Harbman Patricia, Bryant-Lukosius Denise, Martin-Misener Ruth, Carter Nancy, Covell Christine L, Donald Faith, Gibbins Sharyn, Kilpatrick Kelley, McKinlay James, Rawson Krista, Sherifali Diana, Tranmer Joan, Valaitis Ruta
Trillium Health Partners, Mississauga, ON, Canada.
McMaster University, Canadian Centre for APN Research (CCAPNR), Hamilton, ON, Canada.
J Eval Clin Pract. 2017 Apr;23(2):382-390. doi: 10.1111/jep.12630. Epub 2016 Nov 1.
Clinical practice is the primary focus of advanced practice nursing (APN) roles. However, with unprecedented needs for health care reform and quality improvement (QI), health care administrators are seeking new ways to utilize all dimensions of APN expertise, especially related to research and evidence-based practice. International studies reveal research as the most underdeveloped and underutilized aspect of these roles.
To improve patient care by strengthening the capacity of advanced practice nurses to integrate research and evidence-based practice activities into their day-to-day practice.
An academic-practice partnership was created among hospital-based advanced practice nurses, nurse administrators, and APN researchers to create an innovative approach to educate and mentor advanced practice nurses in conducting point-of-care research, QI, or evidence-based practice projects to improve patient, provider, and/or system outcomes. A practice-based research course was delivered to 2 cohorts of advanced practice nurses using a range of teaching strategies including 1-to-1 academic mentorship. All participants completed self-report surveys before and after course delivery.
Through participation in this initiative, advanced practice nurses enhanced their knowledge, skills, and confidence in the design, implementation, and/or evaluation of research, QI, and evidence-based practice activities.
Evaluation of this initiative provides evidence of the acceptability and feasibility of academic-practice partnerships to educate and mentor point-of-care providers on how to lead, implement, and integrate research, QI and evidence-based activities into their practices.
临床实践是高级实践护理(APN)角色的主要重点。然而,鉴于医疗保健改革和质量改进(QI)的需求空前,医疗保健管理人员正在寻求新方法来利用APN专业知识的各个方面,特别是与研究和循证实践相关的方面。国际研究表明,研究是这些角色中最不发达和利用最少的方面。
通过加强高级实践护士将研究和循证实践活动融入日常实践的能力来改善患者护理。
在医院的高级实践护士、护士管理人员和APN研究人员之间建立了学术-实践伙伴关系,以创建一种创新方法,对高级实践护士进行教育和指导,使其开展即时护理研究、质量改进或循证实践项目,以改善患者、提供者和/或系统的结果。使用包括一对一学术指导在内的一系列教学策略,为两组高级实践护士提供了一门基于实践的研究课程。所有参与者在课程交付前后都完成了自我报告调查。
通过参与该倡议,高级实践护士在研究、质量改进和循证实践活动的设计、实施和/或评估方面增强了知识、技能和信心。
对该倡议的评估提供了证据,证明学术-实践伙伴关系在教育和指导即时护理提供者如何将研究、质量改进和循证活动引领、实施并融入其实践方面的可接受性和可行性。