Clinical Science Investigator’s Toolkit: An Evidence Based Practice Resource for the Bedside Nurse Beth Lacoste RN, APRN, CNS, MSN, CCRN Nicole Jones RN-BC, APRN, CNS-BC, MN, CCRN, CCNS Clinical Nurse Specialists, Critical Care Division East Jefferson General Hospital
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Clinical Science Investigator’s Toolkit: An Evidence Based Practice
“People” EJGH Resources for Searching:– Hospital Librarian – Nurse Researcher (Dr. Bihm x 4854)– Clinical Educators (Center for Nursing
Knowledge and Research x 4279)– Clinical Nurse Specialists in your area
Step 3: Evidence ReviewResearch / Literature
Step 4: Evidence Synthesis
Do we have GOOD EVIDENCE to answer our clinical question?
No YesIs the evidence applicable to your patient population and practice
setting?
No Yes
Do we need a practice change?
1. See EBP Model
2. Consult Nurse Researcher
3. Discuss Findings
4. Consider Research No Yes
Report Your Findings- Inform
Go to Step VII
Planning Practice Change
Go to Step V
Levels of Evidence Comprehensive unbiased analysis using a strict scientific design to assess related studies
Scholarly analysis of a body of research about a specific issue or topic
Research studies in which treatment and control groups are randomly assigned “gold standard of experimental design”
Research studies where a design other than random
sampling is used.
Merged statistical results from a number of related studies
Systematically developed statements by a group of experts to assist practitioner decisions
• Meet with your leadership– How do we go about implementing this evidence into
our hospital practice?– Should we:
• Change an existing policy?• Create a new policy?• Purchase new equipment?• Do staff education?
– Resource: Planning Practice Change Worksheet
Step 5: Planning Practice Change
Step 6: Implement and Evaluate EBP Change
• Record pertinent info about:– How and when you made the change– Any outcomes you might have measured
following the change– Overall outcome of the change
Step 7: Inform and Integrate into Practice Standards
• Make a poster to share the results of your investigation
• Bring suggestions for policy changes to the appropriate Shared Governance Council
• Bring your toolkit to the Center for Nursing Knowledge and Research – a copy will be made as a lasting resource
Encouraged staff to:
• Be Creative• Share your CSI Journey• Convince others that the change is based
on good evidence!• Help others bridge the gap between
research and practice.• Consider presenting findings at a local or
national conference.
CSI-EJ(Clinical Science Investigation)
ObjectivesAt the end of today, you will be able to:
1. Apply the EJGH EBP Model in clinical practice.
2. Gain skills to effectively search scientific literature using EJGH online resources.
3. Evaluate literature for strength of evidence and applicability to practice.
Journal Club• Title• Date and Publication• Purpose• Setting• Population• Were the methods used logical and well carried out? • Was the study well designed?• Do you think the author’s conclusions are valid?• How does this study relate to your clinical population?
Step 3 – Evidence ReviewEvidence Critique
EBP Detective Training Workshop Outcomes
• Over 60 interdisciplinary team members attended
• Identified areas for further education
• Research Critique class offered – staff nurses and leadership attended
• Statistics class planned for the future
Toolkit Evaluation
• Many units have completed Clinical Science Investigations using the toolkit
• EBP Day conducted to share results– Staff posters and completed toolkits
• Toolkit presented at National Magnet and Critical Care Nurses Conferences
• Ongoing use of the toolkit allows us to refine the toolkit as a resource to engage the bedside nurse in application of the EJGH EBP model.