King, Jennifer, RNC, BSN

English

Lehigh Valley Health Network: LVHN Scholarly Works

Lehigh Valley Health NetworkLVHN Scholarly WorksPatient Care Services / NursingIntegrating Evidence for Excellence in the Care ofWomen and Newborns - The Evidence-BasedFellowS² Program (Poster)Jennifer King RNC, BSNLehigh Valley Health Network, jennifer.king@lvhn.orgFollow this and additional works at: http://scholarlyworks.lvhn.org/patient-care-services-nursingPart of the Maternal, Child Health and Neonatal Nursing CommonsThis Poster is brought to you for free and open access by LVHN Scholarly Works. It has been accepted for inclusion in LVHN Scholarly Works by anauthorized administrator. For more information, please contact LibraryServices@lvhn.org.Published In/Presented AtKing, J. (2013, June 15-19). Integrating evidence for excellence in the care of women and newborns – The evidence-based fellowS program².Poster presented at: The Association of Women's Health, Obstetric and Neonatal Nurses, Nashville, TN.Lehigh Valley Health Network, Allentown, PennsylvaniaIntegrating Evidence for Excellence in the Care of Women and Newborns –The Evidence-Based FellowS2 Program•		Transformational	nurse	leaders	must	design	and	implement	practical	strategies	to	translate	evidence	into	practice.	EBP	FellowS2	program	is	a	model	that	can	be	replicated	in	a	wide	variety	of	healthcare	settings.ImplicationsProblem StatementAlthough	the	importance	of	evidence-based	practice	(EBP)	is	readily	acknowledged	and	purportedly	ascribed	to,	recent	studies	show	only	a	small	percentage	of	health	care	providers	are	incorporating	research	findings	into	practice.Study Design	•		12	week	offering	of	didactic	and	project	development•		Additional	8	-	12	week	mentored	process	to	project	completion•		Participants	selected	based	on	proposed	question	with	potential	to	improve	patient	care	through	translation	of	evidence	into	practice.Setting	•		Program	implemented	in	a	988	bed,	academic,	community	Magnet™	hospitalParticipants	•		FellowS2	are	dyads	of	a	masters	prepared	unit	educator	and	direct	care	nurse•		Facilitated	by	doctorally	prepared	nurse	who	coaches	the	project	teams.Interventions	•		Didactic	offerings,	workshops	and	coaching	sessions	•		Question	formulation	through	evidence	review•		Individual	project	development,	implementation,	evaluation,	and	disseminationOutcomes	•		Inaugural	EBP	FellowS2	program	-	Six	(6)	individual	dyad	teams	→	6	EBP	projects	 	 	 1		Nurse	knowledge	and	awareness	of	venous	thromboembolism	prophylaxis	 	 	 2	Narrowing	of	Lasix	timing	and	implementation	of	standard	toileting	schedule	 	 	 3		Staff	Driven	Mobility	protocol	to	minimize	functional	decline	in	elderly	adults	 	 	 4		Non-separation	of	mother	and	neonate	→	(see	3rd	column)	 	 	 5		Crit	line	technology	to	minimize	intra-	and	post-dialysitic	symptoms	 	 	 6		Medication	administration	interruptions	EBP FellowS2 ProgramMethods© 2013 Lehigh Valley Health NetworkSolutionA	pragmatic	model	--	the	Evidence-Based	Practice	(EBP)	FellowS2	(S2	=	Sharing	Science)	program	–	to	facilitate	the	integration	of	evidence	into	practiceApplication in the Woman & Children Health SettingBased	on	evidence	that	non-separation	leads	to	improved	attachment	between	mother	and	baby,	emotional	stability,	protection	against	infection,	and	increased	breast	feeding	rates,		a	team	of	nurses	sought	to	promote	mother/baby	attachment	by	allowing	mothers	and	babies	to	remain	together	for	24	hours	per	day.		Non-separation of Mother and NeonateMethodsStudy Design	•		Evidence-based	quality	improvement	pilot	project	Setting	•		27	bed	mother-baby	post-partum	unit•		4,000	deliveries/yearParticipants	•		Prima-gravida	mothers	who	had	vaginal	deliveriesInterventions	•		Babies	remained	at	mother’s	bedside	from	11	PM	-7AM,	without	being	cared	for	in	the	nursery	(renamed	newborn	observation	area)	•		RN	staff	surveyed	regarding	work	load	expectation	with	babies	in	patient	rooms•		The	EBP	study	to	promote	mother/baby	attachment	by	allowing	mothers	and	babies	to	remain	together	24	hours	per	day	serves	as	an	example	of	how	to	use	evidence	to	positively	impact	practice	in	the	mother-baby	setting.	Outcomes

Integrating Evidence for Excellence in the Care of Women and Newborns - The Evidence-Based FellowS² Program (Poster)

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Integrating Evidence for Excellence in the Care of Women and Newborns - The Evidence-Based FellowS² Program (Poster)

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