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Performance Improvement
(Process Improvement)
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Evidence-Based Practice
(Change in Practice)
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Research
(Creation of New Knowledge)
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Focus
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Evidence Translation
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Evidence Translation
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Knowledge Creation
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Gap |
Process Revision/Enhancement |
Addresses gap in the current process |
Addresses gap in evidence |
Definition
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- The process by which individuals work together to improve systems and processes with the intention to improve outcomes (Newhouse, 2007).
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- The use of the best available evidence to guide decision-making in clinical practice. (Krugman, 2008).
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- Generate new knowledge or test an intervention or concern based on theory and uses rigorous methods (Hedges, 2006).
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Purpose
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- Improve or enhance internal processes and practices within a specific patient group or organization (Hedges, 2006).
- To compare the organization to standards or benchmarks.
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- 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.)
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- 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).
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Problem-Solving System
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- Plan-Do-Study-Act (PDSA)
- Plan-Do-Check-Act (PDCA)
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- Scientific Method
- Qualitative or Quantitative Methods
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IRB
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Data Sources
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- Local practice assessment
- Appraisal and the use of the evidence
- Interpretation of Data Sources
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- Critical appraisal of internal and external sources of data
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- Primary and Secondary Data / Evidence
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Support Resources
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- Nurse Clinician
- Nurse Manager
- Clinical Nurse III, IV, V
- Performance Improvement, Department
- Nursing Quality Outcomes Council
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- EBP Mentors
- Nurse Clinician
- Clinical Nurse III, IV, V
- EBP Translation Committee
- Nursing Research and Evidence-Based Practice Leadership Council
- Nursing Interns & Scholars Program
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- 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
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Practice Impact
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- Improve patient care processes
- Improve processes in unit and organization
- Incorporates the new knowledge
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- Change practice
- Impact practice
- Translates the knowledge
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- Generate new knowledge for practice
- Add to the knowledge base
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Translation of Findings
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- Standardization of practices, products, and treatments
- Presentations to Units, Practice Councils and Other Hospital Groups
- Publications
- Posters
- Podium presentations
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- Practice change that becomes hospital or unit policy.
- Presentations to Units, Practice Councils and Other Hospital Groups
- Publications
- Posters
- Podium presentations
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- Local adoption/application at the unit or hospital level.
- Presentations to Units, Practice Councils and Other Hospital Groups
- Publications
- Posters
- Podium presentations
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Dissemination Resources
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- Performance Improvement Poster Template
- Conferences List
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- EBP Poster Template
- Magnet Empirical Outcomes template
- Conferences List
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- Research Poster Template
- Conferences List
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Example
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- Improvement of the discharge times of patients.
- Improving patient satisfaction.
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- Positioning in the OR to prevent pressure ulcers.
- Early mobilization to prevent pneumonia.
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- Does location from the hospital impact follow up treatment for breast cancer patients?
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References:
Hedges, C. (2006). Research, evidence-based practice, and quality improvement. AACN Advanced Critical Care, 17 (4) 457-459.
Kloda, L. A., & Bartlett, J. C. (2013). Formulating Answerable Questions: Question Negotiation in Evidence-based Practice. Journal of the Canadian Health Libraries Association (JCHLA), 34(2), 55-60. doi:10.5596/c13-019
Kurgman, M. (2008). Evidence-based practice. Journal for Nurses in Staff Development, 137-139.
Newhouse, R. (2007). Diffusing confusion among evidence-based practice, quality improvement, and research. Journal of Nursing Administration, 37(10) 432-435.