Evidence-Based Practice (EBP) Awareness Project: Peer-to-Peer Dissemination

Study Overview
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Brief Summary
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The purpose of this study is to evaluate the effectiveness of the introduction of an EBP text for Nursing Research Council (NRC) members to use with RN staff to increase staff belief in, knowledge of and implementation of EBP in providing patient care. The theory that will drive this study is Disciplined Clinical Inquiry (DCI). The current study will use a quasi-experimental design plus DCI to engage unit RN staff in deciding how they might learn about EBP in a feasible, useful way. After collection of baseline data, the NRC member will introduce the text + solicit staff input into a plan for using the text to increase understanding of EBP and use of evidence to make practice changes on her/his own unit. Another unit in that service line or under the same Service Line Administrator will serve as a comparison unit. Data collection will be conducted again after 4 and 12 weeks. At the 12 week point, the NRC member will introduce the text + solicit staff input for a plan on the comparison unit. Data collection will be conducted on the comparison unit at 16 weeks, and again on both units at 24 weeks. At the 24 week point, additional units will be added and the process repeated until all units represented on the NRC have been included. Outcome measures will include: EBP belief and EBP implementation scales (Melnyk & Fineout-Overholt, 2003); EBP knowledge cognitive test; # of lit searches conducted by unit RN staff ; # of requests for library support for lit searches or to obtain search-related articles: # of unit clinical policies with documented levels of evidence & research references. EBP belief, EBP implementation and EBP knowledge variables will be analyzed at both individual and unit levels of analysis. All other variables will be measured at the unit level of analysis. Additional unit level variables will include the following data collected annually as part of the National Database for Nursing Quality Indicator (NDNQI) RN satisfaction survey: satisfaction with RN-RN interaction, satisfaction with autonomy, satisfaction with practice decision-making, perceived quality of care delivered on the unit. The primary statistical procedures for analysis will be ANCOVA, ANOVAwith repeated measures, and logistic regression.

Official Title
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Evidence-Based Practice (EBP) Awareness Project: Peer-to-Peer Dissemination

Conditions
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Evidence-Based Medicine

Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: over 18 yrs of age employed by Upstate full or parttime on unit represented on Nursing Research Council Exclusion Criteria: employed by an agency other than Upstate working on a unit not represented on the Nursing Research Council

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| 1<br>staff Registered Nurses receiving EBP peer mentoring | |
| 2<br>staff Registered Nurses not receiving EBP peer mentoring | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| EBP Beliefs |  | baseline, 4 wks, 8 wks, 12 wks, 24 wks | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| EBP Implementation |  | baseline, 4 wks, 8 wks, 12 wks, 24 wks, | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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evidence based practice beliefs, evidence based practice implementation, evidence based practice dissemination