Diffusion of Nursing Innovations through Online Journal Clubs: A Cost-Effective Method to Improve Clinical Practice

Transcription

1 Diffusion of Nursing Innovations through Online Journal Clubs: A Cost-Effective Method to Improve Clinical Practice Charlotte Sortedahl DNP, MPH, MS, BSN, RN

2 Issues Evidence-Based Practice Gap between current evidence and practice Barriers Organizational issues Individual factors Lack of access Costs

3 Evidenced-Based Practice Patient Values Best Research Evidence Clinical Expertise Evidenced-based practice is defined as the integration of best research evidence with clinical expertise and patient values to facilitate clinical decision making (DiCenso, Guyatt, & Cileska, 2005, p. 4).

4 Institute of Medicine (2012) Best Care at Lower Cost: The Path to Continuously Learning Health Care in America. Reprinted with permission from the National Academies Press, Copyright National Academy of Sciences

5 Nursing Profession & Journal Clubs What Where Clinical setting Online option Professional Practice

6 Historical and Contemporary Issues Critique Keep up with the literature Keep up with articles in a particular journal Keep up with articles in a specialty area (such as adolescent health) Keep up with articles relevant to certifications/practice area (such as adult nurse practitioner) Connect with colleagues Get evidence into practice I want to participate in a journal club to. Photo courtesy B. Forster

7 Diffusion Requirements 1. Innovation 2. Communication Channel 3. Time 4. Social System

8 Purpose & Objectives Project Purpose Determine if evidence-based practice (EBP) innovations could be diffused at minimal cost using existing technology. Project Objectives Templates Increase in knowledge of evidence-based practice. Increase use of evidence in practice. This is an example text. Go ahead and replace it with your own text. tthis is an example text. 3 Determine Go ahead cost and effectiveness replace it with your own & text. sustainability. This is an example text. Go ahead and replace it with your own text.

9 Methods Sessions Three 60-minute synchronous sessions Elluminate Live! Structure Agenda Author Presenters Recruitment Surveys

10 Sample Agenda Format Introduction Author presentation of article Questions for author Author presentation concludes, author signs off Journal club discussion Wrap up/conclusion

11 Authors Ms. Cecelia DuPlessis Erickson Ms. Mary Heiman Dr. Erin Maughan Dr. Ann Marie McCarthy

12 Survey B Results: Respondents (n,%) Reporting Change in Knowledge and Increased Connection to Colleagues Attributed to Journal Club Participation Question Participating helped me understand the link between evidence and practice Strongly Agree or Undecided Missing Agree 8 (72.73%) 2 (18.18%) 1 (9.09%) My understanding of the evidence in the articles increased 9 (81.82%) 1(9.09%) 1 (9.09%) I feel more connected to nurse colleagues 9 (81.82%) 2 (18.18%) 0 (0%) Courtesy of Sigma Theta Tau International and Blackwell Publishing Sortedahl, C. (2012). Effect of Online Journal Club on Evidence-Based Practice Knowledge, Intent, and Utilization in School Nurses, Worldviews on Evidence-Based Nursing.9(2), doi: /j x

13 Impact of Journal Club Sessions on Practice Note: Respondents could choose one or more categories. Ways to Use Evidence in Practice Intent to Use Evidence After Session 1- (n=13) Intent to Use Evidence After Session 2 (n=7) Reported Use of Evidence 27 Days After Final Session (n=11) n % n % n % Try Something New % % % Educate Parents/Students % % 0 0% Prioritize Based On % % % Evidence Reexamine Practice % % % Read More Journal Articles % % % Advocate for School Nursing Services % % % Other % % 0 0% None of the Above 0 0% % % Missing % 0 0% 0 0% Courtesy of Sigma Theta Tau International and Blackwell Publishing Sortedahl, C. (2012). Effect of Online Journal Club on Evidence-Based Practice Knowledge, Intent, and Utilization in School Nurses, Worldviews on Evidence-Based Nursing.9(2), doi: /j x

14 Implications 1 Impact on Practice 2 Sustainability 3 Cost Effectiveness 4 Applicable to variety of specialties 5 Connect professional colleagues

15 Lessons Learned Project Recruitment Support Dissemination

16 CONTACT INFORMATION Charlotte Sortedahl Assistant Professor College of Nursing Room 211 University of Wisconsin Eau Claire 105 Garfield Avenue Eau Claire WI

17 References DiCenso A., Guyatt G. & Ciliska D. (2005). Evidence-based nursing: A guide to clinical practice. St Louis: Elsevier Mosby. Institute of Medicine (2012). Best Care at Lower Cost: The Path to Continuously Learning Health Care in America. Washington, DC: The National Academies Press Sortedahl, C. (2012). Effect of Online Journal Club on Evidence-Based Practice Knowledge, Intent, and Utilization in School Nurses, Worldviews on Evidence-Based Nursing. 9(2), doi: /j x