and hiring the right candidate is critical. The purpose of this article is to provide practical recommendations for nurse leaders to introduce an HBNS into an organization as an important building block for nursing science and improved clinical practice. The role of the HBNS has evolved in tandem with increased education in the nursing workforce, evidence-based practice, and the explosion of implementation science. Before recruiting an HBNS, the organization must create a job description that outlines responsibilities, paying attention to the HBNS position within the organizational structure. Additionally, leaders must consider the candidate's characteristics for interacting with clinical staff. The senior nursing leadership team must recognize and appreciate the HBNS as a scholar and advisor.
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Affiliation(s)
- Esther Chipps
- The Ohio State University College of Nursing, The Ohio State University Wexner Medical Center, Columbus (Dr Chipps); and The Helene Fuld Health Trust National Institute for Evidence-Based Practice in Nursing and Healthcare, The Ohio State University College of Nursing, Columbus (Dr Zadvinskis)
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Implementation Science for the Practice-Oriented Nurse Leader. Nurs Adm Q 2023; 47:107-117. [PMID: 36862564 DOI: 10.1097/naq.0000000000000572] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/03/2023]
Abstract
Senior nurse leaders are accountable for improving patient outcomes efficiently and cost-effectively. Nurse leaders often find heterogeneous patient outcomes across comparable nursing units in the same enterprise, presenting a challenge for nurse leaders tasked with making system-wide quality improvements. Implementation science (IS) offers a promising new approach to guide nurse leaders in understanding why certain implementation efforts meet with success or failure and the barriers faced in making practice changes. Knowledge of IS builds upon evidenced-based practice and quality improvement knowledge, adding to the armamentarium of tools at nurse leaders' disposal for improving nursing and patient outcomes. In this article, we demystify IS, differentiate it from evidence-based practice and quality improvement, describe IS concepts every nurse leader should be familiar with, and outline nurse leaders' role in building IS in their organizations.
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Stuffle ME, Embree JL. Using a Strategy Process Framework to Support the Implementation of an Evidence-Based Practice Initiative to Improve Clinical Judgment of Newly Hired Nurses. J Contin Educ Nurs 2022; 53:483-485. [DOI: 10.3928/00220124-20221006-04] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
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Joseph ML, Nelson-Brantley HV, Caramanica L, Lyman B, Frank B, Hand MW, Parchment J, Ward DM, Weatherford B, Chipps E. Building the Science to Guide Nursing Administration and Leadership Decision Making. J Nurs Adm 2022; 52:19-26. [PMID: 34897205 DOI: 10.1097/nna.0000000000001098] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
OBJECTIVE The aim of this study was to identify the challenges, barriers, and solutions for conducting nursing administration and leadership science (NALS) research. BACKGROUND Evidence from leadership science should be at the forefront of nurse leaders' decision making. Yet, challenges remain in building the evidence and moving it into nursing administration and leadership practice. METHODS This study used a Delphi technique with open-ended questions and direct content analysis to evaluate survey responses of members of the Association for Leadership Science in Nursing and American Organization for Nursing Leadership. RESULTS Open-ended responses were coded to yield super categories and supportive codes for areas with limited evidence to guide leadership practice and the challenges for conducting NALS research. CONCLUSIONS These findings provide future directions for continuously driving NALS research and for building and leveraging leadership science to support nursing administration decision making.
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Affiliation(s)
- M Lindell Joseph
- Author Affiliations: Clinical Professor and Director (Dr Joseph), Health Systems/Administration & MSN/CNL Programs, College of Nursing, The University of Iowa, Iowa City; Assistant Professor and Leadership Program Director (Dr Nelson-Brantley), University of Kansas School of Nursing, Kansas City; Professor (Dr Caramanica), Tanner Health System School of Nursing, University of West Georgia, Carrollton; Associate Professor (Dr Lyman), College of Nursing Brigham Young University, Provo, Utah; Professor Emerita (Dr Frank), School of Nursing, Indiana State University, Terre Haute; Associate Professor of Nursing (Dr Hand), College of Nursing and Health Professions, University of Southern Indiana, Evansville; Adjunct Faculty (Dr Parchment), College of Nursing, University of Central Florida, Orlando; Director (Ms Ward), AONL Foundation for Nursing Leadership Research and Education, Chicago, Illinois; Retired (Dr Weatherford), College of Nursing, University of Massachusetts, Dartmouth; Professor of Clinical Nursing and Clinical Nurse Scientist (Dr Chipps), The Ohio State University College of Nursing, The Ohio State University Wexner Medical Center, Columbus
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