| |
Nursing Research Opportunities at Children's National
Children’s National celebrates nursing research. Our program is developing into a nationally recognized setting for pediatric nursing and intraprofessional research. Our goal is to involve nurses in research and evidence based practice to improve patient and family care outcomes. We have developed a model for Evidence Based Nursing that includes the ongoing integration, at the point of care, of multiple sources of evidence: research, performance improvement, the nurse’s experience and judgment making, and patient and family preferences and experience with healthcare. We define excellence in nursing practice as a mindset of continually evaluating care improvements that result in enhanced outcomes for the patient, the family, and the organization. This includes disseminating findings in ways that benefit the children and families of the world.
We seek to continually:
- Facilitate the conduct of independent, extramurally funded studies that generate new knowledge
- Engage nurses in the systematic examination of their clinical hypotheses
- Provide research mentorship
- Promote intraprofessional research
- Establish evidence based nursing practice
Our program consists of:
- An academic Department of Nursing Research
- The Clinical Improvement and Nursing Research Council
- The Nursing Research Advisory Council
- Nursing members of the Clinical Research Center at Children’s National
Our 2007-2009 outcomes include:
- Extramural funding from the National Institutes of Health (National Cancer Institute, National Institutes of Arthritis and Musculoskeletal and Skin Disease), health care product companies and private foundations
- Intramural research funding for 4 studies from the Children’s Research Institute
- 18 current IRB approved studies, 17 of which have RN Principal Investigators
- National paper and poster presentations
- Evidence-Based Practice Award Program
Back to top
| 2007 |
Family Presence During Trauma Stats and Medical Alerts in a Pediatric Emergency Department: An Evidence-Based Practice Demonstration Project
PI: Jennifer Hinrichs, MSN, RN, CCRN
Co-I: Jackie Edens, BSN, RN; Kathleen Brown, MD, Karen O'Connell, MD, Shareen Atabaki, SW, Cathie Guzzetta, PhD, RN, AHN-BC, FAAN - HRSA funded |
Evaluating Fasting Times of Patients Undergoing Surgery or Radiology Tests
PI: Catherine Jacobsen Williams, MS, BSN, RN;
Co-I: Trey Bailey, RN, Pat Johnson, PhD, Ira Cohen, MD, Philip Guzzetta, MD, Steven Weinstein, MD, Cathie Guzzetta, PhD, RN, AHN-BC, FAAN - RAC funded |
Establishing a New Standard of Wound care in Children: Experience of Integrating Vacuum-Assisted Closure (VAC) in a Large Pediatric Hospital
PI: Laura Tosi, MD
Co-I: Bernadette Dailey, BSN, RN, CPON; Cheryl Reggio, RN,CPON, OCN |
Reducing Emergency Department Throughput Times: An Evidence-Based Practice Demonstration Project Evaluation
PI: Stacy Doyle, RN, MBA, CPN
Co-I: Jennifer Hinrichs, MSN, RN, CCRN; Johanna McKenna, BSN, RN, CPN; Kathleen Brown, MD; Cathie Guzzetta, PhD, RN, AHN-BC, FAAN |
| 2008 |
Family Presence During Trauma Team Activation: Measuring the Effects of a Multidisciplinary Approach to Patient-Family-Centered Care
PI: Karen O'Connell, MD
Co-I: Jennifer Hinrichs, MSN, RN, CCRN, Cathie Guzzetta, PhD, RN, AHN-BC, FAAN; Anne Mecherikunnel, MSW, James Chamberlain, MD, Kathey Brown, MD, Jim Chamberlain, MD |
Reducing Catheter Associated Blood Stream Infections Initiative
PI: Donna Johnson, MS, MBA, RN
Co-I: Heidi Dalton, MD, Xiaoyan Song, hD, MB, MSC, Arden Cooper, BSN, RN, Annierose Abogadie, BSN, RN |
Understanding Factors Associated with Monitor of Alarm Generation in Critically Ill Children
PI: Linda Talley, MS, RN
Co-I: Jeffrey Hooper, MS, Brian Jacobs, MD, CMIO, Robert McCarter, PhD, Sally Wilson, BSN, RN; Cathie Guzzetta, PhD, RN, AHN-BC, FAAN; *Sherry Cain, RN, Diane Powell, BSN, RN, Tina Green, RN, Laurie Aaronson, RN - Corporate funding |
Evaluation of Neonatal Thermoregulation throughout the Perioperative Experience
PI: Christina Lloyd, RNC, MS
Co-I: Dena McCoy, BSN, RN; Lisa Williams, BSN, RN; Debby Morehouse, BSN, RN; Elizabeth Miller, BSN, RN, Billie Short, MD, Joan Paribello, RNC, BSN, Lisa Zell, RN, Cathie Guzzetta, PhD, RN, AHN-BC, FAAN; Dawn Mueller-Burke, PhD, CRNP, NNP-BC - RAC funded |
The Lived Experience of Parenting a Preschool Age, Moderately Mentally Retarded Autistic Child
PI: Michiko Lendenmann, CPNP, RN |
Measuring Parental Treatment Decision Making in Diverse Family Structures
PI: Kathy Kelly, PhD, RN PCNS-BC CPON
Co-I: Emily Dunn, BSN, RN, Wendy Fitzgerald, MSN, PNP-BC, Shana Jacobs, MD, Jichuan Wang, PhD, Cathie Guzzetta, PhD, RN, AHN-BC, FAAn; Janet Deatrick, PhD, RN, Larry Ganong, PhD - RAC funded |
| 2009 |
Pilot Sutdy of an Intervention to Support Parents Making Treatment Decisions for Their Children with Cancer
PI: Kathy Patterson Kelly, PhD, RN, PCNS-BC, CPON;
Co-I: Janet Stewart, PhD, RN; Kimberly Pyke-Grimm, MN, RN; Gilan El Saadwi, MD, PhD - CReFF funded |
Hopital-Based Nursing Research Requirements and Outcomes (HNRRO) Survey
Kathy Kelly, PhD, RN, PCNS-BC, CPON; Cathie Guzzetta, PhD, RN, AHN-BC, FAAN; Maureen McLaughlin, PhD, RN; Karen Speroni, PhD, RN |
The Therapy-Related Symptom Checklist for Children (TRSC-C): Systematic Monitoring of Symptoms to Improve Oncology Interventions
PI: Phoebe D. Williams, PhD, RN
Co-I: E. Lavonne Ridder, MN CPON; Melanie Brewer, PhD, FNP, ARNP, MSN, RN; Kathy Kelly, PhD, RN, PCNS-BC, CPON - Foundation funding |
Family Decision-making in Pediatric Allogenic Stem Cell Transplantation
PI: Pamela S. Hinds, PhD, RN
Co-I: Wendy Pelletier, MS; Melissa Alderfer, PhD; Rebecca Pentz, PhD - NIH funded |
Health and Literacy in Child and Adult Assessment: Expanded Testing of the Pediatric PROMIS Tool
PI: Pamela S. Hinds, PhD, RN
Co-I: Darren DeWalt, MD, MPH; Suzanne Nuss, PhD, RN; Kathy Ruccione, MPH, RN; Janice Whythcombe, MSN, RN; Carlton Dampier, MD - NIH funded |
Nurses and Physicians Knowledge and Attitudes toward Pediatric Pain
PI: Amrita D. Naipaul, MSN, PCCNP
Co-I: Cathie Guzzetta, PhD, RN, AHN-BC, FAAN |
Factors that Facilitate or Present Barriers to the use of Evidence-based Practice among Pediatric Nurses
PI: Pam Petto, BSN, RN, CPON
Co-I: *Claire Cliché BSN, RN, CPN; Kathy Dubois MSN, RN; Jessica Graef MSN, RN; Linda Larson MSN, RN, CCM; Kathy Kelly, PhD, RN, PCNS-BC, CPON; Simmy Randhawa MS, MBA, RN, NE-BC, CPN; Cheryl Reggio RN, CPON, OCN; Pamela Samuelson BSN, RN, CPN; Laura Parsons Wandell, BSN, RN, CPON; Janel Williams, BSN, RN, CPN; Cathie Guzzetta, PhD, RN, AHN-BC, FAAN |
Back to top
Research at Children's
Children’s National is committed to nursing research. We encourage nurses to be actively engaged in nursing research and evidence-based nursing practice to achieve excellence in patient and family outcomes. We offer many avenues for nurses to become involved in nursing research and evidence based practice projects.
Clinical Improvement and Nursing Research Council (CINRC)
This council originated in 2006 with the goal of improving patient and family outcomes through nurse sensitive performance improvement initiatives and fostering the conduct and translation of nursing and other health care research at all levels of practice. Meeting each month, the council reviews nursing sensitive quality improvement projects from all clinical units, discusses new research studies and provides a forum for updates and educational sessions on research topics.
Nurses on the council from each clinical area continually examine and implement performance improvement activities for nursing sensitive indicators relevant to their practice area. Nurses identify system and care challenges, implement improvements and evaluate results to directly improve patient, family and system outcomes.
Nursing Research Advisory Council (NRAC)
A subcommittee of the CINRC, the NRAC reviews and provides oversight for all nursing research protocols to ensure scientific merit, feasibility, and protection of human subjects in research and makes recommendations to advance nursing research at Children’s National Medical Center. The NRAC also provides expert consultation and scientific review to novice researchers to help them develop their research ideas into feasible and fundable protocols. The co-chairs, Drs. Suzanne Feetham and Pamela Hinds, are internationally known nursing research experts.
In addition to her work on the NRAC, Dr. Feetham also provides support to nurses who are either interested in or currently enrolled in doctoral education. The Doctoral Nurses Interest Group and the Doctoral Nurses Support Groups meet quarterly to provide support to nurses interested in or currently pursuing graduate education.
Evidence-Based Practice Award Program:
Nurses are invited to submit proposals for evidence based practice projects. The aim of this program is to identify and evaluate approaches that enable nurses to provide the highest quality of care to meet the complex needs of patients and their families. All nursing units and departments are encouraged to submit applications. Priority is given to proposals that demonstrate a focus on safety/quality and those that create interdisciplinary teams. We award up to$5000 for each of three awards. During the award period each project team is provided intensive EBP education and consultations services by an EBP expert.
Back to top
2009 Awardees:
Evidence-Based Practice Ventilator Associated Pneumonia Prevention Program in Pediatric Critical Care
- Joint PICU/CICU project
- Team leader: Janeane Walker (Professional Practice Specialist)
- Team members: Angela Wratney (attending), Brenda Slavin (staff nurse), Sherri Killam (RT), June Middaugh (staff nurse), Annierose Abogadie (shift coordinator), Gary Pilkington (shift coordinator), Karen Woronick (research coordinator), Marisa Cole (staff nurse), Cathie Guzzetta (consultant)
Family presence during resuscitation in the pediatric critical care: An evidence based practice demonstration project
- Joint PICU/CICU project
- Team leader: Lelani Sanders (Staff nurse);
- Team members: Amy Wilson (Staff nurse), Janeane Walker (PPS), Gayle Gilmore (Social Worker), Hannah Greenlick (Staff nurse), Danilla Sawyer (Staff nurse), Sabrina Smallwood-Mason (Shift Coordinator), Brenda Slavin (Staff nurse) , Christina Holowka (Staff nurse), Menchee Berris-Javier (Staff nurse), Jesus Cepero (Vice-President), Bill Pastor (data analysis), Angela Wratney (attending), Cathie Guzzetta (consultant)
Using a standardized method of communication for nursing handoff
- Medical Care Unit
- Team Leader: Jen Duval (Clinical Instructor)
- Team members: Sheryl Gateau (staff nurse), Allison Armstrong (staff nurse), Hailey Tucker (staff nurse), Claire Cliché (shift coordinator), Maggie Finke (Clinical Coordinator– Consultant), Dede Colevas (Manager – Consultant)
Children’s Clinical Research Center (CRC) –The CRC nurses provide skilled support directly to clinical investigators to plan and conduct both medical and nursing research studies. Nurses work with patients and families to ensure informed and safe participation in research protocols. These nurses adhere to federal regulations for the protection of human subjects {21CFR50} and work to ensure that all research is conducted according to Good Clinical Practice (GCP). They also conduct nursing research independently or in conjunction with medical clinical trials and serve as research experts to all Children’s National staff.
Back to top
Children’s Research Institute (CRI)
Ranked ninth in the United States for National Institutes of Health (NIH) pediatric research funding, CRI brings research discoveries from the lab to the clinics of the hospital and to the community. It is comprised of research centers that work together towards cures and better care for childhood diseases. The Director of Nursing Research, Dr. Pamela Hinds holds an appointment in the CRI and provides critical input into nursing contributions to and collaborations within the CRI.
Children’s Institutional Review Board (IRB)
Children’s Institutional Review Board reviews, evaluates, approves, and monitors all proposed biomedical and behavioral research involving human subjects. It ensures that appropriate steps are taken, based on mandated federal guidelines, to protect the rights and welfare of people participating as subjects in research studies. Nursing representatives serve on Children’s IRB.
Washington Regional Nursing Research Consortium
In December of 2006 Nellie Robinson, CNO, initiated and led the re-establishment of the Washington Regional Nursing Research Consortium (WRNRC). Nurse researchers, Deans, and CNOs from the Washington DC metropolitan academic medical centers and Colleges of Nursing are members of the consortium. The meeting locations are rotated in the Washington DC region, and are held at least annually at Children’s National. The meetings focus on strengthening the ties between academia and practice to advance nursing research in the region.
Back to top
|
|
