Implementing Evidence-Based Practice: Real Life Success Stories PDF
Preview Implementing Evidence-Based Practice: Real Life Success Stories
USD $34.95 EVERYDAY EVIDENCE-BASED PRACTICE RI M e FROM NURSES JUST LIKE YOU a P l Understanding how to implement EBP in everyday clinical practice -L L E can be difficult. Lack of time and research experience prevents many i fM from implementing EBP where it counts most—with patient care. But e these stories may change that. E S N u In an effort to convince nurses and other clinicians how painless cT EBP can be, Bernadette Mazurek Melnyk and Ellen Fineout-Overholt cI asked nurses and others to tell their real-life EPB stories. This book eN contains 90 of those stories, all compelling, convincing reasons for sG s even the most resisting of clinicians to begin their EBP journey. E S V t oI rD “If you are looking for a compelling “ I was monumentally moved and genuinely impressed i eE reminder of why evidence-based by these real-life, awe-inspiring stories and the manner sN health care matters for nursing in which they so vividly illustrate the human and C and our patients, read this book.” professional benefits of evidence-based practice.” E Laura Cullen, MA, RN, FAAN Joanne Cleary-Holdforth, RGN, RM, Cert in Renal Nursing, BSc (Hons), MSc (Hons) Evidence-Based Practice Coordinator Lecturer in Nursing, Dublin City University, Ireland - B University of Iowa Hospitals and Clinics A S About the Authors E D BERNADETTE MAZUREK MELNYK, PhD, RN, CPNP/PMHNP, FNAP, FAAN, currently Dean and Distinguished Foundation Professor of Nursing at the Arizona State P University College of Nursing & Health Innovation and incoming Associate Vice R President for Health Promotion, Chief Wellness Officer, and Dean of the College of A Nursing at The Ohio State University, is a nationally and internationally recognized C author, speaker, practitioner, researcher, educator, and expert in evidence-based T practice, intervention research, pediatrics, and child and adolescent mental health. She is Associate Editor of the journal WORLDviews on Evidence-Based I C Nursing and is a member of the United States Preventive Services Task Force. E ELLEN FINEOUT-OVERHOLT, PhD, RN, FNAP, FAAN, is Clinical Professor and Director of the Center for the Advancement of Evidence-Based Practice at Arizona State University College of Nursing & Health Innovation. She is known FI N nationally and internationally as a recognized expert in evidence-based practice. E EBP mentors, educated in programs created by Fineout-Overholt, are making O U a difference in patient and system outcomes all over the world. Her work to T integrate EBP principles into health care curricula has fostered a program - O of educational research and sparked changes in nursing education in V M E the United States. R E H L O N L Y T K www.nursingknowledge.org/sttibooks Praise for Implementing Evidence-Based Practice: Real-Life Success Stories “This is a wonderfully engaging and motivational text. I was both monumentally moved and genuinely impressed by these real-life, awe-inspiring stories and the manner in which they so vividly illustrate the human and professional benefits of evidence-based practice. Sincere thanks to all those who so kindly shared their stories, which demon- strate the courage, conviction, and resilience needed to drive EBP steadfastly forward. To Bern and Ellen, thank you for this beautiful string of pearls that no conscientious health care practitioner can afford to be without!” –Joanne Cleary-Holdforth, RGN, RM, Cert in Renal Nursing, BSc (Hons), MSc (Hons), PG Dip in Third Level Learning & Teaching. Cert in EBP Mentorship (ASU) Lecturer in Nursing, Dublin City University, Ireland “All too often, the word ‘research’ causes a nurse’s eyes to glaze over. On the other hand, nurses love stories, both to tell and hear. In this book, Melnyk and Fineout-Overholt have very cleverly combined storytelling with research to demonstrate the importance of using evidence to guide nursing care interventions and decision-making. The stories in this collection are by turns compelling, emotional, humorous, and sobering, but all keep evidence-based practice as the primary focus, reinforcing its role as the driver of predict- able patient outcomes through high quality care.” –Leslie H. Nicoll, PhD, MBA, RN Principal and Owner, Maine Desk LLC, Professional Editorial Services IEBP.indb 1 5/19/11 7:47:49 AM “This compilation of stories will make a difference in your nursing practice, whether you are a new or seasoned practitioner. These stories provide inspiration and insight into the application of evidence-based practice in the 21st century and make evidence- based practice real for the reader.” –Rita Marie John, DNP, EdD, CPNP Associate Professor of Clinical Nursing Columbia University, New York “If you are looking for a compelling reminder of why evidence-based health care mat- ters for nursing and our patients, read this book. The authors have captured many in- spirational stories to lift our spirits and reinvigorate our passion for building our science upon the art of nursing through evidence-based practice. These heartwarming stories are a reminder of the power of nursing.” –Laura Cullen, MA, RN, FAAN Evidence-Based Practice Coordinator University of Iowa Hospitals and Clinics “Drs. Melnyk and Fineout-Overholt have compiled an impressive collection of stories of how nurses use evidence to make a difference and influence care on the front lines. Nurses at all levels of practice will benefit from reading the real-life examples of how their nursing colleagues are putting evidence into practice. This powerful book dem- onstrates the passion, commitment, and accountability of nurses to patients and to the profession. It delivers a clear message that nurses have a central role in improving health care outcomes by practicing within the framework of evidence-based care.” –Teri Wurmser, PhD, MPH, RN, NEA-BC Director, Ann May Center for Nursing Meridian Health, New Jersey IEBP.indb 2 5/19/11 7:47:49 AM Implementing Evidence-Based Practice Real-Life Success Stories Bernadette Mazurek Melnyk, PhD, RN, CPNP/PMHNP, FNAP, FAAN Ellen Fineout-Overholt, PhD, RN, FNAP, FAAN IEBP.indb 3 5/19/11 7:47:49 AM Copyright © 2011 by Sigma Theta Tau International All rights reserved. This book is protected by copyright. No part of it may be reproduced, stored in a re- trieval system, or transmitted in any form or by any means, electronic, mechanical, photocopying, recording, or otherwise, without written permission from the publisher. Any trademarks, service marks, design rights, or similar rights that are mentioned, used, or cited in this book are the property of their respective owners. Their use here does not imply that you may use them for similar or any other purpose. The Honor Society of Nursing, Sigma Theta Tau International (STTI) is a nonprofit organization whose mission is to support the learning, knowledge, and professional development of nurses committed to making a difference in health worldwide. Founded in 1922, STTI has 130,000 members in 86 coun- tries. Members include practicing nurses, instructors, researchers, policymakers, entrepreneurs and others. STTI’s 470 chapters are located at 586 institutions of higher education throughout Australia, Botswana, Brazil, Canada, Colombia, Ghana, Hong Kong, Japan, Kenya, Malawi, Mexico, The Netherlands, Pakistan, Singapore, South Africa, South Korea, Swaziland, Sweden, Taiwan, Tanzania, the United States and Wales. More information about STTI can be found online at www.nursingsociety.org. Sigma Theta Tau International 550 West North Street Indianapolis, IN 46202 To order additional books, buy in bulk, or order for corporate use, contact Nursing Knowledge International at 888.NKI.4YOU (888.654.4968/US and Canada) or +1.317.634.8171 (outside US and Canada). To request a review copy for course adoption, e-mail [email protected] or call 888. NKI.4YOU (888.654.4968/US and Canada) or +1.317.917.4983 (outside US and Canada). To request author information, or for speaker or other media requests, contact Rachael McLaughlin of the Honor Society of Nursing, Sigma Theta Tau International at 888.634.7575 (US and Canada) or +1.317.634.8171 (outside US and Canada). ISBN-13: 9781-935476-689 EPUB and Mobi ISBN: 9781-935476-696 PDF ISBN: 9781-935476-702 ____________________________________________________________________________________ Library of Congress Cataloging-in-Publication Data Available via http://catalog.loc.gov/ ____________________________________________________________________________________ First Printing, 2011 Publisher: Renee Wilmeth Principal Book Editor: Carla Hall Acquisitions Editors: Janet Boivin, BSN, RN Project Editor: Billy Fields Editorial Coordinator: Paula Jeffers Copy Editor: Kevin Kent Cover Designer: Katy Bodenmiller Proofreader: Barbara Bennett Interior Design and Page Composition: Rebecca Batchelor Indexer: Johnna Van Hoose Dinse IEBP.indb 4 5/19/11 7:47:49 AM Dedication Bernadette Mazurek Melnyk I dedicate this book to the awesome nurses and other clinicians who, on a daily basis, dedicate their lives to transforming health and transforming lives by improving the qual- ity of health care and the outcomes of their patients through evidence-based practice (EBP). A chief nursing officer recently told me that the majority of her clinicians were burnt-out and practicing in a coma of complacency, which not only adversely affects their colleagues, but has a detrimental effect on patients. I have seen firsthand through- out the United States and the globe how EBP reignites passion in clinicians and moti- vates them to deliver a higher quality of care to their patients. I have also seen firsthand how the lack of evidence-based care results in major medical errors, including nearly losing my youngest daughter, which you will read about in the story, entitled “Kaylin’s Story: Australian Dream Trip Turned Nightmare.” As you read the powerful stories in this book about how clinicians transformed practice and improved their patients’ out- comes through EBP, you will reignite your passion for why you first chose your profes- sion and rekindle your commitment to deliver the highest quality of care possible for the benefit of your patients and family members. Ellen Fineout-Overholt As I read the stories in this book about how clinicians are making a daily difference in patients’, families’, and providers’ lives, they reinforce my core belief and value of how important each of us is to health care outcomes. My husband and I have two young daughters. I want my children to have health care professionals who care enough about their best outcomes to be the best at what they do (i.e., bring in their expertise); seek out the best science and other knowledge to apply to care; include our daughters’ (and our) preferences when making decisions about care; and evaluate whether the treatments, programs, and initiatives they engage actually achieve the expected outcome—that is, I want our daughters to have evidence-based care. This book is dedicated to the nurses who shared their stories with Bern and me and to my precious girls, Rachael and Ruth. I wish you all a long, healthy, vibrant life! IEBP.indb 5 5/19/11 7:47:49 AM Acknowledgements Bernadette Mazurek Melnyk I want to thank and recognize all of the clinicians who contributed their wonderful stories to this book, which I believe is such a treasure. I have been so blessed to travel throughout the United States and the globe, working with nurses and transdisciplinary clinicians in health care systems to advance and sustain evidence-based practice (EBP). What I have learned from them and their stories continually reignites my passion for always working to take our professions to greater heights for the ultimate purpose of enhancing the quality of health care and improving patients’ health and lives. I could not accomplish all that I do without the loving support of my husband, John, and my three wonderful daughters, Kaylin, Angela and Megan. They have sacrificed much so that others could benefit, and for that, I can never thank them enough. I also want to thank my very dear friend and colleague, Ellen Fineout-Overholt, for her unwavering commitment over the past 12 years in working tirelessly with me to advance our efforts in improving health care and impacting lives in such a positive way through EBP. I am truly blessed with my family, friendships, and colleagues. In addition, I want to thank and recognize Kathy York, who has been instrumental in the support of my work and a never-failing source of encouragement. Lastly, thanks to the publishing team at Sigma Theta Tau International, including Janet Boivin, Carla Hall, and Renee Wilmeth, who have all been terrific in the production of this work. Ellen Fineout-Overholt It was a joy to edit and contribute to this book. It was wonderful to read about evidence- based clinicians making a remarkable difference in how patients and families experience health care and the associated outcomes on a daily basis. I thank each of you for invest- ing in your careers and sharing your stories with others—to inspire, encourage, and challenge us all to provide the best care possible. Special thanks to Kathy York and Deb- bie Relph for their assistance with e-mails and record keeping. Bern and I are indebted to the publishing team at Sigma Theta Tau International who care so deeply for the nursing profession, particularly Janet Boivin, Carla Hall, and Renee Wilmeth. IEBP.indb 6 5/19/11 7:47:49 AM AcknowlEDgEmEnts vii Faith, family, and friends —these are why I do what I do. Thank you to those who have prayed for me and this work. Please keep on praying! I so appreciate my wonderful husband and precious girls and their gracious gift of time and sacrifice so that I could work on this book. Finally, Bern, thank you just doesn’t cut it. Your vision is extraordi- nary. Keep dreaming! IEBP.indb 7 5/19/11 7:47:49 AM About the Authors Bernadette Mazurek Melnyk, PhD, RN, CPNP/PMHNP, FNAP, FAAN Bernadette Mazurek Melnyk is currently Dean and Distinguished Foundation Profes- sor at the Arizona State University College of Nursing and Health Innovation. She will assume the position of Associate Vice President for Health Promotion, Chief Wellness Officer, and Dean of the College of Nursing at The Ohio State University in September 2011. She earned her Bachelor of Science in Nursing degree from West Virginia Uni- versity, her Master of Science in Nursing degree with a specialization in nursing care of children and pediatric nurse practitioner from the University of Pittsburgh, and her PhD in clinical research from the University of Rochester where she also completed her post-master’s certificate as a psychiatric mental health nurse practitioner. Dr. Melnyk is a nationally/internationally recognized expert in evidence-based practice, intervention research, and child and adolescent mental health. Her record includes over $11 million of sponsored funding from federal agencies as principal investigator and over 170 publi- cations. Dr. Melnyk is coeditor of the well-known book, Evidence-based Practice in Nursing & Healthcare: A Guide to Best Practice and the KySS Guide to Child and Adolescent Men- tal Health Screening, Early Intervention and Health Promotion. She is a frequent keynote speaker at national and international conferences and has consulted with health care systems and colleges throughout the nation and globe on how to implement and sustain evidence-based practice. Dr. Melnyk is an elected fellow of the American Academy of Nursing and the National Academies of Practice and currently serves as one of only two nurse practitioners on the United States Preventive Services Task Force. She also serves as associate editor of the journal Worldviews on Evidence-Based Nursing and is founder of the National Association of Pediatric Nurse Practitioners’ KySS Program, a national initiative to promote the mental health of children and teens. Dr. Melnyk has received numerous national and international awards, including the Audrey Hepburn Award from Sigma Theta Tau International; the Jessie Scott Award from the American Nurses Association for the improvement of health care quality through the integration of re- search, education, and practice; and Sigma Theta Tau International’s Research Hall of Fame. She also has been recognized twice as an Edge Runner by the American Academy of Nursing for the KySS Program and her COPE (Creating Opportunities for Parent IEBP.indb 8 5/19/11 7:47:50 AM ABout thE Authors ix Empowerment) Program for parents of premature infants, which has been adopted by insurers and hospitals throughout the nation and globe. In addition, Dr. Melnyk is presi- dent of COPE for HOPE, Inc. and partner in ARCC LLC. More information about COPE can be accessed at www.copeforhope.com. Ellen Fineout-Overholt, PhD, RN, FNAP, FAAN Dr. Fineout-Overholt is currently Clinical Professor and Director of the Center for the Advancement of Evidence-Based Practice at Arizona State University. Dr. Fineout- Overholt earned her BSN from the University of Texas Medical Branch at Galveston, her MSN in Cardiovascular Nursing from the University of Alabama at Birmingham, and her PhD in Nursing Research from the University of Rochester. Her primary role is assisting health care providers (i.e., nurses, doctors, and other providers) to care for patients using the evidence-based practice (EBP) paradigm, which blends the best sci- entific information available (i.e., research), the experience of the provider along with evidence from practice, and what patients value and prefer to accomplish the best health outcomes for that patient. Dr. Fineout-Overholt is best known for promoting EBP with clinicians across the United States and worldwide, both in the hospital and in the community. Dr. Fineout- Overholt, with her long-time colleague Dr. Bernadette Melnyk, developed the Advanc- ing Research & Clinical Practice through close Collaboration (ARCC) model. This model hinges on the strategic, central role of an EBP mentor to sustain improved health care outcomes. EBP mentors foster an environment that welcomes (a) inquiry; (b) inno- vation; and (c) solutions that are based on sound scientific and practice-based evidence and focused on improving health care outcomes. EBP mentors, educated in programs created by Dr. Fineout-Overholt, are making a difference in patient and systems out- comes all over the world. In addition, Dr. Fineout-Overholt’s innovative work to revise the foundation upon which nurses are educated to integrate EBP principles has been well received by faculty worldwide. Her publications and presentations, in the United States and abroad, focus on helping clinicians, health care faculty, and administrators improve practice through implementa- tion and sustainability of EBP. Dr. Fineout-Overholt’s research is devoted to developing and testing models of EBP in multiple settings. She is coeditor of the widely used book Evidence-Based Practice in Nursing & Healthcare: A Guide to Best Practice (Lippincott IEBP.indb 9 5/19/11 7:47:50 AM
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