Connecting the Staff Nurse to Research: A Nursing Research Residency Program

1
Connecting the Staff Nurse to Research A
Nursing Research Residency Program

• June Rondinell, RN, BSN
• Project Manager, Regional Research Team
• Staff Nurse, Perinatal Services
• Baldwin Park Medical Center
• Southern California Kaiser Permanente

2
Background

• A gap exists in translating research
• evidence into practice
• Staff nurses cite common barriers to
• research use
• Time
• Confidence in critical appraisal skills
• Authority to change practice
• Organizational structure and support
• Access
• Hutchinson and
  Johnston (2006)

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Formation Nursing Research Residency

• Vision of Dr. Anna Omery
• Champions, sponsors, and
• funding
• Integration with mission and
• present program

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mission
Research
VISION
KP nursing research recognized as an
international leader.
Research synergy is embedded throughout the
organizational culture
Nursing research standards are integrated
throughout the continuum of care
Nurse Scientists are integrated throughout the
organization
M I S S I O N
Nursing research is fully integrated into the
collaborative research agenda with KP

Nursing practice is evidence based, wherever it
is practiced
Institutionalization of the research residency
and fellowship programs.
CHALLENGES
Establish internal and external funding for
nursing research projects
5.
SUPPORTS
4.
75 of evidence-based Scal project findings
will be implemented across the Scal Region
3.
Institutionalization of the research residency
and fellowship programs.
2.
Integration of nursing research standards
wherever patient care is delivered.
1.
Implementation of the nursing research standards
at 100 of the medical centers.
B O L D S T E P S
VALUES
Standards need to include

-Templates for procedure development that are
evidenced based -Templates for
local communication plans
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Structure Nursing Research Residency

• Work side-by-side with nurse researchers
• Job Sharing
• 20-30 staff hours
• Paid research hours
• Time frame
• Five months
• August - December
• Open to all employed staff RNs

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Application

• Spring Announcement
• Resume
• Letter of managerial support
• Personal statement of intent
• Research team reviews applicants based on set
  criteria
• Selected residents announced in the summer

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Activities

• Participates in an active research study of
  interest to the resident
• Completes human subject protection training
• Attends research committee meetings

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Activities

• Access to a variety of databases and systematic
  reviews
• Data collection and data entry into spread sheets
• Collaborates on proposal writing
• Participates in professional presentations and
  conferences

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Key Discoveries Tools and Journaling

• Research textbook
• For each resident
• Orientation folder
• Transitions into a personal portfolio
• Weekly journaling
• Residents thoughts and activities
• On Nursing Research website
• http//nursingpathways.kp.org/scal/research/ind
  ex.html

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Roque "Jun" Garvidas Reflections Week 12 We
had a dry run of our podium presentation during
our monthly research meeting at Panorama City.
Everyone was pleased with our presentation and
shared their ideas to make it better. We were so
fortunate to have Ms. Cecelia Crawford. She was
essential in finalizing our Local Happenings for
the web page, as well as the conference
PowerPoint (PPT), especially our EBP Project
summary of findings and recommendations. On
behalf of the NRC at Panorama City, I would like
to express our deepest gratitude to Ms. Crawford
for her continued support to our council. She has
helped us better understand what research and EBP
is all about. I am also proud of our council
members for their enthusiasm and passion. It is
such a fantastic group with great teamwork. As
the Labor Co-Chair, I find that delegation of
tasks is important to accomplish things on time
and prevent stress overload. I would also like to
acknowledge Ms. Robin Gemmill for volunteering to
compose our entry on Local Happenings for the
research website, and Ms. Jennifer
Boquiren-Quitevis for her expertise on creating
and editing our PPT. Although I was in Las Vegas
for a conference, I was able to attend the
Research Team meeting via teleconference. It is a
great way to be involved in a meeting if you
cannot be physically present, although sometimes
it is hard to understand when they speak soft or
when the group is loud. This research residency
has given me a tremendous opportunity to be
involved in many things. It is a great avenue to
network with people in the business, which can
also be related to many areas in the industry. At
the union conference I attended, they were
talking about labor issues, which needs to be
backed up by research when presented to the
politicians. One of the presentations was about
cardiac disease and depression, which is related
to the research study I am involved with. I also
met Carol Cranfill for the first time. We briefly
discussed my literature review on lift teams and
patient outcomes. I will present this topic at
the upcoming National Patient and Mobility Forum
on November 8th. These are just few examples of
the benefits of being a research resident and I
believe there are more to come. I am so excited
our EBP conference is getting closer and busier.
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Key Discoveries Multiple Outcomes

• Increased knowledge of systematic process of
  research
• Use of the Iowa Model of Evidence-Based Practice
  to Promote Quality Care (Titler, 2002)
• Value of mentoring and networking

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Key Discoveries Multiple Outcomes

• Participation on facility research committee
• Application of new skills in the work setting
• Influence on fellow staff nurses to participate
  in research and evidence-based projects
• Professional growth and possible new career
  opportunities

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Residents Comments

• Reignited my passion for nursing
• I gained a new outlook on the nursing
  profession
• Developed personal skills- i.e.- public
  speaking, organizing presentations
• It was an opportunity for a bedside nurse to
  learn the foundation of research so we could take
  these skills and apply them at the bedside

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Questions

• Contact information
• Dr. Anna Omery
  
• Director, Kaiser Permanente
• S. California Nursing Research Program
• Anna.K.Omery_at_kp.org
• June L. Rondinelli
• Project Manager, Kaiser Permanente
• S. California Nursing Research Program
• June.L.Rondinelli_at_kp.org

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References

• Fink, R., Thompson C. J., Bonnes, D. (2005).
  Overcoming barriers and promoting the use of
  research in practice. Journal of Nursing
  Administration, 35(3), 121-129.
• Hutchinson, A. M., Johnston, L. (2006). Beyond
  the BARRIERS scale. Journal of Nursing
  Administration, 36 (4), 189-199.
• Titler, M.G. (2002). Use of research in practice.
  In G. LoBiondo-Wood J. Haber (Eds.), Nursing
  research Methods,
  critical appraisal and utilization (5th ed.) (pp.
  411-444). St. Louis, MO Mosby.