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Use of an Evidence-Based Practice Model When Implementing an Evidence-Based Practice Change
Full text linkImplementing evidenced-based practice (EBP) changes at large healthcare organizations is often a lengthy and difficult process, and sustainability is even harder. Many organizations continue to implement changes in EBP without using a standard approach or an evidenced-base practice model. One large healthcare organization in the Midwest is implementing a Professional Development and Advancement Program (also known as clinical ladder) for the direct care nurses across the health system. This is a proposed project and the program will be implemented using the Iowa Model for evidence-based practice change as a framework for guiding the implementation. The implementation team will use the Iowa Model to guide the selection of interventions for use during the implementation of the program. The structured approach using the Iowa Model will increase the applications to the professional development and advancement program during the first enrollment period as measured by the percent of applicants in the eligible pool of nurses. The approach using the Iowa Model has implications for future evidence-based practice changes at the healthcare system. Each use of the model provides that standard approach and will therefore make the adoption of EBP less difficult, more efficient and increase the likelihood that the change will be sustained
Development of an Evidence Based Orientation Model for the Newly Graduated Nurse
Full text linkHealthcare in the acute hospital setting experienced a significant increase in highly acute patients with multiple comorbidities requiring competent, experienced clinicians who can provide high quality, safe care. The nursing shortage paired with the post pandemic hospital environment has altered the landscape of nurses entering the workforce and created a gap in competency of the bedside nurse. A loss of tenured nurses who typically onboard and mentor the novice nurse coupled with less than adequate clinical preparation of those graduating college led to elevated levels of stress and staggering turnover rates for the newly graduated nurse. Research validates efficient orientation with a focus on novice to expert skill development improves the confidence of the new nurse and builds proficiency in safe clinical practice. Although theoretical evidence creates models of orientation standards there is not a defined structure to obtain success. The project goal is to collate evidence-based research to determine an orientation model leading to successful transition to practice for the newly graduated nurse. With the use of a pre-designed Carey-Fink survey the team will compare the results of subjects who recently completed traditional orientation but are within the first year of independent practice to those participating in the redesigned model. Preceptor training will assure continuity in delivery of the program design as well as enhance the understanding of onboarding using a simulation class structure. Project outcomes will identify specific direction and design to current orientation programs and result in a model of effective transitions to practice
The Laramie Project (2025)
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Footloose: The Musical
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The Glass Menagerie
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The Glass Menagerie
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The Glass Menagerie
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Humanities Center Flipbook 2024-25
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The Laramie Project (2025)
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Always... Patsy Cline
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