RESUMEN
This article describes a system-wide evidence-based practice (EBP) educational initiative implemented with a geographically, educationally, and clinically diverse group of nurses with the intent of increasing their EBP skill set and efficacy as local change agents and leaders. The overall scope of the larger National Quality Forum Scholar Program is described, and then the focus is narrowed to describe the EBP components of the initiative with case examples and lessons learned.
Asunto(s)
Difusión de Innovaciones , Educación Continua en Enfermería/organización & administración , Enfermería Basada en la Evidencia/educación , Informática Aplicada a la Enfermería/educación , Investigación en Enfermería/educación , Personal de Enfermería/educación , Benchmarking/organización & administración , Curriculum , Recolección de Datos , Enfermería Basada en la Evidencia/organización & administración , Humanos , Liderazgo , Mentores , Minnesota , Modelos Educacionales , Modelos de Enfermería , Evaluación de Necesidades/organización & administración , Informática Aplicada a la Enfermería/organización & administración , Investigación en Enfermería/organización & administración , Personal de Enfermería/organización & administración , Objetivos Organizacionales , Desarrollo de Programa , Garantía de la Calidad de Atención de Salud/organización & administración , Indicadores de Calidad de la Atención de Salud/organización & administraciónRESUMEN
Hospital acquired pressure ulcers are the focus of national attention. We report on a decision support system that notifies clinical nurse specialists of patients with pressure ulcers or risk for developing pressure ulcers. Auto-summed pressure ulcer risk and pressure ulcer occurrence data are embedded in nursing flowsheets, while the expert system technology runs in a separate application and sends a message back to the EMR environment; a system is successfully implemented across 60 inpatient units.
Asunto(s)
Sistemas de Apoyo a Decisiones Clínicas , Diagnóstico por Computador/métodos , Sistemas Especialistas , Enfermeras Clínicas , Informática Aplicada a la Enfermería/métodos , Registros de Enfermería , Úlcera por Presión/clasificación , Úlcera por Presión/diagnóstico , Algoritmos , Humanos , MinnesotaRESUMEN
PURPOSE: To describe nursing outcomes classification (NOC) that are most relevant for, specialty acute care nursing practice, and to assess the adequacy of measures. METHODS: Data were collected on 434 patients during the 14-month data collection period at a tertiary care center: cardiac surgery intensive care (n = 76), cardiac transplant unit (n = 153), and medical unit (n = 205). FINDINGS: Thirty-six NOC outcomes were used 10 or more times during the study. Of those, 16 had an inter-rater reliability of 75% or higher. CONCLUSIONS: NOC outcomes show promise for accurately documenting the effectiveness of nursing interventions. Further study is needed to develop meaningful analysis of the documented NOC outcomes and efficiently integrate NOC into electronic documentation systems. PRACTICE IMPLICATIONS: Increased familiarity with NOC allowed nursing staff to determine which outcomes comprise core nursing-sensitive outcomes for their clinical setting.