Overview

Overview

6 Basic Steps of EBP and Objectives

  1. Understanding Terms and Meaning of EBP
    • Objective: State the three elements integral to EBP
    • Objective: Discuss how EBP makes a difference
  2. Identifying Problems/Issues
    • Objective: Identify why understanding the value of a selected practice theme is important
    • Objective: Discuss considerations when investigating evidence on a practice theme
  3. Searching literature
    • Objective: Describe three commonly used search engines
    • Objective: State the elements of a PICO question
    • Objective: Discuss tools to find “best” literature on a topic
  4. Critiquing literature
    • Objective: Explain evidence “levels” or “strengths”
    • Objective: Outline methodological and results elements reflecting paper “quality”
    • Objective: Discuss paper limitations affecting “quality”
  5. Synthesis of literature
    • Objective: Examine totality of evidence to determine overall evidence strength/quality
    • Objective: Demonstrate outcomes of a systematic review of the literature
  6. Merging Evidence and Current Practice Needs: No changes- Research- QI project
    • Objective: Discuss rationale for translating available evidence into practice
    • Objective: Describe real-world methods of optimal diffusion of evidence into practice

Date

November 14-15, 2018

Location

Cleveland Clinic Lyndhurst Campus
Room LY1- 470/472
1950 Richmond Road
Lyndhurst, OH 44124

Directions

Faculty, Agenda & Accreditation

Faculty, Agenda & Accreditation

Faculty

  • Nancy M Albert, PhD, CCNS, CHFN, CCRN, NE-BC, FAHA, FCCM, FAAN
    Associate Chief Nursing Officer, Office of Nursing Research and Innovation, Cleveland Clinic
  • Esther I Bernhofer, PhD, RN-BC, CPE
    Nurse Scientist II, Office of Nursing Research and Innovation, Cleveland Clinic
  • Christian N Burchill, PhD, MSN, RN, CEN
    Nurse Scientist II, Office of Nursing Research and Innovation, Cleveland Clinic
  • Licia M Clowtis, PhD, RN
    Nurse Scientist I, Office of Nursing Research and Innovation, Cleveland Clinic
  • Sandra L Siedlecki, PhD, RN, APRN-CNS
    Senior Nurse Scientist, Office of Nursing Research and Innovation, Cleveland Clinic
  • Lee Anne Siegmund, PhD, RN, CEP
    Nurse Scientist I, Office of Nursing Research and Innovation, Cleveland Clinic

Agenda

Day One Conference Agenda
7:30 a.m. - 8 a.m. Registration and coffee
8 a.m. - 8:15 a.m. Welcome and Remarks
8:15 a.m. - 9:15 a.m. Overview
  • What is EBP; Best sources of EBP; Evolution of EBP; Using/Applying research; Does EBP make a difference
  • Misconceptions held by nurses; Barriers to EBP; Facilitators of EBP; Skills required for EBP
  • Method: Lecture and discussion

Nancy M Albert, PhD, CCNS, CHFN, CCRN, NE-BC, FAHA, FCCM, FAAN

9:15 a.m. - 9:45 a.m. Selecting Practices/Themes
  • Determining legitimacy of selected practice themes for EBP project
  • 8 Considerations when determining EBP project priority
  • Method: Lecture and discussion

Sandra L Siedlecki, PhD, RN, APRN-CNS

9:45 a.m. - 10 a.m. Break
10 a.m. - 12:15 p.m. Determining the Current Level of Evidence
  • Determine the practice problem/issue/question
  • Evaluate whether time should be spent on identified practice problem(s)
  • Construct a PICO question
  • Practice constructing a PICO question – Individual work and group discussion
  • Discuss search engines – Why so many? What to use? When?
  • Method: Lecture, discussion, and practice looking for literature via a search engine

Sandra L Siedlecki, PhD, RN, APRN-CNS

12:15 p.m. - 1 p.m. Lunch
1 p.m. - 2 p.m. Critiquing the Literature:
  • Different “levels” or “strengths” of quantitative and qualitative evidence
  • Different research methods decisions affect “quality” of literature; setting and sample; research design; outcome measures selected; data collection
  • How data analysis affects “quality” of a specific paper
  • How the reporting of a paper’s limitations affects “quality”
  • Method: Lecture, discussion, small group work practice reviewing research and review papers

Lee Anne Siegmund, PhD, RN, CEP

2 p.m. - 2:15 p.m. Break
2:15 p.m. - 4:15 p.m. Group work activity
  • Methods: Four groups – each to review three papers: quantitative research and review papers that are a mix of high and low quality and strength
  • Groups will report out to all participants – discussion

Lee Anne Siegmund, PhD, RN, CEP

4:15 p.m. - 4:30 p.m. Wrap-up/ Questions
  • Plan for tomorrow: Scenarios related to translating evidence into practice
  • Receive papers that will be reviewed tomorrow

Day Two Conference Agenda
8 a.m. - 8:30 a.m. Re-cap of Day 1
  • What is EBP? Why use a PICO format? What does PICO (TS) stand for?
  • What does “strength” of evidence refer to? What does “quality” of evidence refer to?
  • How do we apply strength and quality of evidence in:
    • Policy and procedure development?
    • Clinical Practice?
    • Research project development?
  • Method: Lecture and discussion

Esther I Bernhofer, PhD, RN-BC, CPE

8:30 a.m. - 10 a.m. Synthesis of the literature
  • Overall evidence strength/quality of collected literature on a topic; What it means to synthesize the literature/importance; Reports of literature vs. synthesis of literature; How to read forest plots (blobbograms)
    • Line of unity (vertical line representing “no effect”)
    • Assessment of heterogeneity
    • Odds (or other) ratio-based “effect” measures
    • Confidence intervals
    • Size of squares
    • Interpreting the diamond
  • Relative risk or risk ratio (ratio of the probability of an event occurring) – used in RCT and in cohort studies; Actual or absolute risk; Odds ratio – used in case-control studies; Number needed to treat (NNT)
  • Method: Lecture and discussion

Nancy M Albert, PhD, CCNS, CHFN, CCRN, NE-BC, FAHA, FCCM, FAAN

10 a.m. - 10:15 a.m. Break
10:15 a.m. - 11:30 a.m. Group work activity
  • Methods: Individual and group practice
  • Discuss synthesis of the literature that involves systematic reviews and/or meta-analyses

Nancy M Albert, PhD, CCNS, CHFN, CCRN, NE-BC, FAHA, FCCM, FAAN

11:30 p.m. - 12:15 p.m. Lunch
12:15 p.m. - 1:15 p.m. Synthesizing Disparate Literature
  • What to do when no systematic review or meta-analysis available
  • Method: Lecture, discussion, and practice

Licia M Clowtis, PhD, RN

1:15 p.m. - 2:15 p.m. Determining Practice Needs Based on Evidence
  • Enough evidence available? Enough “high quality evidence? What has the synthesis shown in terms of next steps?
  • Methods: Lecture and group reports of merging evidence with practice needs from Session 7

Esther I Bernhofer, PhD, RN-BC, CPE

2:15 p.m. - 2:30 p.m. Break
2:30 p.m. - 3 p.m. QI initiative vs. Research to Enhance Evidence-Based Practice
  • Rationale for when to initiate a research project; Initial steps to setting up
  • Rationale for when to initiate a quality improvement initiative; Steps to setting up
  • Method: Lecture

Christian N Burchill, PhD, MSN, RN, CEN

3 p.m. - 4:15 p.m. Translating and Implementing EBP
  • Identifying and overcoming barriers to practice changes
  • Systems and stakeholders
  • Models of behavior change – understand and apply
  • Methods: Lecture and small group work
    • Define a needed practice change based on synthesis of literature
    • Develop a plan to implement a new practice change
    • Assess factors indicating readiness for change
    • Understand barriers to translation of evidence
    • Determine internal and external stakeholders
    • Develop a strategy for change (process)
    • Determine how success is measured

Christian N Burchill, PhD, MSN, RN, CEN

4:15 p.m. - 4:30 p.m. Wrap-up/Closing

Accreditation

Cleveland Clinic Enterprise is accredited with distinction as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation.

Registration

Registration

  • Registration is due by November 2, 2018
  • Breakfast and lunch will be included
  • For questions, please contact Esther Bernhofer at 216.445.5269
  • Course is only open to Cleveland Clinic Caregivers
  • Register Now!
Conference Fees
Cleveland Clinic Caregivers Complimentary