Staff Nurse Opportunities in Research and Evidence-Based Practice

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Staff Nurse Opportunities in Research and
Evidence-Based Practice

• June Rondinelli, RN, BSN
• Anna Omery, RN, DNSc CNAA-BC
• Kaiser Permanente Southern California Research
  Program

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Purpose

• Describe innovative programs and venues for staff
  nurse involvement offered through Kaiser
  Permanente Southern California Nursing Research
  Program

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Background

• Research to practice gap
• Call to increase evidence-based practices
• Promote positive patient outcomes
• Improve utilization of resources

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Staff Nurse Clinical Skills

• Clinical competence
• Knowledge of patient values and preferences
• Individualized patient care
• Part of the equation for evidence-based care

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Staff Nurse Research Skills

• Different skill sets, desires, and levels of
  involvement
• Cite common barriers to research use
• Lack of time
• Critical appraisal skills
• Organizational support
• Access

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Innovative Programs and Venues

• Kaiser Permanente Southern California Nursing
  Research

Research Evidence
Staff Nurse Clinical Skills
Barriers to Research Use
Data Collector Research Team Member Co-Chairs of
committees Co-Investigators Research Residency
Program Journal Clubs
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Data Collectors

• Following protocols
• Before and after implementation of evidence-based
  clinical practice change
• Statistical analysis

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Dedicated Research Team

• Local medical facility dedicated team with
  regional support
• Roles
• Members
• Co-chairs
• Co-investigators
• Primary investigator
• Research liaison

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Dedicated Research Team

• Activities
• HIPAA and Human Subjects Protection Training
• Education to increase skill set
• Developing studies and EBP projects
• Literature reviews
• Evaluating evidence
• Review of IRB proposals

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Dedicated Research Team

• Http//nursingpathways.kp.org/scal/
• PowerPoint available
• Research
• Innovations

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Interested in Nursing Research?

• Nurses --have a voice in your practice.
• Fontana Nursing Research (NRC) Committee is
  dedicated
• to supporting ongoing nursing research to
  establish Best
• Practices that will promote and improve patient
  outcomes.
• Our members recognize that research is the basis
  for
• knowledge development.
• Through nursing research, a scientific-based
  approach to
• patient care has refined and improved nursing
  practice.
• Nora Moti RN, MSN2005 - 2007

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Nursing Research Residency

• Open to Southern California Kaiser Permanente
  staff RNs
• Released from 20-30 clinical hours per week that
  are replaced with paid research hours
• Work with Nurse Scientists and Advance Practice
  Nurses (APNs)
• Focus on one active study
• Formal application due March 3rd 2008
• Assigned April through November

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Residency Opportunities

• Attend regional and local facility dedicated
  research team meetings
• Access to databases, systematic reviews and
  research texts
• Data collection, spreadsheets, and code books
• Complete integrated reviews
• Formation of IRB applications
• Presentations and conference attendance
• Abstract writing

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Research Residency Journaling

• http//nursingpathways.kp.org/scal
• Click on Research
• Click on Residency
• Click on Residents online

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• MaryJo Pulmanos Reflections  Week 1 Today is
  my first day of the Nursing Research Residency. I
  am overwhelmed with excitement. It is as though I
  have stepped into a world that I have always
  dreamed of exploring . . . the world of research.
  As a nurse, there are a million concepts I yearn
  to learn and a thousand questions that are still
  left unanswered. Today, it is as though someone
  has handed me a basket where I can throw all my
  questions into. But this time, I feel empowered
  to find the answers. This is the beauty of
  research.
• Kristin Cominski's Weeks 1 2 ReflectionsWhen I
  applied for the Nursing Research Residency, I did
  so because I am passionate about incorporating
  change based on research into clinical practice.
  As a clinician, I believe I am not only
  responsible for staying current with what is
  deemed as best practice, but also for
  contributing to the existing body of nursing
  knowledge at some level. The Nursing Research
  Residency has already proved to be a rare
  opportunity to do both.

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Journal Clubs

• Ownership by staff
• Topics generated by members
• Regularly scheduled presentations
• Open discussions
• PowerPoint available

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Ten Steps to Developing a Successful Journal Club
Joyce Johnson, Ph.D., RN, C
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Outcomes Summary

• Increased knowledge of the systematic process of
  research and evidence-based practice
• Terminology
• Methodology
• Analysis
• Significance

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Outcomes Summary

• Contributing to the body of nursing science
• Increased culture of evidence-based practice
• Professional growth
• Personal satisfaction

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Model of Research to Practice Gap
Staff Clinical Skills
Investigators Data Collectors
A Two Way Ladder
Dedicated Research Team
Journal Clubs
Research Residency
Research EBP Skills
Maryjo Pulmano RN 2007 Research Resident
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Exemplars

• If it wasnt for the residency, I would have
  never thought about going back to school
• I regained the passion for nursing I had when I
  first graduated
• Staff are reading the article during their
  downtime
• Other staff nurses are asking me if they could
  still join the club
• I always learn something new at research
  meetings

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Conclusion

• Many opportunities
• Open for new ideas
• How to get involved?
• Talk to fellow staff
• Talk to your manager
• Involvement in projects

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Questions

• Dr Anna Omery, RN, DNSc CNAA-BC
• Director of Nursing Research Program
• Southern California Kaiser Permanente
• Anna.K.Omery_at_kp.org
• June Rondinelli, RN, BSN
• Project Manager II
• Patient Care Services
• Kaiser Permanente Southern California
• June.L.Rondinelli_at_kp.org
• http//nursingpathways.kp.org/scal