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Terms in this set (20)
research gets integrated on two levels
personal practice level and organizational level
personal practice is the four buckets:
aesthetic knowing, empiric, ethical knowing, and personal knowing.
art of nursing, comes from experience with clinical practice and reflection
all the research, qualitative, quantitative, systematic reviews,
knowing morality is a big piece of that, nursing code of ethics
have to know what you feel so you can set your judgements aside when you care for those patients
Good clinical judgment balances of all four buckets
·Appraising and judging research evidence
·Knowing the patient
clinical judgement and self-improving practice- the goal is for practice to be continuously self-improving through
science and clinical reflection and correction
integration at the organizational level
Research integration must take into consideration that organizations are complex systems
fit and feasible?
is the project feasible for the institution? what resources are needed?
what resources are needed? and is it feasible?
involve all stakeholders
who are they?
Identify Critical Milestones
·Translate the research evidence into written guidelines, EBP summaries, pre-printed orders, algorithms, prompts, and reminders
with identifying critical milestones- consider IRB if anticipating
·Ensure all staff affected by the change receive adequate education prior to implementation—it will save time in the long run!
·Ask for staff buy-in in education process
Education alone will not change behavior
·Establish formal implementation team and develop strategies to build excitement
·Establish formal implementation team and develop strategies to build excitement- focus on the potential
improvement in outcomes
Disseminate the evidence using active and
engaging educational techniques
Even welcome change is often stressful- develop strategies to maintain excitement and preserve energy resources
-choose a timeline carefully and celebrate successes along the way
Pilot test the practice change to avoid loss of resources... and
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