Sellers, Craig R.
|Publication:||Name: Journal of the New York State Nurses Association Publisher: New York State Nurses Association Audience: Academic Format: Magazine/Journal Subject: Health; Health care industry Copyright: COPYRIGHT 2009 New York State Nurses Association ISSN: 0028-7644|
|Issue:||Date: Fall-Winter, 2009 Source Volume: 40 Source Issue: 2|
Pipe, T., Timm, J., Harris, M., Frusti, D., [TM] Tucker, S.,
Attlesey-Pries, J., et al. (2009). Implementing a health system-wide
evidenced-based practice educational program to reach nurses with
various levels of experience and educational preparedness. Nursing
Clinics of North America, 44(1), 43-55.
Pipe and colleagues, from Mayo Clinic in Rochester, Minnesota, designed and implemented a l2- month educational curriculum that focused on three areas frequently overlooked in nursing education: clinical informatics, evidenced-based practice (EBP ), and nursing-sensitive quality methodologies. Named the National Quality Forum Scholars Initiative, the goal of the project was three-fold: to depart from individual hospital-based efforts, to expand the scope of nursing professionals as a whole, and to have a direct impact on bedside nursing focusing on informatics, EBP, and quality. Using a combination of local classroom sites (with participants split into teams) and online instruction, the teams focused on issues relevant to nursing assessment, health promotion, and review of current standards, continuing the movement of translating evidence into practice. For example, one team reviewed evidence-based practices for early recognition of pressure ulcers, educational programs for patients with pressure ulcers and their families, and current interventions for the treatment of pressure ulcers.
Because the nursing profession offers three different routes (diploma, associate degree, and baccalaureate) to becoming a registered nurse, the different levels of education among the participants presented a challenge in teaching the content. It was suggested by some of the nurses that a 2-year program might benefit those without a bachelor's degree and with less background in the understanding and implementation of research. On the other hand, those nurses with a diploma or associate degree helped to keep the research focused by reiterating the central theme: "How do I use this in my job right now?"--a question that did not always present with an immediately clear answer.
The initiative undertaken by Pipe and colleagues represents one model for integrating standards of nursing care. Because various levels of education provide virtually equivalent privileges and scope of practice, a way to combat these differences is to initiate a nationalized nursing practice standard. In this sense, post-RN education can become an equalizer for nurses, to both lessen the education gap and unify the practice of nursing. This standard could serve to provide consistent patient care and improve patient outcomes, as more fluid transitions seamlessly allow one nurse to pick up where the previous nurse has left off.
Craig R. Sellers
University of Rochester School of Nursing
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