"Research to Practice": A Practical Program to Enhance the Use of Evidence-Based Practice at the Unit Level

Liz Cooke

Cynthia Smith-Idell

Grace E. Dean

Robin Gemmill

Sharon Steingass

Virginia Sun

Marcia Grant

Tami Borneman

ONF 2004, 31(4), 825-832. DOI: 10.1188/04.ONF.825-832

Purpose/Objectives: To assist clinical nurses in translating research into clinical practice.

Data Sources: City of Hope Quality-of-Life (QOL) Model to guide presentations and discussion, research utilization theories, and evidence-based practice literature.

Data Synthesis: Based on percentage of individual participant involvement, the four domains of QOL, and a knowledge survey.

Outcomes: Attendance, discussion, QOL domain ranking, satisfaction, and pre- and postknowledge scores. Attendance averaged 13 individuals; average discussion participation was 54%. The psychological QOL domain was most important (58%), and discussion averaged a score of 3 (1 = slow to 5 = lively). A one-point increase (scale 1-5) measured a change in knowledge.

Conclusions: The challenge for nursing assessment is to fully address patient issues in the psychological domain.

Implications for Nursing: A practical program can be formulated to bring evidence-based practice to the clinical setting.

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    Asselin, M. (2001). Knowledge utilization among experienced staff nurses. Journal for Nurses in Staff Development, 17, 115-122.

    Barnsteiner, J., & Prevost, S. (2002). How to implement evidence-based practice. Reflections on Nursing Leadership, 28(2), 18-21.

    Bookbinder, M., Coyle, N., Kiss, M., Goldstein, M.L., Holritz, K., Thaler, H., et al. (1996). Implementing national standards for cancer pain management: Program model and evaluation. Journal of Pain and Symptom Management, 12, 334-347.

    Cooke, L., & Grant, M. (2002). Support for evidence-based practice. Seminars in Oncology Nursing, 18, 71-78.

    DiCenso, A., Cullum, N., & Ciliska, D. (1998). Implementing evidence-based nursing: Some misconceptions. Evidence-Based Nursing, 1(2), 38-39.

    Docks, P. (2001). Diffusion of pain management research into nursing practice. Cancer Nursing, 24, 99-103.

    Gennaro, S., Hodnett, E., & Kearney, M. (2001). Making evidence-based practice a reality in your institution. American Journal of Maternal Child Nursing, 26, 236-244.

    Jassak, P.F. (2001). Introduction: Evidence-based oncology nursing practice: Improving patient outcomes in the next millennium. Oncology Nursing Forum, 28(2, Suppl. 3-4), 23-24.

    Lopez-Bushnell, K. (2002). Get research-ready. Nursing Management, 33(11), 41-44.

    McCaughan, D., Thompson, C., Cullum, N., Sheldon, T.A., & Thompson, D.R. (2002). Acute care nurses' perceptions of barriers to using research information in clinical decision-making. Journal of Advanced Nursing, 39, 46-60.

    Mulhall, A. (1998). EBN notebook. Nursing, research, and the evidence. Evidenced-Based Nursing, 1(1), 4-6.

    Oermann, M.H., & Floyd, J.A. (2002). Outcomes research: An essential component of the advanced practice nurse role. Clinical Nurse Specialist, 16, 140-144, 145-146.

    Padilla, G.V., Ferrell, B., Grant, M.M., & Rhiner, M. (1990). Defining the content domain of quality of life for cancer patients with pain. Cancer Nursing, 13, 108-115.

    Pedro, L.W. (2001). Quality of life for long-term survivors of cancer: Influencing variables. Cancer Nursing, 24, 1-11.

    Rutledge, D.N., & Bookbinder, M. (2002). Processes and outcomes of evidence-based practice. Seminars in Oncology Nursing, 18, 3-10.

    Stetler, C.B., Brunell, M., Giuliano, K.K., Morsi, D., Prince, L., & Newell-Stokes, V. (1998). Evidence-based practice and the role of nursing leadership. Journal of Nursing Administration, 28(7-8), 45-53.

    Stetler, C.B., Corrigan, B., Sander-Buscemi, K., & Burns, M. (1999). Integration of evidence into practice and the change process: Fall prevention program as a model. Outcomes Management for Nursing Practice, 3, 102-111.

    Tomey, A.M. (2003). Learning with cases. Journal of Continuing Education in Nursing, 34, 34-38.

    Watson, G., & Glaser, E. (1964). Watson-Glaser critical thinking appraisal manual. New York: Harcourt, Brace World.