1. Kaiser Permanente National Nursing Research
Catherine Dower, JD
Director, National Nursing Research and Policy
National Patient Care Services

2. National Patient Care Services
Mission: To support KP Nursing Leaders across all regions and collaborate with internal and external partners to enable the delivery of the highest quality, affordable and most safe patient-centered care. Vision: To be known and recognized as trusted and valued partners in transforming nursing practice to achieve the organization’s objectives of Affordability and One KP.

3. April 24, 2018
| © 2011 Kaiser Foundation Health Plan, Inc. For internal use only.

5. KP National Nursing Leadership Council Purpose Statement
By leveraging the power of Kaiser Permanente nurses, the NNLC sets the strategic direction for nursing program-wide by uniting and aligning 50,000+ nurses under one unifying vision, set of values and professional practice model. The NNLC does this through designing and adopting innovative care delivery models, spreading and coordinating successful practices across the continuum, and influencing state and national policy. The NNLC drives accountability for standardizing and elevating nursing practice to raise organization performance.
April 24, 2018
| © 2011 Kaiser Foundation Health Plan, Inc. For internal use only.

6. NNLC Committees & Foundational Areas
Quality & Safety
Professional Development
Professional Practice
Leadership Development
Clinical Informatics & Technology
Research & Evidence Based Practice
Workforce Strategy
April 24, 2018
| © 2011 Kaiser Foundation Health Plan, Inc. For internal use only.

7. KP National Nursing Leadership Council 2015 Strategy Statement
The NNLC will expand the role and influence of nursing over the next five years. We will lead the way creating inter-professional care teams, being patient and family centered, and standardizing nursing practice where there is evidence. We recognize all registered nurses as leaders who have the responsibility to engage in strategic and operational decision making related to their roles.
April 24, 2018
| © 2011 Kaiser Foundation Health Plan, Inc. For internal use only.

8. April 24, 2018
| © 2011 Kaiser Foundation Health Plan, Inc. For internal use only.

9. EVIDENCE-BASED PRACTICE PROCESS
Developmental Grid
Progressive
High Performing
Reactive
Responsive
Proactive
EVIDENCE-BASED PRACTICE PROCESS
COMPETENCY PROGRAM
COMMUNICATION PLAN
RESEARCH PROCESS
LEADERSHIP
CULTURE
COLLABORATION
April 24, 2018
| © 2011 Kaiser Foundation Health Plan, Inc. For internal use only.

10. Reactive Nursing Research Culture
Research is not strongly valued
Practice is largely based on tradition or the way it was taught
April 24, 2018
| © 2011 Kaiser Foundation Health Plan, Inc. For internal use only.

11. Responsive Nursing Research Culture
Nurses participate in research projects; rarely initiate
Nurses generate questions about practice; may occasionally use evidence to drive practice changes
Nurses belong to at least one professional organization
Nurses seek advice, resources, information to answer ethical questions in translational research
Nurses understand basic data analysis concepts
Nurses conduct literature searches
April 24, 2018
| © 2011 Kaiser Foundation Health Plan, Inc. For internal use only.

12. Proactive Nursing Research Culture
Nurses generate research and apply research to their practice
Practice is based on latest evidence
Nurses proactively identify issues and seek appropriate evidence
Nurses subscribe to at least one journal
April 24, 2018
| © 2011 Kaiser Foundation Health Plan, Inc. For internal use only.

13. Progressive Nursing Research Culture
Nurses develop and test evidence; translate new knowledge into practice
Nurses assess and change organizational support system to promote nurse research
Nurses act as change agents regarding patient care with research evidence
April 24, 2018
| © 2011 Kaiser Foundation Health Plan, Inc. For internal use only.

14. High Performing Nursing Research Culture
Nurses are actively involved in generating and disseminating research on national and international levels
Nursing knows that executive leadership not only supports ongoing research and evidence-based practice, but also expects it
April 24, 2018
| © 2011 Kaiser Foundation Health Plan, Inc. For internal use only.

15. National Nursing Research & Evidence-Based Practice Committee 5-Year Work Plan
2015: Build research & evidence-based practice program infrastructure and create leadership buy-in regionally and nationally
2016: Develop and deploy REBP programs
2017: Expand research & evidence-based practice programs
2018: Maintain and strengthen research & evidence-based practice across all regions
2019: Encourage practice, policies and future work plans
April 24, 2018
| © 2011 Kaiser Foundation Health Plan, Inc. For internal use only.

16. National Nursing Research Committee 2015 Priorities
Develop Committee
2. Conduct survey
3. Initiate research
4. Create dashboard
5. Launch website
April 24, 2018
| © 2011 Kaiser Foundation Health Plan, Inc. For internal use only.

17. Nursing Research 2015 Priorities
Develop Committee
Representation
Monthly webinars
Multiple subcommittees
2. Conduct survey
3. Initiate research
4. Create dashboard
5. Launch website √
April 24, 2018
| © 2011 Kaiser Foundation Health Plan, Inc. For internal use only.

18. Nursing Research 2015 Priorities
Committee development
Representation
Monthly webinars
Multiple subcommittees
2. Conduct survey
3. Initiate research
4. Create dashboard
5. Launch website √ √
April 24, 2018
| © 2011 Kaiser Foundation Health Plan, Inc. For internal use only.

19. KP Nursing Research & Evidence-Based Practice Survey 2015
Fielded Feb-March, 2015
Responses: 420
Nurses: 90+%
Ambulatory and acute care represented
All regions participated
April 24, 2018
| © 2011 Kaiser Foundation Health Plan, Inc. For internal use only.

20. KP Nursing Research & Evidence-Based Practice Survey 2015 On a scale of 1 to 5, with 1 meaning no research process and 5 meaning comprehensive research process, describe the nursing research process where you work. 5 4 3 2 1
April 24, 2018
| © 2011 Kaiser Foundation Health Plan, Inc. For internal use only.

21. KP Nursing Research & Evidence-Based Practice Survey 2015
REBP is not used, practice is based largely on tradition: 45.7% Nursing leadership has not committed financial resources to support REBP: 59.5%
April 24, 2018
| © 2011 Kaiser Foundation Health Plan, Inc. For internal use only.

22. KP Nursing Research & Evidence-Based Practice Survey 2015
Are you or your staff interested in conducting a research study or concerned over a clinical issue that could be informed by research? No
Yes
April 24, 2018
| © 2011 Kaiser Foundation Health Plan, Inc. For internal use only.

23. Nursing Research 2015 Priorities
Committee development
Representation
Monthly webinars
Multiple subcommittees
2. Conduct survey
3. Initiate research
Garfield project
Lokahi project
4. Create dashboard
5. Launch website √ √ √
April 24, 2018
| © 2011 Kaiser Foundation Health Plan, Inc. For internal use only.

24. Nursing Research 2015 Priorities
Committee development
Representation
Monthly webinars
Multiple subcommittees
2. Conduct survey
3. Initiate research
Garfield project
Lokahi project
4. Create dashboard
5. Launch website √ √ √ √
April 24, 2018
| © 2011 Kaiser Foundation Health Plan, Inc. For internal use only.

25. Nursing Research 2015 Priorities
Committee development
Representation
Monthly webinars
Multiple subcommittees
2. Conduct survey
3. Initiate research
Garfield project
Lokahi project
4. Create dashboard
5. Launch website √ √ √ √ √
April 24, 2018
| © 2011 Kaiser Foundation Health Plan, Inc. For internal use only.

26. April 24, 2018
| © 2011 Kaiser Foundation Health Plan, Inc. For internal use only.

27. April 24, 2018
| © 2011 Kaiser Foundation Health Plan, Inc. For internal use only.

28. National Nursing Research Committee 2016 Priorities
Infrastructure & community
REBP committee; webinars; regional support
Dashboard
2. Communications
One-pager
Website
3. Focus on EBP
Presentations
Academy of Evidence-Based Practice
Nurse Leader Rounding: An Evidence Review
April 24, 2018
| © 2011 Kaiser Foundation Health Plan, Inc. For internal use only.

29. National Nursing Research Committee 2017
Co-Chair: Mary Spiering
2. Forum
3. Resources
4. Training
e.g. Wendy Cortez
April 24, 2018
| © 2011 Kaiser Foundation Health Plan, Inc. For internal use only.

30. What’s on the horizon? Clinical Quality Priorities Care Experience
Standards of Excellence/
Magnet®
Care Experience
Shared Agenda
Bold Moves
Beliefs
National CNE/SVP
Workforce/practice model
April 24, 2018
| © 2011 Kaiser Foundation Health Plan, Inc. For internal use only.

31. Thank you!
April 24, 2018
| © 2011 Kaiser Foundation Health Plan, Inc. For internal use only. 31 31 31

32. For more information… Catherine Dower, JD
Director, National Nursing Research & Policy
Nursing Pathways Web Site
National Nursing Research Site
April 24, 2018
| © 2011 Kaiser Foundation Health Plan, Inc. For internal use only.