Keeping the person at the centre of evidence based practice: leading the way

Transcription

1 University of Wollongong Research Online Faculty of Science, Medicine and Health - Papers Faculty of Science, Medicine and Health 2014 Keeping the person at the centre of evidence based practice: leading the way Rebekkah Middleton University of Wollongong, rmiddle@uow.edu.au Denise Edgar Illawarra Shoalhaven Local Health District Publication Details R. Middleton & D. Edgar (2014). Keeping the person at the centre of evidence based practice: leading the way. Poster presented at the IPDC affiliate Conference, Chifley Hotel Wollongong, 21 February Research Online is the open access institutional repository for the University of Wollongong. For further information contact the UOW Library: research-pubs@uow.edu.au

2 Keeping the person at the centre of evidence based practice: leading the way Disciplines Medicine and Health Sciences Social and Behavioral Sciences Publication Details R. Middleton & D. Edgar (2014). Keeping the person at the centre of evidence based practice: leading the way. Poster presented at the IPDC affiliate Conference, Chifley Hotel Wollongong, 21 February This conference paper is available at Research Online:

3 Reflect upon these questions? What does EBP mean to you? What evidence do you value? What do you belief the value of EBP is? When did you last generate a clinical question? When did you last question/reflect on your practice? When did you last share an article with a colleague? When did you last change your behaviour as an outcome of something you heard or read? Have you seen or heard anything today that you intend to do when returning to work Monday? Will your intention become a reality?

4 Keeping the person at the centre of evidence based practice: leading the way Rebekkah Middleton Lecturer School of Nursing & Midwifery, UOW Denise Edgar (Judith Meppem Scholarship Recipient 2012) Leadership Coordinator ISLHD

5 Today Person Evidence Based Practice Leadership

6 Evidence based practice EBP is the integration of clinical expertise, patient values, and the best research evidence into the decision making process for patient care. Clinical expertise refers to the clinician s cumulated experience, education and clinical skills. The patient brings to the encounter his or her own personal preferences and unique concerns, expectations, and values. The best research evidence is usually found in clinically relevant research that has been conducted using sound methodology (1) PD acknowledges evidence from practice, local data and patients experience (2)

7 Activity In groups discuss: Who is the person or people at the centre of our circle? What does it mean to be person centred? Can you think of an encounter that was both person centred and evidence based? Choose one example to share with the group [10 minutes max]

8 Evidence in and from practice..

9 EBP: need direction, a plan, theory or framework?

10 Getting evidence into practice: Diffusion of Innovation (3) Not the people who change but the innovation itself Peer to peer networking 20:60:20 rule adopters 49 87% adopt innovation on these 5 areas Relative advantage Compatibility Simplicity in ease of use Trial ability Observable results (Reinvention)

11 Getting evidence into practice Knowledge to Action (4)

12 Individuals belief and attitudes to EBP Perceived autonomy to change Feeling of loss, Habit theory Barriers (5)

13 SI = f(e,c,f) High Evidence Low Context High (6) Permission to use by J Rycroft Malone

14 Leadership and EBP Commitment requires leaders to transform the culture through an inspired shared vision that clearly establishes EBP as integral component of patient care (7)

15 NSW Health Leadership Framework (8)

16 Activity In your group review your domain Use the domain to help you consider how you would enact leadership in EBP what would people see or hear from you? Choose two main points to share with the larger group Is there any other tips you would like to share or something we have discussed in todays session? (15 minutes plus 5 discussion )

17 In summary The person in the middle is the nurse, the team, the leader, the patient, the librarian Consider a framework to guide implementing Evidence Based Practice Leadership is an integral part of the process

18 References: 1. Sackett D 2014 Introduction to Evidence Based Practice viewed 20 Feb Bucknall T Kent B Manley K 2008 Evidence Use and Evidence Generation in Practice Development in Manley K McCormack Wilson V, ed. International Practice Development in Nursing and Healthcare Blackwell Publishing Ltd: Singapore. 3. Robinson L 2009 A summary of diffusion of innovations viewed 14 Feb 2012 enablingchange.com.au/summary_diffusion_theory.pdf 4. Graham ID and Tetroe JM, The Knowledge to Action, in Framework Models and Frameworks for Implementing Evidence Based Practice: Linking Evidence to Action, Rycroft Malone J Bucknall T, Editor. 2010, Wiley Blackwell Edinburgh and New York. 5. National Institute of Clinical Studies 2006 Identifying barriers to evidence uptake National Institute for Clinical Studies Melbourne Victoria 6. Rycroft Malone J Bucknall T, ed Models and Frameworks for Implementing Evidence based Practice: Linking Evidence to Action Wiley Blackwell Edinburgh and New York 7. Hauck S Winsett RP Kurie J 2012 Leadership and Facilitation strategies to establish evidence based practice in an acute hospital Journal of Advanced Nursing p HETI 2013 NSW Health Leadership Framework HETI, Sydney

19 Further information National Institute for Health Research CLARHC Leicestershire Northamptonshire and Rutler Canadian Institutes of Health Research