Performance Improvement

(Process Improvement)

Evidence-Based Practice

(Change in Practice)

Research

(Creation of New Knowledge)

Focus

Evidence Translation

Evidence Translation

Knowledge Creation

Definition

• The process by which individuals work together to improve systems and processes with the intention to improve outcomes (Newhouse, 2007).

• The use of the best available evidence to guide decision-making in clinical practice.  (Krugman, 2008).

• Generate new knowledge or test an intervention or concern based on theory and uses rigorous methods (Hedges, 2006).

Purpose

• Improve or enhance internal processes and practices within a specific patient group or organization (Hedges, 2006).
• To compare the organization to standards or benchmarks.

• To change practice in order to improve processes or patient care.
• Evaluate the evidence along a continuum to identify the strongest or best evidence to guide nursing practice within an organizational setting and with a specific patient population (Hedges, 2006.)

• Answer a question for which there is not adequate evidence.
• To generate new knowledge within the broader scientific community to produce knowledge that is generalized beyond the study sample (Hedges, 2006).

Problem-Solving System

• Plan-Do-Study-Act (PDSA)
• Plan-Do-Check-Act (PDCA)

• PICO or PICOTT
• SPIDER, PECODR, COPES, etc.
• Other Question Structures/Formats

• Scientific Method
• Qualitative or  Quantitative Methods

IRB

•   No

•  No/Yes

• Yes

Data Sources

• Local practice assessment
• Appraisal and the use of the evidence
• Interpretation of Data Sources

• Critical appraisal of  internal and external sources of data

•  Primary and Secondary  Data / Evidence

Support Resources

• Nurse Clinician
• Nurse Manager
• Clinical Nurse III, IV, V
• Performance Improvement, Department
• Nursing Quality Outcomes Council

• EBP Mentors
• Nurse Clinician
• Clinical Nurse III, IV, V
• EBP Translation Committee
• Nursing Research and Evidence-Based Practice Leadership Council
• Nursing Interns & Scholars Program

• Nurse Clinicians  
• Nurse Managers
• Advanced Practice Nurses
• Office of Clinical Research
• Nursing Research Advisory Council
• School of Nursing
• Nursing Research & EBP  Leadership Council
• Office of Clinical Research

Practice Impact

• Improve patient care  processes
• Improve processes in unit and organization
• Incorporates the new knowledge

• Change practice
• Impact practice
• Translates the knowledge

• Generate new knowledge for practice
• Add to the knowledge base

Translation of Findings

• Standardization of practices, products, and treatments
• Presentations to Units, Practice Councils and Other Hospital Groups
• Publications
• Posters
• Podium presentations

• Practice change that becomes hospital or unit policy.
• Presentations to Units, Practice Councils and Other Hospital Groups
• Publications
• Posters
• Podium presentations

• Local adoption/application at the unit or hospital level.
• Presentations to Units, Practice Councils and Other Hospital Groups
• Publications
• Posters
• Podium presentations

Dissemination Resources

• Performance Improvement Poster Template
• Conferences List  

• EBP Poster Template
• Magnet Empirical Outcomes template
• Conferences List  

• Research Poster Template
• Conferences List  

Example

• Improvement of the discharge times of patients.
• Improving patient satisfaction.

• Positioning in the OR to prevent pressure ulcers.
• Early mobilization to prevent pneumonia.

• Does location from the hospital impact follow up treatment for breast cancer patients?