2nd Evidence-Based Practice on the Frontline:
Building a Culture of Quality, Safety and Nursing Professionalism
Conference cost
- $159 per person regular registration fee
- $143.10 per person for a group (10 percent discount for
registrations of five to nine individuals registering at the same
time with one payment.)
Overview
In its 2nd year, this educational program is developed by nurses for nurses, primarily staff nurses in clinical practice. While many EBP conferences have evolved into more of a research format, this event focuses on the nurses on the frontline who actually provide the care, regardless of setting. The focus is not on doing research, but rather on how staff nurses can access and use the latest evidence to guide their everyday practice.
Last year’s conference energized, empowered and affirmed staff nurses who endeavor to practice from a firm base of evidence. Our goal this year is to focus on skill building and the “how to’s” – how to:
- Review the evidence (pre-conference)
- Formulate clinical questions using the PICOT approach
- Choose and measure outcomes
- Evaluate the results
- Move from evidence to action
- Overcome issues with implementation
carry out an EBP project from start to finish
- Evaluate the results
- Bring EBP to the bedside and gain physician buy-in
- Disseminate the results-develop a poster and prepare to publish
The capstone of the day features an outstanding panel of staff nurses who will present exemplar EBP projects to demonstrate the significant contributions of frontline nurses as organizations strive for a culture of quality, safety and nursing professionalism, as well as their journey toward Magnet status.
Target audience
- Staff nurses
- Managers
- Administrators
- Staff educators
- Others with an interest in EBP on the front line
Objectives
- Describe how staff nurses from various settings identified clinical questions, studied the evidence, determined the need
for practice-change based on the evidence, implemented the
desired practice and disseminated the results.
- Identify a clinical question that is relevant to your practice and
describe how you would proceed from start to finish.
- Discuss specific ways in which your knowledge and skills related
to EBP have been enhanced by attending this event.
- Describe how this experience has provided a deeper
appreciation and valuing of the impact of EBP on patient
outcomes and the nursing profession.
- Explore the linkages between best practices and a culture of
quality and safety within a health care setting.
Agenda
Special pre-conference session
Wednesday, April 22
6 to 8:30 p.m.
Search Strategies for the Frontline Nurse:
Locating Clinically Useful Evidence
- Computer Lab, J. Otto Lottes Health Sciences Library,
MU
- You may attend this session alone, or in conjunction with the
full-day EBP conference the following day at the Hilton Garden Inn (save $10 by attending both!)
- Rebecca S. Graves, MLS, AHIP, Education Librarian and Barbara B. Jones, MLS, Missouri/Library Advocacy Liaison, J. Otto Lottes Health Sciences Library
- Evidence-based practices must be based on information that is current, relevant and reliable. It is important for clinical decision makers to be able to access this information in a timely and systematic way in order to answer clinical questions. This special session includes hands-on computer experience in how to carry out database searches for Evidence-Based Clinical Practice Guidelines and Systematic Reviews, what to do when there is limited evidence available, and how to access PubMed, CINAHL and other e-resources, especially if you are not within an academic or large hospital setting.
- Experienced medical librarians with extensive experience teaching frontline nurses literature search skills will conduct this session.
- LIMITED ENROLLMENT: Maximum of 25
- Objectives
- Describe useful databases to find and answer clinical questions.
- Discuss strategies to extract information to answer clinical questions.
- Perform a beginning database search on a clinical problem you identify.
Thursday, April 23
7:30 a.m.
Check-in
- Continental breakfast
- Visit exhibits
8:15 a.m.
Welcome and introductions
- Shirley J. Farrah, PhD, RN, BC, assistant dean, Nursing Outreach, MU Sinclair School of Nursing, Columbia
- Denice Mendenhall, MN, RN, President, Alpha Iota chapter,
Sigma Theta Tau, Inc. and Instructor of Nursing, MU Sinclair
School of Nursing, Columbia
8:30 a.m.
Keynote Address: Creating a Culture for Best Practice
- Karen Balakas, PhD, RN, CNE, Associate Professor and Director,
Clinical Research Partnerships, Goldfarb School of Nursing at
Barnes-Jewish College, St. Louis
- The past decade has clearly emphasized the need to educate
healthcare professionals in clinical settings about using
evidence-based practice (EBP) as a foundation for clinical
decision making. Today’s nurses are being progressively more
challenged by patients, families, and healthcare organizations
to deliver measurable, high-quality, evidence-based nursing
care. To meet this mandate, institutions must employ vision,
engagement, integration and evaluation to build a culture for
evidence-based practice.
- Objectives
- Discuss how a culture of change is necessary for
development of evidence-based practice.
- Describe the essential structure and processes for creating an EBP environment.
- Describe the knowledge base needed by nurses to engage in EBP.
9:40 a.m.
Beverage break
- Visit exhibits and posters (abstract presenters to be with posters)
10 a.m.
General session|
Implementing Evidence-Based Practice: Practical Steps
for Changing Practice at the Bedside
- Lynn Schallom, MSN, RN, CCRN, CCNS, Clinical Nurse
Specialist, Barnes Jewish Hospital, St. Louis
- Using EBP projects conducted by the presenter, including oral care to reduce Ventilator Acquired Pneumonia (VAP), pressure ulcer reduction through timely low air loss bed placement and glycemic control, Ms. Schallom will describe the skills needed for successful completion of an EBP project. Steps to assist in starting the project, maintaining the momentum, and moving from evidence to action will be reviewed.
- Objectives
- Identify an evidence-based practice change that is needed in your practice setting.
- Discuss the process of EBP implementation.
- Describe obstacles and successful strategies in the implementation of EBP.
- Identify important steps in order to maintain the EBP change.
11 a.m.
Stretch break
11:05 a.m.
Concurrent sessions I
A. Getting Your Arms Around the Clinical Question
- Elizabeth (Liz) Pratt, ACNS-BC, RN, Clinical Nurse
Specialist, Acute Care Medicine, Barnes-Jewish Hospital,
St. Louis
- Based on her experiences with the actual implementation of EBP at the unit level, Ms. Pratt will facilitate the use of the PICOT approach to formulating clinical questions. Come with your ideas and leave with a clinical question suitable for an EBP project. This session is particularly appropriate for the nurse who is a novice to EBP.
- Objectives
- Formulate clinical questions using the PICOT format.
- Identify types of PICOT questions.
- Discuss cases of RN-MD interaction with PICOT questions.
B. Evidence-Based Practice — Where Science Meets
Patient Care
- Gina Gross, RN,CEN, Saint Luke’s North
Emergency Department, Saint Luke’s Health System and
Practice Council Co-Chair, and Melissa K. Thomas, MSN,
RN, CPHQ, Clinical Project Manager, Saint Luke’s Care,
Saint Luke’s Health System of Kansas City, Mo.
- This is your opportunity to hear how one health system, Saint Luke’s Health System of Kansas City, MO, developed multidisciplinary Evidence-Based Practice Teams (EPTs) to implement EBP at the bedside. The processes involved, practical steps toward bedside integration, overcoming obstacles and impact on delivery of care will be included.
- Objectives
- Describe the process used to develop Evidence-
Based Practice Teams (EPTs).
- Discuss the EPTs, their multidisciplinary processes
and their impact on patient care delivery.
- Discuss the implementation of evidence-based
practice by these teams and the practical steps of
bedside integration by physicians and nurses.
- List improvements the EPTs have brought to patient
care.
C. How to Critique a Research Article
- Mary Creger, BSN, RN, CCRN, Clinical Supervisor, George
David Peak Memorial Burn and Wound Unit, University of
Missouri Hospital and Clinics, Columbia; Melissa Pickett,
BSN, RN, Research Nurse, MU Sinclair School of Nursing,
Columbia; Kathleen Ellis, MSN, RN, Staff Nurse III, University of Missouri Hospital and Clinics, Columbia (All
three presenters are graduate or doctoral students at the
MU Sinclair School of Nursing)
- An overview of where to look for credible articles will
be followed by a discussion of the types of research articles utilizing levels of evidence criteria. Participants will then break into groups led by a facilitator to apply this information to a specific article. Articles will be sent to the participants for review prior to the conference.
- Objectives
- Distinguish between qualitative and quantitative research articles.
- Identify the importance of randomized control trials
in research.
- Recognize some threats to the validity of a study.
12:15 p.m.
Hosted luncheon
1 p.m.
View Posters (abstract presenters to be with posters)
- Dessert served in poster area
1:40 p.m.
Concurrent sessions II
D. Successful Implementation of EBP
- Elizabeth (Liz) Pratt, ACNS-BC,RN, Clinical Nurse Specialist,
Acute Care Medicine, Barnes-Jewish Hospital, St. Louis
- In this session we will discuss issues surrounding
successful implementation of EBP, needed resources and
transferring best practices from paper to the bedside.
- Objectives
- Identify challenges to an EBP culture.
- List resources necessary to implement EBP.
- Discuss how staff nurses use best practices at the bedside.
E. Choosing and Measuring Outcomes
- Patricia A. Potter, PhD, RN, FAAN, Research Scientist,
Siteman Cancer Center, Barnes-Jewish Hospital at
Washington University Medical Center, St. Louis
- Potter will discuss
- What is an outcome?
- Nurse sensitive outcomes
- Educational outcomes
- Principles for developing and measuring outcomes to
evaluate evidence-based practice
- Objectives
- Discuss principles to follow in selecting measurable
outcomes.
- Identify outcome measures for evidence-based
practice projects.
F. How to Develop a Poster and Prepare to Publish 101
- Bonnie J. Wakefield, PhD, RN, Research Nurse, Harry S.
Truman Memorial Veterans’ Hospital, Columbia
- An important part of conducting an evidence-based
practice project is sharing what you’ve learned. This
session will cover preparing and presenting a poster, as
well as how to submit an article for publication. Participants
are encouraged to bring descriptions of projects they have
conducted and 1-2 will be selected as examples for
participants to apply the content during the workshop.
- Objectives
- Describe reasons for presenting a poster / publishing a paper.
- Describe the components of an effective poster / paper.
- Describe the process of submitting a paper for publication.
- Prepare an outline of a project in preparation for a
poster or paper.
2:50 p.m.
Refreshment break
3:05 p.m.
Frontline Nurses Share their EBP Projects
- This closing session will provide an opportunity for participants
to hear, first-hand, how nurses from various settings identified
clinical questions, studied the evidence, determined the need
for practice-change based on the evidence and implemented
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.
- Laurel A. Despins MS(N), ACNS-BC, Clinical Nurse Specialist and Project Director, Office of Clinical Effectiveness, University Hospital, University of Missouri Health Care, Columbia
- Implementation of an Acute Pancreatitis Treatment
Algorithm - features a multidisciplinary approach to implementing a practice change based on the evidence, involvement of an Advanced Practice Nurse and a significant cost savings for the hospital.
- Melanie Sayers, BSN, RN, Staff Nurse, Missouri Rehabilitation Center, University of Missouri Health Care,
Mt. Vernon
- How to Properly Perform Stoma Care for the Adult Patient with a Tracheostomy in the Long Term Acute Care Hospital Setting - features a medical/ventilator weaning unit in a long term acute care hospital, and a clinical question with little or no available evidence.
- Connie Willenburg, BSN, RN-BC, Staff Nurse IV, Perinatal Unit, Columbia Regional Hospital, Columbia
- Accurate and Consistent Assessment of Blood Pressure during Pregnancy - features a variance in nurse technique between clinic and hospital practice, and simple changes that were implemented to standardize BP measurements.
- Tracy Reeves, ADN, RN, CNOR, Staff Nurse, Operating Room, Harry S. Truman Memorial Veterans’ Hospital, Columbia
- OR Flow Team Evidence-Based Practice Project -
features how the OR staff identified flow processes to increase throughput in the OR, and involvement of a multidisciplinary team including the housekeeping staff.
4:30 p.m.
Adjourn
Poster presenters
Graduate Nurse Retention: An Evidence-Based Approach
- Jan Baggett, MSN, RN, Manager, Clinical Nursing Institute, Missouri Baptist Medical Center,
St. Louis(Co-presenter: Cathy Janssen, MBA, MSN, RN)
How has Computer Integration Affected Charting Compliance?
- Jaime Basnett, BSN, RN, Staff Nurse IV, Outpatient Clinic, Ellis Fischel Cancer Center, MU Health Care, Columbia
Stop the Line Infection: Reducing the Risk of Central Line Related Bacteremia in the Inpatient Acute Care Setting
- Leslie Duckworth, BSN, RN, Intensive Care Unit Manager, Capital Region Medical Center, Jefferson City
A Protocol of Effective Prescribing for the Eradication of Helicobacter pylori that Reduces Cost-Related Noncompliance Among the Uninsured and the Underinsured in Saint Louis County, Missouri
- Brett Ferguson, BBA, BSN, RN, Graduate Nursing Student, Goldfarb School of Nursing at Barnes-Jewish College, St. Louis
How Frontline Nurses at a Rural Hospital Incorporated Evidence into Practice
- Darlene Geisler, AA, RN, Staff Nurse, Nursery, St. John’s Mercy Hospital, Washington, Mo. (Co-Presenters: Jeanette Holtmeyer, BSN, RN and Dawn Neier, AA, RN)
Evidence-Based Practice - Where Science Meets Patient Care
- Gina Gross, RN, CEN, ER Charge/Staff Nurse & Co-Chair of St. Luke’s Health System Practice Council, St. Luke’s Northland Hospital, Kansas City, Mo. (Co-Presenter: Melissa Thomas, MSN, RN, CPHQ)
Evidence-Based Practice for Early Discharge of Post-Cardiac Catheterization Patients - A Trans-Service Line Model
- Jodi Guzik, BSN, RN, VA Pittsburgh Healthcare System, Irwin, PA (Co-Presenter: Jennifer Nicora, BSN, RN)
Living Well - Evidence Based Health and Wellness Programs for Senior Adults
- Diana Hoemann, BS, Human and Environmental Sciences, Supportive Services Director, Care Connection for Aging Services, Warrensburg, Mo.
Healthy Baby Forum: A Successful One Day Outreach and Education Event for the African American Community
- Cathy Hogan, MPH, RN, Coordinator, Safe Kids St. Louis, SSM Cardinal Glennon Children’s Medical Center, St. Louis (Co-Presenter: Velma Walker, BSN, RN)
Urine Specimen Collection in the Pediatric Population- An EBP Change
- Lisa Isenberg, BSN, RN, CPN, Staff Nurse, St. Louis Children’s Hospital,
St. Louis
Enhancing Patient Safety During Alcohol Withdrawal
- Kathleen Jochem, MS, RN, ACNS-BC, Clinical Nurse Specialist, Blessing Hospital, Quincy, IL (Co-Presenters: Wayland Mutter, BSN, RN, CCRN and Laura Weigand, RN, CCRN)
A Successful Rapid Response Team Model: Decreasing Cardiac Arrests by Utilizing “Stat” Nurses and Crew Resource Management Techniques
- Joseph Johnson, RN, STAT Nurse, University Hospital, University of Missouri Health Care, Columbia
Clinical Nurse Leader Impact on Patients at Risk for Falls
- Lynett King, MSN, RN, Clinical Nurse Leader, Tennessee Valley Healthcare System, Nashville, Tenn. (Co-Presenter: Jackie Rae Jacobson, MSN, RN)
Evidence-Based Policy Development: Starting Our Journey
- Sandy Mayberry, MSN, RN, Manager, Standards & Practice, Missouri Baptist Medical Center,
St. Louis (Co-Presenter: Jennifer Quinn, ASN, RN)
Roadblocks to Care Improvements by Nursing Home Leadership
- Donna Minner, BSN, RN, Clinical Educator, MU Sinclair School of Nursing, Columbia
Learning from the Dying and Bereaved after Death
- Melody Musser, ADN, RN, OCN, CHPN, Manager, Oncology Unit, St. Mary’s Health Center, Jefferson City
Postoperative Atrial Electrogram Applications: an Evaluation of the Staff Nurse’s Knowledge Base in a Pediatric Cardiac Intensive Care Unit
- Dora O’Neil, BSN, RN, St. Louis Children’s Hospital, St. Louis
Prevalence, Knowledge, Attitude and Practices of Diabetes Mellitus among Urban Community
- Zehra Parvani, BcSN, Nursing Instructor, Aga Khan University School of Nursing, Karachi, Pakistan
(Co-Presenter: Hasina Hasan Ali, BcSN)
Prevalence, Knowledge and Practices of Hypertension among Urban Community, Karachi, Pakistan
- Zehra Parvani, BcSN, Nursing Instructor, Aga Khan University School of Nursing, Karachi, Pakistan
(Co-Presenter: Hasina Hasan Ali, BcSN)
To Estimate Stress among Single Parented Girls in Shelter for Homeless Girls, Karachi, Pakistan
- Zehra Parvani, BcSN, Nursing Instructor, Aga Khan University School of Nursing, Karachi, Pakistan
(Co-Presenter: Hasina Hasan Ali, BcSN)
Nursing Students’ Motivation for Community Health Nursing in Nursing School
- Zehra Parvani, BcSN, Nursing Instructor, Aga Khan University School
of Nursing, Karachi, Pakistan (Co-Presenter: Hasina Hasan Ali, BcSN)
Living Well Healthy Aging Services Quality Performance
- Janice Putnam, PhD,
RN, Associate Professor of Nursing, University of Central Missouri, Warrensburg, Mo. (Co-Presenters: Diana Hoemann, BS and C. Jo Riggs, PhD, RN)
Reducing Surgical Site Infections Using an Evidence-Based Practice Approach
- Jennifer Quinn, ASN, RN, Staff Nurse, Missouri Baptist Medical Center, St. Louis(Co-Presenters: Dana Roberts, BSN, RN and Christina Brethauer, BSN, RN)
Self Examination for Breast and Testicular Cancers: Results of a Community-Based Intervention Study
- Rozina Ramji, RN, Nurse Administrator, Aga Khan University Hospital, Karachi, Pakistan
Intake and Output vs. Daily Weight for Fluid Balance Measurement
- Bridgett Robbins, MSN, RN, Staff Nurse IV, Columbia Regional Hospital, MU Health Care, Columbia
Reduction of Iatrogenic Anemia in the ICU: An Evidence-Based Practice Intervention
- Barbara Rose, PhD(c), RN, Clinical Nurse Specialist, Critical Care, VA San Diego Healthcare System, San Diego, Calif.
Streamlining Hand-Offs for Patient Safety and Satisfaction
- Amy Ross, BSN, RN, Nursing Supervisor, Phelps County Regional Medical Center, Rolla, Mo.
(Co-Presenter: Kimberly Weaver, BSN, RN)
Factors Associated with Insulin Omission and Misuse among Type I Diabetic Adolescent Females: A Review of the Literature
- Terri Schmitt, MSN, RN, FNP-BC, Assistant Professor and PhD nursing student at UMKC, Southwest Baptist University, Springfield, Mo.
Proactive Influenza Protection (PIP)
- Kay Strom, MHA, RN, BC, CPHQ, Informatics Nurse, Harry S. Truman Memorial VA Hospital, Columbia
(Co-Presenter: Cheryle Kelly, MSN, RN)
Registration
- Mail
Nursing Outreach
S266 School of Nursing Building
Columbia, Mo. 65211-4120
- Fax
573-884-4544
Lodging
A block of rooms at the special rate of $109 has been reserved for the night of April 22, 2009 at the Hilton Garden Inn, located at 3300 Vandiver Dr, Columbia, Mo. 65202. The room block will be held until April 1, 2009; after this date, rooms will be on a space available basis only. To make reservations, please call 573-814-5464. 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
Contact hours will be awarded to all individuals who attend, complete the evaluation form, and are paid in full. Up to 2.3 contact hours for the April 22 Pre-Conference and up to 6.6 contact hours for the April 23 Conference. MONA Provider Approval Number 710-IV.
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 Nursing Outreach 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.
Registration cancellation and substitution
We understand that circumstances may arise that require you to cancel or send a substitute. All cancellation requests must be in writing and sent via e-mail or fax (573-884-8278) to the Nursing Outreach office. If you cancel your registration five or more working days before the conference, your registration fee will be refunded, less a $25 processing fee. After that, there will be no refunds. You may send a substitute at any time. Please notify the office of any substitutions prior to the conference to ease the check-in process. “No shows” will be billed the full amount of the registration fee.
Program changes and cancellations
Nursing Outreach 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 6/17/09
