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Building a Foundation for Nursing Science. A Unique Collaboration between Research

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Title: Building a Foundation for Nursing Science. A Unique Collaboration between Research


1
Building a Foundation for Nursing Science. A
Unique Collaboration between Research
PracticeTammy Cosman RN, MN, ACNP Karen
Antoni RN, MHSc, ACNP
2
(No Transcript)
3
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

4
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)

5
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)

6
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)

7
Barriers
  • Lack of Value
  • Organization perceptions of nurses involvement
    in research
  • Lack of understanding
  • Lack of understanding
  • Electronic databases
  • Ability to critique literature/knowledge of
    research
  • Difficulty accessing research materials
  • Computer access and skills
  • Library access
  • Presence of other goals with a higher priority
  • Resources monetary and human (mentorship)
  • (Pravikoff, Tanner Pierce, 2005)

8
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

9
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?

10
CVNSU Launch
Health Care is Knowledge
Based Explosion of Knowledge Knowledge is
Power No One Owns Knowledge
11
Mission Statement
  • To engage nurses in scientific inquiry across the
    research spectrum, from utilization to generation
    of evidence.

12
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

13
Educational Events
  • A need identified
  • Evidence Based Health Care course
  • Mentorship model

14
EBHC course members
  • Karen Antoni Pam Benoit
  • Tammy Cosman Leslie Gauthier
  • Pam Hewitson Lorene Long
  • Carol Mantle Kelly OHalloran
  • Janina Sheasby Irene Travale
  • Marion Quirk

15
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

16
Publications
  • Journal of Continuing Education in Nursing
  • Journal of Neuroscience Nursing
  •  
  • Healthcare Quarterly, Patient Safety Papers 

17
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

18
Additional Achievements
  • Advanced Clinical/Practice Fellowship
  • - Registered Nurses Association of Ontario
  • Funding for Research study - HHS
  • Support for Nurses

19
Vision for the Future
  • CVNSU sponsored Journal club
  • Web site
  • FAQ sheet
  • Writing workshop
  • Dedicated administrative support
  • Linkages to other research experts

20
Core Committee
  • Dr. Heather Arthur Susan Gregoroff
  • Karen Antoni Tammy Cosman
  • Charlotte Daniels Leslie Gauthier
  • Sandra Ireland Kelly OHalloran
  • Irene Travale

21
CVNSU Core Committee
22
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23
Many thanks
  • Members of the CVNSU
  • Hamilton Health Sciences
  • Canadian Association of Advanced Practice Nurses
  • Clinical Nurse Specialist Interest Group

24
References
  • Amsterdam EA, Lasletti I, Diercks D, et al.
    Reducing the knowledge/practice gap in the
    management of patients with cardiovascular
    disease. Rrev Cardiol 2001512-15.
  • 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 199827360-73.
  • 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 2004141305-13.

25
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 19993541851-9.
  • Estabrooks CA, Rutakumwa W, OLeary KA, et al.
    Sources of practice knowledge among nurses.
    Qualitative Health Research 200515(4)460-76.
  • Gerrish K, Clayton J. Promoting evidence-based
    practice an organizational approach. Journal of
    Nursing Management 200412114-123.
  • 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 199788380-382.
  • Pravikoff DS, Taner AB, Pierce ST. Readiness of
    US nurses for evidence-based practice. AJN
    2005105(9)40-51.
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