Building a Foundation for Nursing Science....

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  • Building a Foundation for Nursing Science....

    1. 1. Building a Foundation for Nursing Science…. A Unique Collaboration between Research & Practice Tammy Cosman RN, MN, ACNP & Karen Antoni RN, MHSc, ACNP
    2. 2. 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
    3. 3. 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)
    4. 4. 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)
    5. 5. 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)
    6. 6. Barriers ♥ Lack of Value Organization perceptions of nurses involvement in research Lack of understanding ♥ Lack of understanding Electronic databases Ability to critique literature/knowledge of research ♥ Difficulty accessing research materials Computer access and skills Library access ♥ Presence of other goals with a higher priority ♥ Resources – monetary and human (mentorship) (Pravikoff, Tanner & Pierce, 2005)
    7. 7. 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
    8. 8. 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?
    9. 9. CVNSU Launch Health Care is Knowledge Based Explosion of Knowledge Knowledge is Power No One ‘Owns’ Knowledge
    10. 10. Mission Statement To engage nurses in scientific inquiry across the research spectrum, from utilization to generation of evidence.
    11. 11. 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
    12. 12. Educational Events ♥ A need identified ♥ “Evidence Based Health Care” course ♥ Mentorship model
    13. 13. 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
    14. 14. 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
    15. 15. Publications Journal of Continuing Education in Nursing Journal of Neuroscience Nursing Healthcare Quarterly, Patient Safety Papers
    16. 16. 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
    17. 17. Additional Achievements Advanced Clinical/Practice Fellowship - Registered Nurses Association of Ontario Funding for Research study - HHS Support for Nurses
    18. 18. Vision for the Future CVNSU sponsored Journal club Web site FAQ sheet Writing workshop Dedicated administrative support Linkages to other research experts
    19. 19. Core Committee Dr. Heather Arthur Susan Gregoroff Karen Antoni Tammy Cosman Charlotte Daniels Leslie Gauthier Sandra Ireland Kelly O’Halloran Irene Travale
    20. 20. CVNSU Core Committee
    21. 21. Many thanks … Members of the CVNSU Hamilton Health Sciences Canadian Association of Advanced Practice Nurses Clinical Nurse Specialist Interest Group
    22. 22. References Amsterdam 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.
    23. 23. References Drakulovic 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.

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