altJanuary 2010

from the editor 
Rebecca Tart, Ph.D., Director for Research & Evidence-Based Practice

altNew Year’s Resolutions.  At the start of a new year, I often reflect on the year past as I think about the year at hand – accomplishments, missed opportunities, fresh ideas, new goals.  Dr. Vondell Clark, in a recent 'Health4Us' session, suggested choosing a word for 2010 instead of making resolutions.  A word immediately came to mind – one that summed up the reflections I'd been hashing over. 

Professional reflection is also a good thing.  2009 was an excellent year for our Research and Evidence-Based Practice Program.  In past Progress Notes issues you read about several departments that have embraced EBP.  The Special Care Nursery Feeding Readiness EBP initiative brought CVMC practice in line with best clinical evidence. Chris Bowman, RN, BSN, NIC was an early adopter of this EBP change.  She told Progress Notes that nurses, who were less willing to accept the change initially, got on board after seeing babies tolerate feedings with less spitting up and faster increase in weight gain after the evidence-based practice was implemented.  This is just one example, but I hope it encourages all nurses to see the value of EBP ...  better patient outcomes.

Unit-based nursing research teams were completing or beginning the process, or at various intermediate stages in their research projects - the 4 CVMC teams that is.  Two team projects were presented at the 2009 Dinner and Morning Research Theatre events.  Which departments will follow suit this year?  Our Senior Vice-President and Chief Nursing Officer, Eddie Beard, MSN, RN, NEA-BC, states, “I am amazed at the progress that has been made with research and evidence-based practice over the past couple of years at CVMC.  We are fortunate to have Dr. Tart leading CVMC's program to ground nursing practice with sound research and evidence.  I anticipate the structure that is being built here will serve as a model for community hospitals across the nation to use.” 

Education opportunities for nursing staff expanded in 2009 with the first annual EBP Week.  Multiple classes of ‘Let’s Get Cooking with EBP,’ ‘Searching the Literature’ and 'Appraising the Literature’ were offered.  You’ll be able to take a new course, ‘Grading the Evidence,’ as well as the others at the Research & EBP Saturday Morning Clinic, 20 February 2010 (see In the News below).  According to Kimberly Yates, MSN/MHA, RN-BC, Chair of the Research & Evidence-Based Practice Council, “our 10 members are excited and energized about promoting research and EBP throughout the hospital.” 

You and 2010.  As you contemplate the opportunities of a new year and look back, ask yourself – Did I participate in a research or EBP activity?   Is my practice based on best clinical evidence?  I challenge you to set a  reseach and/or EBP goal for 2010.  Here are those submitted by your colleagues.  “My goal is improve my EBP knowledge by attending a minimum of 3 EBP/Research education classes this year and participating in a shared governance EBP project.”  –Debra Martin RN-BC, Secure Care.   “I would like to be involved in some evidence-based practice and research education classes this upcoming year to learn more about the process.”  –Kristin King RN, Psychiatry.   “Develop [a] unit-based research team.”  –Rose Cook BSN, RN, ONC & Kelly Yang BSN, RN, Ortho/Neuro.  “Shared Governance is working on a new monitoring sheet which we hope to be able to use based on EBP.  We would like for this to be in effect in 2010.”  –Pearl Ramsey BSN, RN, Psychiatry.   “Improve utilization of sepsis bundle to decrease morbidity and mortality.”  –Julie Carrigan BSN, RN, Emergency Department.   “I'd be interested in research in the area of total joints ambulatory status with general vs. epidural or block anesthestics.”  –Vickie Marlowe BSN, RN, CPAN, PACU. 

Oh, and by the way, my personal word for 2010 – “fit.”  I desire to be physically, spiritually, mentally and emotionally fit.  This word is a 3-letter encapsulation of how I am approaching this year.  What's yours?  §

 

 

Congratulations, December 2009 graduates!
 alt  alt
Left to right: Michele McGlamery MSN, RN, CNOR, OR Business Manager, earned her MSN with a concentration in Nursing Administration from UNC-G; CrystallChapman MSN, RN, CPN, OL Associate Director, earned her MSN with a concentration in Education from Walden University.

Hats off to the following nurses who recently passed speciality certification examinations... 

    • Medical-Surgical: Sharon Goss, BSN, RN-BC; Amber Williams, RN-BC

    • Certified Emergency NurseTom Rboinson, BSN, RN, CEN

    • Inpartient ObstetricalCheryl Goossens, BSN, RN-BC

 

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altResearch & EBP Saturday Morning Clinic
Sponsored by the Research and Evidence-Based Practice Council
0800-1300
20 February 2010

Are you interested in learning more about evidence-based practice or research?  Do you want to facilitate a journal club or lead a journal club discussion?  Are you a member of a Shared Governance Council or new to a nursing leadership position?  Then the clinic is your one-stop opportunity to gain new skills or further hewn those you have.  Courses offerings: Let’s Get Cooking with EBPSearching the Literature, Appraising the Literature and NEW Grading the Evidence.  Listen for more information in your departmental huddles soon.  Register on HealthStream by February 17th.   §

 

PRISM Award.  CCU recently established the PRISM award as part of their journey toward "The Beacon," a nationally recognized status with the Amer ican Association of Critical Care Nurses (AACN).  Progress Notes is pleased to announce housewide the January 2010 PRISM Award winners: Leon Trubey RN, Judy Johnson NA and Agnes Scharpf NA.  These individuals were chosen because they demonstrated compassion, professionalism, respect, integrity, and went above and beyond the call of duty in making provision for a mother to see her son one last time.
 
PRISM is an acronym for Professionalism-exhibits passion, perceptiveness and protectiveness toward patients, families, and staff.  Responsibility-assumes the role for demonstration of ones own actions and mirrors resourcefulness and respect for patients, families, and peers.  Integrity-is represented through professional moral and ethical practice, promotes a positive image, fosters an industrious attitude, and serves as an inspiration to peers.  Safety-is promoted by following CVMC guidelines and assessing the environment for safety risks.  Mentors-other staff by positive communication and actions, and is a role model for SMILE.  Penny Matlock MSN, RN, CPAN, created the PRISM acronym.  §

 

 

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Casey Efird, RN, Psychiatry

A CVCC 2008 graduate, Casey has worked as a registered nurse in the psychiatry department for approximately 18 months.  During this time she has not only had the opportunity to learn about psychiatric nursing, but also about evidence-based practice and research. 

When asked about being a new graduate and her learning experiences related to EBP and research Casey states, "CVMC does a great job with this.  CNIP was where I was first introduced to EBP."  She participated in two 'Let's Get Cooking with EBP' classes, initially with other CNIP nurses and then with departmental colleagues.  When asked what was the most memorable thing about 'Let's Get Cooking with EBP,'  Casey replied, "it was fun.  It's easier to learn when you make it fun."

Casey is applying her EBP knowledge as a member of the Psychiatry Shared Governance Council.  Working together with other psychiatric nurses, the group is re-evaluating the monitoring tool used when making observation rounds on patients.  "We're working toward revamping the tool to show trends in patient behaviors at a glance, and we're using literary articles to do this."  Also "Shared Governance is working on the monitoring of patients, and the possibility of the Nurse as ‘counselor.’  I would love to get EBP involved as we research what other hospitals are doing to improve the patient satisfaction scores in Psychiatry.  We plan to call or visit (if needed) other hospitals and get their input.” 

In addition to her staff nurse duties, Casey is a part-time Psychiatric Resource Nurse, Charge Nurse and a newlywed! §

 


 

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