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INNOVATION

Background: Nursing Research and Evidence-Based Practice (NREBP) is central to advancing nursing science and integrating nursing practices supported by scientific inquiry to improve health outcomes and quality of care1,4. The gap between what nurses know and what they do can have life-altering consequences2,7 . The degree to which nurses base their practice behaviors on research, EBP competence, and use of EBP skills is sub-optimal and is directly influenced by organizational and institutional barriers3. Common barriers to implementing EPB behavior change include organizational culture, leadership, networks and communication, resources, evaluation, monitoring and feedback, and availability of qualified EBP mentors5. Supportive work environments and proactive leaders are necessary to create cultures conducive to EBP. To mitigate the barriers to EBP and build EBP capacity, the NREBP program developed strategy, resources, and professional development opportunities for clinical nurses and leaders.

Implementation: Creating the infrastructure to support clinical nurses by providing resources, including EBP experts, is essential. The NREBP team is developing an EBP infrastructure by creating frameworks, processes, certification supports, professional development opportunities, and interprofessional collaborations. The NREBP team is developing engagement through rounding with clinical nurses to understand resource needs, implementing and further studying the EBP Leadership Behavior Program, developing pathways to support EBP mentors through further skill development and facilitation, and EBP professional development plans for all Children’s Health nurses. This year, our team has onboarded 350 nurse residents, increased the pool of EBP mentors, submitted an EBP study to the IRB, initiated an EBP competency building rubric, supported nursing/unit/organization/DNP EBP projects, supported 13 EBP fellowship projects, and initiated an EBP mentorship program.

Evaluation: Since 2020, this work has resulted in a 263.6% increase in nurses participating in EBP, 140% in EBP nurse fellows, 88% increase in abstracts submitted to conferences, and 84% increase in the number of publications. Strategic planning and leadership development to enculturate EBP raises the organizational capacity to transform EBP.

1. Chien, Li-Yin. (2019). Evidence-based practice and nursing research. The Journal of Nursing Research, 27(4), e29.
2. Dakka, F.J. (2022). Nurses barriers to evidence-based practice in palliative care: A systematic review. SAGE Open Nursing, 8, 1-8. https://Doi.org/ 10.1177/23779608221142957
3. Laibhen-Parks, N., Kimble, L., Melnyk, B., Sudia, T., & Codone, S. (2018). An adaptation of the original FRESO test to measure evidence-based practice competence in pediatric bedside nurse, Worldviews on Evidence-Based Nursing, 15(3), 230-240.
4. Lal, M. (2021). Why nursing research matters. The Journal of Nursing Administration, 51(5), 235-236. doi: 10.1097/NNA.0000000000001005. Why Nursing Research Matters - PubMed (nih.gov)
5. Li, H., Tyson, S., Meyers, E. A., Ada, H., & Jordan, M. (2023). Advancing EBP culture and competencies through an academic‐research partnership: Process and outcomes of an EBP scholar program. Worldviews on Evidence-Based Nursing, 20(1), 44-46. https://doi.org/10.1111/wvn.12616
6. Speroni, K., Mclaughlin, M., & Friesen, M.A. (2020). Use of evidence-based practice models and research findings in magnet-designated hospitals across the United States: National survey results. Worldviews on Evidence-Based Nursing, 17(2), 98-107.
7. Wentland, B. A., & Hinderer, K. A. (2020). A nursing research and evidence-based practice fellowship program in a magnet®-designated pediatric medical center. Applied Nursing Research, 55, 151287-151287. https://doi.org/10.1016/j.apnr.2020.151287

Publication Date

9-27-2024

Keywords

Innovation, EBP, Evidence-Based Practice

Disciplines

Pediatric Nursing

Owning your Practice through Evidence-Based Practice (EBP) - Transformational Leadership Strategies that Create the Foundation for EBP Enculturation

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