Presentation on theme: "Building a Foundation for Nursing Science…. A Unique Collaboration between Research & Practice T ammy Cosman RN, MN, ACNP & Karen Antoni RN, MHSc, ACNP."— Presentation transcript:
Building a Foundation for Nursing Science…. A Unique Collaboration between Research & Practice T ammy Cosman RN, MN, ACNP & Karen Antoni RN, MHSc, ACNP
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
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)
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)
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)
Barriers Lack of Value Organization perceptions of nurses involvement in research Lack of understanding Electronic databases A bility to critique literature/knowledge of research Difficulty accessing research materials C omputer access and skills Library access Presence of other goals with a higher priority Resources – monetary and human (mentorship) (Pravikoff, Tanner & Pierce, 2005)
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
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?
CVNSU Launch Health Care is Knowledge Based Explosion of Knowledge Knowledge is Power No One Owns Knowledge
Mission Statement To engage nurses in scientific inquiry across the research spectrum, from utilization to generation of evidence.
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
Educational Events A need identified Evidence Based Health Care course Mentorship model
EBHC course members Karen AntoniPam Benoit Tammy CosmanLeslie Gauthier Pam HewitsonLorene Long Carol MantleKelly OHalloran Janina SheasbyIrene Travale Marion Quirk
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
Publications Journal of Continuing Education in Nursing Journal of Neuroscience Nursing Healthcare Quarterly, Patient Safety Papers
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
Additional Achievements Advanced Clinical/Practice Fellowship - Registered Nurses Association of Ontario Funding for Research study - HHS Support for Nurses
Vision for the Future CVNSU sponsored Journal club Web site FAQ sheet Writing workshop Dedicated administrative support Linkages to other research experts
Core Committee Dr. Heather ArthurSusan Gregoroff Karen AntoniTammy Cosman Charlotte DanielsLeslie Gauthier Sandra IrelandKelly OHalloran Irene Travale
Many thanks … Members of the CVNSU Hamilton Health Sciences Canadian Association of Advanced Practice Nurses Clinical Nurse Specialist Interest Group
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.
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, OLeary 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, OBrien 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.