Quality Initiatives: Creating Quality Evidence Summaries on a Clinician's Schedule
Eloise Clark MPH, MBA
Susan McGee MSN, RN, CNP

$3.95
JONA: Journal of Nursing Administration
January 2010 
Volume 40  Number 1
Pages 7 - 9
 
  PDF Version Available!

ABSTRACT
Clinicians' use of research evidence is widely accepted as a means to improve patient outcomes.1,2 However, studies demonstrate that clinicians do not consistently use current research evidence.3-5 The nurse executive is uniquely positioned to address the clinician- and system-dependent barriers to nurses implementing evidence-based practice (EBP).Clinician-dependent barriers include time constraints and lack of skills in searching for, evaluating, and using best evidence.3,6 System-dependent barriers include discipline-specific evidence evaluation processes, long evidence-based guideline development time frames, and lack of institutional memory to share previously synthesized evidence.7,8Although there are valid methods for developing high-quality guidelines,9-12 methods for clinicians to quickly evaluate evidence are not available. These methods are needed when there is no clinical guideline or other evidence-based standard to inform clinical questions. The authors provide an example of a process for clinicians to evaluate research evidence pertinent to their work. Three tools were created to guide clinicians in developing quality evidence-based care recommendations on a clinician's schedule.Cincinnati Children's Hospital Medical Center is an academic hospital with 475 beds and more than 900,000 patient visits yearly. More than 2,000 residents and students receive training in pediatrics, nursing, and allied health each year. Cincinnati Children's Hospital Medical Center has maintained a focus on bringing evidence to the point of care since the late 1990s, initially through evidence-based guideline development13 and recently through teams of clinicians who are mentored in evidence evaluation.In 2006, clinicians from the disciplines of nursing and medicine, guideline methodologists, epidemiologists, and medical librarians, all with experience in evidence evaluation, formed a group to facilitate the use of best evidence throughout the organization. This group created

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