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Showing posts with label evidence-based practice. Show all posts
Showing posts with label evidence-based practice. Show all posts

Thursday, April 29, 2010

Best Practices on YouTube

The RNAO IABPG (Registered Nurses' Association of Ontario International Affairs and Best Practice Guidelines Program) is now broadcasting select program videos on YouTube:

Go to: http://www.rnao.org/bpg-vignettes

Thursday, January 15, 2009

A Guide to Resources on Evidence-Based Geriatrics

I recently updated this guide, which is intended as an introduction to resources on evidence-based practice in geriatrics both freely available on the Internet and at the University of Manitoba Health Sciences Libraries.
http://myuminfo.umanitoba.ca/Documents/732/Evidence_Based_Geriatrics.pdf

Wednesday, January 14, 2009

Best Practice Guidelines in Long Term Care

These three documents look at best practice guideline awareness and implementation in long term care.
ABCs of BPGs Workbook (Registered Nurses Association of Ontario, 2007)
The ABCs of BPGs Workbook is designed to provide nurses in the long term care sector with a basic introduction to Nursing Best Practice Guidelines (NBPGs).

After completing the Workbook, the nurse will have a greater understanding and appreciation for NBPGs—including how BPGs are developed; outcomes of using a NBPG; and the challenges a long-term care home might face when implementing NBPGs

Promoting awareness and uptake of best practice guidelines in long-term care: a process evaluation. (Nursing Health Services Research Unit, University of Toronto.

In 2006, the Nursing Health Services Research Unit (NHSRU), University of Toronto site, conducted a process evaluation of the Best Practice Guidelines (BPG) Coordinator Initiative. This report was entitled “Promoting Awareness and Uptake of Best practice Guidelines in Long-Term Care: A Process Evaluation-Summary of Phase I Findings.
http://www.nhsru.com/documents/BPGLTC%20Study%20Phase%201%20Final%20Report%20Revised%20April%205%20_2_.pdf

The second project document is an interim report for Phase 2, discussing the impact of the BPG Coordinator Initiative. The information for this phase was collected between February and August 2007.
http://www.nhsru.com/documents/BPGLTC%20Phase%202%20Interim%20Rpt%20%20Dec%20%2010.%20FINAL..pdf

Tuesday, September 02, 2008

Evidence-based geriatric nursing protocols for best practice

The following were recently updated or added to the Hartford Institute for Geriatric Nursing, Evidence-Based Protocols:

  • Depression
  • Delirium
  • Preventing Pressure Ulcers
  • Excessive sleepiness
  • Assessing cognitive function
  • Mealtime difficulties
For all topics go to:
http://www.consultgerirn.org/resources/geriatric_topics

Monday, May 05, 2008

Barriers to research utilization and research use among registered nurses in the care of older people

Bostrom AM, Nilsson Kajermo K, Nordstrom G, Wallin L.. Barriers to research utilization and research use among registered nurses in the care of older people: Does the BARRIERS Scale discriminate between research users and non-research users on perceptions of barriers? Implement Sci. 2008 May 1;3(1):24 [Epub ahead of print]

http://www.implementationscience.com/content/3/1/24

Source: PubMed

ABSTRACT: BACKGROUND: One strategy to enhance research use and change current practice is to identify barriers and then implement tailored interventions to reduce these barriers. In nursing, the BARRIERS scale has been frequently used to identify nurses' perceptions of barriers to research utilization. However, this scale has not been applied to care of older people, and only one study has investigated how identified barriers link to research utilization. Therefore, the purpose of this study was twofold: to describe RNs' perceptions of barriers to and facilitators of research utilization and to examine the validity of the BARRIERS scale in relation to research use. METHODS: A cross-sectional survey design was used and registered nurses (RNs) working in the care of older people participated (response rate 67%, n = 140/210). Two questionnaires, the BARRIERS scale and the Research Utilization Questionnaire (RUQ), were used. Data were analyzed using descriptive and bivariate inferential statistics. RESULTS: Characteristics of the organization and the presentation of research finding swere rated as the most prominent barriers. The three items most frequently reported as barriers were: the nurse is isolated from knowledgeable colleagueswith whom to discuss the research (89%); the facilities are inadequate forimplementation (88%); and, the relevant literature is not compiled in one place(81%). Surveyed RNs suggested more support from unit managers and better availability of user-friendly reports in Swedish to enhance research use. The RNs reported a modest use of research. A weak but significant correlation was found between the Research Use index in RUQ and the Presentation subscale in theBARRIERS scale (r = -0.289, p<0.01), suggesting that the RNs reporting more research use were less likely to perceive presentation of research as a barrier. Dividing the sample into research users (n = 29) and non-research users (n =105), the research users rated significantly lower on the subscales Presentation,Nurse and Research in the BARRIERS scale. CONCLUSIONS: The BARRIERS scale revealed differences in the perception of barriers between research users and non-research users. Thus, methodologically the scale appears useful in identifying some types of barriers to research utilization but not organizational barriers. The identified barriers, however, are general and wide-ranging, making it difficult to design useful specific interventions.