Building a Culture of Quality, Safety and Nursing Professionalism: Evidence-Based Practice on the Frontline

April 10

Peachtree Banquet Center
Columbia
Directions and map

Conference cost

$139 per person regular registration
$125.10 per person for Alpha Iota chapter, Sigma Theta Tau members
$125.10 per person for organizations registering five or more individuals at the same time, with one payment.
$118.15 per person.for organizations registering 10 or more individuals at the same time, with one payment.

“Staff nurses are true bedside scientists. Their observations lead to questions on how to improve care, and they get the answers through evidence-based studies.”

Lehigh Valley Hospital and Health Network

Unlike a typical “EBP 101 program” where the intent is to include as much content as possible, the purpose of this one-day educational program is to instill in practicing nurses a passion for evidence as a way to deliver the safest, most effective and highest quality nursing care possible. We will provide a forum primarily for staff nurses, but also managers and educators, to explore Evidence-Based Practice (EBP), specifically as it relates to staff nurses in clinical practice. The focus is not on doing research, but rather on how staff nurses can discover and use the latest evidence to guide their everyday practice. Our goal is to energize, empower and affirm staff nurses as they endeavor to practice from a firm base of evidence.

Topics and speakers have been strategically selected to foster a spirit of inquiry in participants as they are encouraged to question current practices, asking “why” and “where's the evidence”. The crucial role of the staff nurse in achieving EBP is a central theme of the day. This program should assist organizations as they strive for a Culture of Quality, Safety and Nursing Professionalism, as well as their journey toward magnet designation.

A diverse committee consisting of staff nurses, nurse mangers, nurse executives, academic faculty and practice-based educators and researchers, has been involved in all aspects of conference development, resulting in a program with implications for nursing practice, education, and administration.

Target audience

Staff nurses
Managers
Administrators
Staff educators
Others with an interest in EBP on the front line

Objectives

At the completion of this educational program, participants should be able to:

Demonstrate a spirit of inquiry, moving from passive acceptance of existing practices to a mindset of actively questioning them.
Outline the staff nurse's role and resource requirements in order to discover and use evidence to guide practice.
Examine EBP initiatives that have been carried out by staff nurses and their resulting impact on quality and cost.
Identify an EBP project of interest and develop the clinical question.
Analyze common barriers to implementing EBP and ways to overcome them.

Agenda

7:30 a.m.
Check-in

Continental breakfast compliments of Mosby's Nursing Resources by Elsevier
Visit exhibits

8:15 a.m.
Welcome and introductions

Shirley J. Farrah, PhD, RN, BC, assistant dean, Nursing Outreach and Distance Education, MU Sinclair School of Nursing, Columbia

8:30 a.m.
Introduction to the Use of Evidence-Based Practice

Moderators
- Louise Miller, PhD, RN, associate teaching professor, MU
  Sinclair School of Nursing, Columbia
- LuAnn Tandy, BSN, RN, doctoral student, director of nursing, Missouri Rehabilitation Center, Mt. Vernon and
  magnet coordinator, Office of Professional Practice, University of Missouri Health Care
Nurses from University of Missouri Health Care:

Mary Ann Powell, ADN, RN, staff nurse, Women's Health Care, Columbia Regional Hospital, Columbia
Donna Rosbach, BSN, RN, staff nurse, Med-Neuro Intensive Care Unit, University Hospital and Clinics, Columbia
Julie Francois, ADN, RN, staff nurse, Ellis Fischel Cancer Center, Columbia
Jane E. Spencer, ADN, RN, staff nurse, Adult Medicine Unit, University Hospital and Clinics, Columbia
Jenniferann Rickert, BSN, RN, house manager, University Hospital and Clinics, Columbia

This session provides a frontline staff nurse perspective of evidence-based practice and how it is an integral part of daily nursing practice. Staff nurses will present real-time clinical questions and experiences that have been framed as evidence-based practice projects. The McMaster Model of Decision-Making will provide a working framework for evidence-based practice. The contributions of evidence-based practice to the organization's overall mission of quality patient care and how to get admistrative buy-in will be discussed.
Objectives
- Identify components of an evidence-based clinical practice.
- Discuss how evidence-based practice skills can be integrated into everyday nursing practice and the difference staff nurses can make in providing quality patient care.
- Articulate the relevance of evidence-based practice to the health care environment and service delivery and its importance to magnet recognition.

10 a.m.
Beverage break

View exhibits and posters (abstract presenters to be with posters)

10:30 a.m.
The Path to Excellent Practice

Patricia A. Potter, PhD, RN, FAAN, Siteman Cancer Center at Barnes-Jewish Hospital, St. Louis
Potter will discuss Evidence Equals Excellence, Barnes-Jewish Hospital 's program for the development of EBP mentors. This session also will include examples of current EBP projects from Barnes-Jewish.
Objectives
- Discuss approaches used at Barnes-Jewish Hospital to promote a climate for EBP.
- Describe barriers and facilitators in promoting EBP.

11:20 a.m.
Stretch break

11:25 a.m.
Getting Your Arms Around the Clinical Question

Elizabeth Pratt, APRN-BC, clinical nurse specialist, Barnes-Jewish Hospital, St. Louis
This session will complement the opening session of the day. Ms. Pratt will share her experiences with the actual implementation of EBP at the unit level at Barnes-Jewish Hospital, including the PICO approach to formulating clinical questions and steps in implementing EBP.
Objectives:
- Formulate a clinical question using the PICO format.
- Discuss how staff nurses apply the steps to implement EBP.

12:15 p.m.
Hosted luncheon

Compliments of Alpha Iota chapter, Sigma Theta Tau

1 p.m.

View exhibits and posters (abstract presenters to be with posters)

1:30 p.m.
Round Table Discussions I

Choose two topics from the list of Round Table Topics on the Registration Form (we will attempt to give you one of your choices during this session and the other choice during the second set of Round Tables at 2:05 p.m.)
The Round Table Discussions provide an opportunity for participants to hear, first-hand, how staff nurses from various units have identified clinical questions, studied the evidence, determined the need for practice-change based on the evidence and attempted to implement the desired practice.
Objectives
- Identify types of clinical nursing questions.
- Discuss steps to completing an evidence-based practice project.
- Explore issues related to implementation of an evidence-based practice project in the clinical setting.

2 p.m.

Move to second set of Round Table Discussions

2:05 p.m.
Round Table Discussions II

The Round Table Discussions provide an opportunity for participants to hear, first-hand, how staff nurses from various units have identified clinical questions, studied the evidence, determined the need for practice-change based on the evidence and attempted to implement the desired practice.
Objectives:
- Identify types of clinical nursing questions.
- Discuss steps to completing an evidence-based practice project.
- Explore issues related to implementation of an evidence-based practice project in the clinical setting.

2:35 p.m.

Move to general session

2:40 p.m.
Introduction to Databases

Gregory Alexander, PhD, RN, Assistant Professor, MU Sinclair School of Nursing, Columbia
Evidence-based practices must be based on information that is reputable, current and relevant. It is important for clinical decision makers to be able to access this information in a timely and systematic way. This discussion will introduce participants to the use of databases to answer clinical questions.
Objectives:
- Describe useful databases to find and answer clinical questions.
- Discuss strategies to extract information to answer clinical questions.

3:10 p.m.
Refreshment Break

Compliments of University of Missouri Health Care

3:25 p.m.
Creating an Evidence-Based Practice Culture - Panel Presentation

Moderator
- Mary Beck, MSN, RN, CNA, BC, vice president, Patient Care Services, Boone Hospital Center, Columbia
Panelists
- LuAnn Tandy, BSN, RN, doctoral student, director of nursing, Missouri Rehabilitation Center, Mt. Vernon and magnet coordinator, Office of Professional Practice, University of Missouri Health Care (Education Perspective)
- Mary Wideman, MS(N), RN, associate chief nurse, Harry S. Truman Memorial Veterans' Hospital, Columbia (Managerial/Education Perspective)
- Coleen S. Cameron, vice president, Clinical Services, Freeman Health System, Joplin (Rural Hospital Perspective)
- Susan K. Felten APRN-BC, family nurse practitioner, Division of General Surgery, University of Missouri Hospital and Clinics, Columbia (Advanced Practice Nurse Perspective)
For EBP to succeed, buy-in from top to bottom, is crucial. An educator, managers from an academic health sciences center as well as a rural community hospital, and an Advanced Practice Nurse will share how they support and facilitate Evidence-Based Practice in their organizations.
Objectives
- Describe how the organizational culture can inhibit or promote evidence-based practice among frontline staff nurses.
- Explore leadership strategies for effective implementation of evidence-based practice.

4:30 p.m.
Adjourn

Optional Evening Session

5 to 7:15 p.m.
Thinking about Your Evidence-Based Practice Clinical Question

Hosted dinner complimentary, no extra charge. Limited to the first 12 individuals to register.
Louise Miller, PhD, RN, MU Sinclair School of Nursing, Columbia and colleagues
In this two-hour post-conference session, we will work with you individually on evidence-based practice questions and/or projects such as protocols, guidelines, or quality improvement initiatives that you are thinking about or are currently working on. Librarians from the Health Sciences Library, faculty from the Sinclair School of Nursing, and project directors and staff nurses from University of Missouri Health Care will be at this short session to help answer your questions and brainstorm with you. We will meet at the School of Nursing and use the Health Sciences Library databases as needed.
If you are interested in participating in this post-session, please register for this session on the brochure, in addition to the all day conference. Although this session and your dinner is complimentary, you must register for it. We will communicate with you prior to the conference to help determine how best to meet your needs. If you have questions regarding this session, please email Louise Miller at: LMiller@missouri.edu.
Objectives:
- Refine your clinical question.
- Search databases and identify relevant literature related to your clinical question.
- Design an action plan for project management.

Round table discussion topics and speakers

Bereavement in the Maternal Child Health Area

Stacie Barker, MSN, RN, staff nurse, Intensive Care Nursery, Boone Hospital Center, Columbia

Implementation of Bar Code Medication Administration in ICU

Nancy Bates, ADN, RN, staff nurse, Intensive Care Unit, Harry S. Truman Memorial Veterans' Hospital, Columbia

Unit Based Pressure Ulcer Program

Shirley Blair, ADN, RN, staff nurse, Long-Term Care Unit, Harry S. Truman Memorial Veterans' Hospital, Columbia

Thinking About Your Clinical Question

Staff nurses from University of Missouri Health Care

Managerial Support for EBP and Magnet Designation

Mary Beck, MSN, RN, CNA, BC, vice president, Patient Care Services, Boone Hospital Center, Columbia

Teaching EBP

Louise Miller, PhD, RN, associate teaching professor, MU Sinclair School of Nursing, Columbia

Issues with Implementation

Elizabeth Pratt, APRN-BC, clinical nurse specialist, Barnes-Jewish Hospital, St. Louis

Outcomes of EBP Projects

Staff nurses from University of Missouri Health Care

How the Advanced Practice Nurse Can Support the staff nurse in Carrying Out an EBP Project

Cindy Feutz, MS(N), RN, CS, M-SCNS, clinical nurse specialist, Chest Pain Center coordinator
Catherine Ashbaugh, MS(N), RN, CS, M-SCNS, University Hospital and Clinics, Columbia

Choosing and Measuring Outcomes

Patricia A. Potter, PhD, RN, FAAN, Siteman Cancer Center at Barnes-Jewish Hospital, St. Louis

What to do When the Evidence is Not There

Staff nurses from University of Missouri Health Care

Poster presenters

Were Gold Standard Criteria Present Eight Hours Prior To Cardiopulmonary Arrest?

Terry Alsbury, MSN, RN, clinical nurse educator, Memorial Hospital, Belleville, Illinois

Use of Venous Foot Pump in Deep Vein Thrombosis Prophylaxis

Shola Amos, BSN, RN, staff nurse, Orthopedics, Columbia Regional Hospital, Columbia (Co-authors: Victoria Gilpin, MS(N), RN, NP and Louise Miller, PhD, RN)

Staff-Nurse Managed Pressure Ulcer Program

Shirley Blair, ADN, RN, staff nurse, Harry S. Truman Memorial Veterans' Hospital, Columbia (Co-presenter: Linda Harris, MSN, RN)

AmniSURE

Melody Cain, BSN, RN, clinical supervisor, Labor and Delivery/Post-partum, Boone Hospital Center, Columbia

Development of a Nursing Diabetic Foot Assessment Tool and Algorithm

Paula Chapman, ADN, RN, clinical educator, Missouri Rehabilitation Center, Mt. Vernon

Crisis Management in Critical Care Using a Debriefing Intervention

Mindy Cherrington, BSN, RN, clinical supervisor, CICU, University Hospital and Clinics, Columbia (Co-authors: Cindy Feutz, MS(N), RN, CS, M-SCNS and Louise Miller, PhD, RN)

Implementation of a VAP Bundle

Melissa Clarke, BSN, RN, CCRN, staff nurse, Boone Hospital Center, Columbia

Application of an Evidence Based Research Project on Fall Prevention

Ruth Fidler, RN, assistant nurse manager, Medical Surgery, Fitzgibbon Hospital, Marshall (Co-presenter: Megan Scarff)

Development of an Oral Assessment Tool and Treatment Guide for Mucositis

Julie Francois, ADN, RN, staff nurse, Ellis Fischel Cancer Center, Columbia

Proper Nursing Management of Acute Onset Chest Pain

Ginger Gibson, BSN, RN, staff nurse, CICU, University Hospital and Clinics, Columbia

Evaluation of Sterile Compared to Non-Sterile Gloves for Dressing Changes of Open Surgical Wounds

Wanda Hillerman, ADN, RN-C, staff nurse, Oncology, University Hospital and Clinics, Columbia (Co-presenter: Catherine Ashbaugh, MS(N), RN, CS, M-SCNS)

Skin Breakdown Prevention

Jeanette Holtmeyer, BSN, RN, performance improvement coordinator, St. John's Mercy Hospital, Washington (Co-presenters: Dawn Neier, ADN, RN and Donneyl Cowsert, ADN, RN)

Can Nursing Assessment Build a Culture of Safety for High Risk Apnea Patients?

Kelly Humphreys, RN, CNOR, surgical service's educator, St. Mary's Health Center, Jefferson City (Co-presenters: Sara Peters, BHS, RRT and Tessa Claypool, ADN, RN)

Nurse Initiated Care in OB Triage

Mary Jordan, ADN, RNC, staff nurse, OB Triage, Columbia Regional Hospital, Columbia

Blood Transfusion Flow Rate Study

Katrina Koger, ADN, RN, staff nurse, Outpatient Procedure Unit, University Hospital and Clinics, Columbia

OR Flow Team Evidenced Based Practice Project

Tracy Reeves, ADN, RN, staff nurse, Operating Room, Harry S. Truman Memorial Veterans' Hospital, Columbia (Co-author: Marie Hulett, RN)

Evaluation of Rectal Tube Use in Critical Care Patient Population

Donna Rosbach, BSN, RN, staff nurse, Med-Neuro Intensive Care Unit, University Hospital and Clinics, Columbia

How to Properly Perform Stoma Care for the Adult Patient with a Tracheostomy in the Long Term Acute Care Hospital Setting

Melanie Sayers, BSN, RN, staff nurse, Missouri Rehabilitation Center, Mt. Vernon

Standardization of Recombinant Tissue Plasminogen Activator (t-PA) Usage in Clotted Central Venous Catheters

Sharon Sessions, BSN, RN, staff nurse, IV Team, University Hospital and Clinics, Columbia

A Nurse Driven Vaccination Protocol

Melenda Kai Smith, PhD, RN, clinical nursing educator, Saint Louis University Hospital, St. Louis (co-presentor: Doreen Mitchell, BSN, RN; co-author: Annette Stowers, MSN(R), RN)

What is the Best Practice to Manage Opioid Induced Constipation in the Adult Inpatient Setting?

Christine Stahlschmidt, ADN, RN, OCN, staff nurse, Oncology, University Hospital and Clinics, Columbia

Accurate and Consistent Assessment of Blood Pressure During Pregnancy

Connie Willenburg, BSN, RN, BC, staff nurse, Perinatal Unit, Columbia Regional Hospital, Columbia

Registration

Mail
Nursing Outreach and Distance Education
S266 School of Nursing Building
Columbia, Mo. 65211-4120
Fax
573-884-4544

Lodging

A block of rooms at the special rate of $73 has been reserved until April 9 at the Stoney Creek Inn, located at 2601 S. Providence Road, Columbia, Mo., 65201. The room block will be held until March 10; after this date, rooms will be on a space available basis only. To make reservations, please call 573-442-6400. The hotel is located just off Providence Road, 1.5 miles north of the Peachtree Banquet Center where the conference will be held. Be sure to ask for the MU Nursing Conference room block. Participants are responsible for making their own reservations and guaranteeing reservations with a credit card.

Accreditation

Up to 6.2 contact hours will be awarded to all individuals who attend, complete the evaluation form, and are paid in full. MU Sinclair School of Nursing is an approved provider of continuing nursing education by the Missouri Nurses Association, an accredited approver by the American Nurses Credentialing Center 's Commission on Accreditation. Provider Number 707-4.

CE credit

A certificate of completion is provided to all conference participants who are paid in full and completed the conference evaluation form. If you are not paid in full, your certificate will be mailed to you upon receipt of payment. Lost certificates may be replaced with a written request to the NODE office for a fee of $10 per certificate. We will need your name, last four digits of your social security number (or customer ID from the mailing label of your conference brochure) and the date and title of the conference you attended.

ADA

MU complies withe the guidelines set forth in the Americans with Disabilities Act of 1990. If you have special needs as addressed by the ADA and need special assistance with this or any portion of the learning process, please notify us as soon as possible. Reasonable efforts will be made to accommodate your needs.

Taping

Taping by attendees is not allowed at any educational activities sponsored by Nursing Outreach and Distance Education (NODE).

Registration cancellation and substitution

We understand that circumstances may arise that require you to cancel or send a substitute. If you cancel your attendance five or more working days before the conference, your registration fee will be refunded, less a $25 processing fee. You may send a substitute at any time. Please notify the NODE office of any registration changes prior to the conference to ease the check-in process.

Program changes and cancellations

Nursing Outreach and Distance Education reserves the right to make changes in content and speakers, or to cancel programs if enrollment criteria are not met or when conditions beyond our control prevail. Every effort will be made to contact each enrollee if a program is canceled. In the event of cancellation, registration fees are automatically refunded in full. MU will not be responsible for any losses incurred by registrants including, but not limited to, airline cancellation charges or hotel deposits.

Tax deduction

Your expenditure for this activity may qualify you for a Lifetime Learning federal tax credit. Tax deduction information regarding continuing education expenses is available from the IRS or tax advisors (Treasury Regulation 1.162.5).

Commercial support

When commercial support is received for an educational activity, the conference planning committee maintains complete control over the selection of content and speakers. Acceptance of commercial support does not imply approval or endorsement of any product.

Updated 1/28/08