26
Highlights from the 2014 AACN Master’s Education Conference Annette Bourgault PhD, RN, CNCC(C), CNL Debby Nutt DNP, RN
Highlights from the 2014 AACN Master’s Education
Conference
Annette Bourgault PhD, RN, CNCC(C), CNL
Debby Nutt DNP, RN
Topics
O Evidence-based practice
O Pre-conference workshop
O Bernadette Melnyk PhD, RN, CPNP/PMHNP, FNAP, FAAN
O Ellen Fineout-Overholt PhD, RN, FNAP, FAAN
O Affordable care act
O IHI Open School
O Healthcare Management
O Digital Clinical Environment
O CNL Core Competencies
O CNL Resources
Evidence-Based Practice
O Terminology confusion
O Evidence-based medicine
O Evidence-based nursing
O Evidence-based …
Definition
O Evidence-based practice (EBP) is a problem
solving approach to clinical practice that
integrates the conscientious use of best
evidence in combination with a clinician’s
expertise as well as patient preferences and
values to make decisions about the type of
care that is provided. Resources must also
be considered in the decision making
process.
Melynk & Fineout-Overholt
Literature Search Strategy for Beginners
O Give students an article
O Use different search strategies
and databases to locate article
Are We Teaching Research the Traditional Way?
A) The study of how research findings are
translated into clinical practice to improve care
and outcomes
OR
B) The scientific investigation of how methods,
interventions and variables influence adoption
of EBPs by individuals and organizations
Match our Nursing Programs
A) Emphasis on research for practice
OR
B) Emphasis on practice of research
Reliability & Validity… the EBP Way
O Reliability
O Are the findings important
O Validity
O What is the impact of the intervention (effect
size)
O Are findings clinically relevant/applicable to
my patient?
Effect Size
O Calculated as the mean of the experimental
group minus the mean of the control group,
divided by the pooled or average standard
deviation
O Effect sizes for interventions
O .2 small effect
O .5 medium effect
O .8 large effect
Acting on the Evidence
Strength of the evidence + Quality of the
evidence = Confidence to Act
Cultivate Spirit of Inquiry
O Question current practices
O Philosophy, mission, & clinical promotion
incorporate EBP
O EBP mentors
O Tools available to support EBP
O Administrative support
O Regular recognition
Barriers to EBP
O Knowledge/skills
O Time
O Misperception/negative attitude
O Organizational constraints
O Lack of mentoring
O Peer pressure/resistance to change
Colleagues who are skeptical about EBP…
Facilitators to EBP
O Support/encouragement from administrators/leaders
O Time
O Clearly written research papers
O EBP mentors
O Strong EBP skills
O Knowledge of individual/organizational change
O Proper tools available
O Accountability
O Policies/procedures based on evidence
Create a Shared Vision
O Time for a poll
O www.socrative.com/
O msocrative.com (mobile)
O Enter 342446
O Web based poll will work well for students on mulitiple campuses
O Can use mobile devices, tables, or computers
Please note that the number above is specific to the instructor and
will only work when the instructor opens the poll to their students
Affordable Care Act
O Test your knowledge on health care reform
O http://kff.org/quiz/health-reform-quiz/
O Faculty resources
O http://www.aacn.nche.edu/government-
affairs/market-place-tool-kit
http://youtu.be/JZkk6ueZt-U
IHI Open School
O Free modules with CEs
O Patient Safety
O Leadership
O Improvement Capability
O Person and Family Centered Care
O Quality Cost and Value
O Population Health
O http://www.ihi.org/education/ihiopenschool/Courses/Pages/default.aspx
HealthCare Project Management
O Free templates
O http://healthcarepm.com/
O Kathy Schwalbe & Dan Furlong
AACN Master’s Education Conference
2014 Debby Nutt, DNP, RN
Digital Clinical Environment Virtual Simulation
O Nurse Practitioner students or Undergraduate students
O Shadow Health: patient Tina (www.shadowhealth.com )
O Diabetes, Asthma, Vascular Ulcer
O Health Assessment: Patient Interaction, Using EMR, Developing
Communication Skills, Medication Administration Record
O Concept Labs
O Pharmacology
O Student Assessment
O How did the digital clinical learning environment assist learning?
O Required to choose the top 5 diagnoses and why
O http://www.shadowhealth.com/health-assessment.html
CNL Core Competencies What’s New or Changed?
O http://www.aacn.nche.edu/cnl/CNL-Competencies-October-2013.pdf
O Format reflects AACN Essentials of Master’s Education
O Areas for Emphasis:
O Transitions of care
O Interprofessional practice
O Team Leadership
O Quality Improvement Processes
O Analytics
Updates Model A Programs O Common courses with Nurse Educator and DNP (RN-DNP)
students
O Variable lengths 32-42 semester hours
O Have a language for Quality and Safety (faculty and students)
O Clinical focus: leadership, systems/microsystem thinking, quality & safety (QSEN), CNL roles
O Strong Clinical Partners
O Clinical immersion experiences that build (500 clinical hours)
University of Portland & Elmhurst College
O Microsystem
assessment- 100 hours
O Build & lead teams- 100
hours
O Plan project- 300 hours
O First Practicum
O 3 semester hours (90 clinical hours)
O Partner with unit leadership
O Day in the Life case study
O Microsystem assessment
O Evidenced-based practice change
O Second Practicum
O 6 semester hours (360 clinical hours)
O CNL/Master’s Outcomes
O Synthesis Project: quality/safety,
data- evidence-outcomes, financial
impact
CNL Resources O CNL Brochure: (www.aacn.nche.edu/leading-
initiatives/cnl/cnl-certification/pdf/BrochureOrderFrm.pdf )
O CNL Bulletin: biannual newsletter by CNC & AACN (www.aacn.nche.edu/cnl/pdf/May2013.pdf )
O CNL Faculty Nurses Lounge: www.NursesLounge.com
O Under associations click on nurse associations
O Search for Commission on Nurse Certification
O CNL Certification Exam Review course (contact hours):
O $59 module
O $ 279 set (1 user)
O $ 2500 (20 students)
