Title: Building Evidence Based Practice in the Community:
1Building Evidence Based Practice in the Community
- A Collaborative Faculty-Student Model
218th Annual Nursing Research Congress
- Authors
- Daryl Canham, EdD, RN, BC
- Marian Yoder, EdD, RN
- Phyllis Connolly, PhD, APRN, BC
- Chia-Ling Mao, PhD, RN, C
3IOM Environment Changes (2003) NMCs
- Applying evidence to health care delivery
- Using information technology
- Aligning payment policies with quality
improvement - Preparing the workforce
4Nurse Managed Centers
- PURPOSES
- Provide nursing services for medically
underserved, multicultural clients - Arena for community health nursing educational
experiences for students - Opportunity for faculty and student research
regarding outcomes of nursing care
5(No Transcript)
6Omaha System in NMCs
- BSN students easily develop understanding of
system - Framework for evidence based practice
- Facilitates documentation and information
management
7Omaha System
- Developed by the VNA of Omaha, Nebraska
- Community focused documentation system
- 3 Components
- Problem Classification Scheme (Environmental,
Psychosocial, Physiological, Health Related
Behaviors) - Intervention Scheme (Categories andTargets)
- Problem Rating Scale (Likert type scale to rate
changes) - Knowledge
- Behavior
- Status
8Research Questions
- Are client outcomes improved when measuring pre
and post outcome ratings based on the Omaha
System for specific problems? - What are the most frequently occurring health
problems of older adults and persons with serious
mental illness living in the community? - What nursing interventions are used most
frequently in academic nurse managed centers?
9Findings from Persons With Psychiatric/Mental
Health Problems Living in the Community
10Table 1. Mean score and Results of paired t-test
of Omaha System Outcome Ratings
Note Statistically significant difference
between pre and post ratings, p .05.
11Table 2. Most Frequently Identified Omaha
Problems, Interventions and Related Targets
Note HTGC Health Teaching, Guidance, and
counseling TP Treatment Procedure SUR
Surveillance
12Findings Adult Elder Population
- Multi-ethnic population (Caucasian, Hispanic,
Asian/Pacific Islander, African American) N134 - 50-99 years 71 female
- Intervention Target Examples
- NMS function exercises, safety, mobility/gait
training, positioning - Pain signs/symptoms physical, med. Action,
relaxation techniques, coping skills, medical care
13Table 3 ADULT ELDERS 5 MOST FREQUENT HEALTH
PROBLEMS Mean Score and Results of paired t-test
of Omaha System Outcome Ratings
Knowledge Behavior Status
Note Statistically significant difference
between pre and post ratings plt .05
14Outcomes of the Faculty-Student Collaborative
Model
- Developed a plan for research and a protocol for
data collection - Students actively participated in data collection
and client care - Analyzed data to determine populations problems,
nursing interventions, and client/population
outcomes - Utilized data for program (curriculum service)
improvements and identifying strategies for more
effective client care
15Summary
- Use of data from the Omaha System in the Nurse
Managed Centers provides internal benchmarks for
continuous improvement and building of evidence
based teaching and practice (Connolly, Mao, Yoder
Canham, 2006).
16Thank you for the opportunity to share our
research with you!
- The authors wish to thank their colleagues at
SJSU School of Nursing for their support
17Contact Information
- Daryl Canham, EdD, RN, BC
- San Jose State University, School of Nursing
- One Washington Square
- San Jose, CA 95192-0057
- Email canham_at_son.sjsu.edu