free research poster template€¦ · phase v: dissemination phase • communicate findings •...
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Evidence-Based Practice Blueprint
1. Identify problem or knowledge focused triggers that prompt PICOT question.
2. Is topic a priority for the organization? 3. Form an EBP Change Team consisting of
opinion leaders, change champions, and a core group; include key stakeholders.
4. Assemble relevant literature search. 5. Conduct critical appraisal of literature and
identify level of evidence. 6. Is there a sufficient base of evidence to pilot
the change in practice? 7. Pilot the practice change or new innovation by
selecting measureable outcomes, collecting baseline data, designing the EBP guideline, implementing, and evaluating the process and outcomes.
8. Is change appropriate for adoption in practice? 9. Institute the change in practice. 10. Monitor and analyze structure, process, and
outcomes data. 11. Disseminate results.
Introduction
The Evidence-Based Practice & Research Fellowship Program provides the structure and process to translate new knowledge and innovations to improve clinical practice and facilitate learning the essential steps of evidence-based practice and the conduct of nursing research.
Nursing Research Blueprint
Phase I: Conceptual Phase • Define purpose of study • Develop research question • Perform literature search and review • Select conceptual/theoretical framework • Hypothesis development Phase II: Design and Planning Phase • Select a research design • Choose setting where research will be
conducted • Choose sample:
o Determine sample size o Select inclusion/exclusion criteria
• Develop intervention protocols: o Design sampling plan o Create Procedure Manual o Set alpha and beta o Determine type of inferential
statistical tests o Ensure methods to safeguard
subjects • Measure research variables:
o Design/select measurement tool o Ensure validity and reliability o Develop data collection
spreadsheet o Select and train research team o Obtain IRB approval
Phase III: Data Collection • Collect data • Develop coding system • Verify/clean data • Prepare data for analysis Phase IV: Data Analysis • Analyze data • Interpret results • Create tables and figures Phase V: Dissemination Phase • Communicate findings • Identify limitations of study • Find implications of findings for nursing practice • Identify further research opportunities
1. Cavalieri, R.J., Rupp, M.E. (2013). Clinical Research Manual: Practice Tools and Templates for Managing Clinical Research. Indianapolis, IN: Sigma Theta Tau International.
2. Hulley, S.B., Cummings, S.R., Browner, W.S., Grady, D.G., Newman, T.B. (2007). Designing Clinical Research, Third Edition. Philadelphia, PA: Lippincott Williams & Wilkins.
3. Polit, D. F., Beck, C. T. (2012). Nursing Research: Generating and Assessing Evidence for Nursing Practice, Ninth Edition. Philadelphia, PA: Lippincott Williams & Wilkins.
4. Titler, M. G., Kleiber, C., Steelman, V. J., Rakel, B., Budreau, G., Everett, L. Q., Buckwalter, K. C., Tripp-Reimer, T., Goode, C. J. (2001). The Iowa Model of Evidence-Based Practice to Promote Quality Care. Critical Care Nursing Clinics of North America, 13(4), 497-509.
Using Blueprints to Engineer Nurses into EBP & Research Champions Elisa C. Jang, RN, MS, CNS
NorthBay Healthcare, Fairfield, CA
Step 1
Conduct literature search to answer PICOT
question
Step 2A: EBP Implementation
of practice change
Step 2B:
Research Creation of new
knowledge
When there is a sufficient base of
evidence
When there is NOT a sufficient base of
evidence
References
The Iowa Model of
Evidence-Based Practice to Promote Quality Care
Problem Focused Triggers
1. Risk Management Data
2. Process Improvement Data
3. Internal/External Benchmarking Data
4. Financial Data
5. Identification of Clinical Problem
Knowledge Focused Triggers
1. New Research or Other Literature
2. National Agencies or Organizational
Standards & Guidelines
3. Philosophies of Care
4. Questions from Institutional Standards Committee
Is this Topic
a Priority
For the
Organization?
Form a Team
Assemble Relevant Research & Related Literature
Critique & Synthesize Research for Use in Practice
Is There
a Sufficient
Research
Base?
Consider
Other
Triggers
Pilot the Change in Practice
1. Select Outcomes to be Achieved
2. Collect Baseline Data
3. Design Evidence-Based
Practice (EBP) Guideilne(s)
4. Implement EBP on Pilot Unit(s)
5. Evaluate Process & Outcomes
6. Modify the Practice Guideline
Base Practice on Other Types of Evidence:
1. Case Reports
2. Expert Opinion
3. Scientific Principles
4. Theory
Conduct
Research
Is Change
Appropriate for
Adoption in
Practice?
Institute the Change in PracticeContinue to Evaluate Quality
Of Care and New Knowledge
Disseminate Results
Monitor and Analyze Structure,
Process, and Outcome Data
- Environment
- Staff
- Cost
- Patient and Family
DO NOT REPRODUCE WITHOUT PERMISSION
REQUESTS TO:
Marita Titler, PhD, RN
Office of Nursing Research
The University of Iowa Hospitals and Clinics
Iowa City, IA 52242-1009
Revised April 1998 © UIHC
= a decision point
Reference
Titler, M.G., Kleiber, C., Steelman, V., Rakel, B., Budreau, G., Everett, L.Q., Buckwalter, K.C.,
Tripp-Reimer, T., & Goode, C. (2001). The Iowa Model of Evidence-Based Practice to Promote
Quality Care. Critical Care Nursing Clinics of North America, 13(4), 497-509.
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Address: 1200 B Gale Wilson Blvd., Fairfield, CA 94533 Telephone: (707) 646-4032 Email Address: [email protected] Contact Information: