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Nursing Research Opportunities at Children's National

Evidence-based practice program

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Overview
Current Research studies
Evidence-based practice program
Quality
Education

The Children’s National Model of Evidence- Based Nursing, one of the four pillars of our Professional Practice Model, incorporates the tenets of evidence- based practice (EBP) to demonstrate how nursing care is based upon the best evidence available. All of our Shared Nursing Leadership councils participate in promoting a spirit of inquiry and evidence- based practice at Children’s National. Evidence-based practice is present in all of the nurses’ care and work in our organization. 

Evidence based practice initiatives

We have completed and are working on a number of organization-wide EBP initiatives at Children’s National. A few examples include:

Family Presence during trauma activation and medical resuscitation in a pediatric emergency department: An evidence-based demonstration project

In 2007 a demonstration project evaluated the introduction of family presence during trauma activations in the Children’s National Emergency Department. Using EBP methodology, the investigators demonstrated the safety of and satisfaction with family presence. Family presence is now the standard of care in our EMTC. With the evidence developed from this project, investigators expanded the project to include other pediatric EMTC in an AHRQ study funded in 2008
 
Kingsnorth, J., O’Connell, K., Guzzetta, C. E., Edens, J. C., Atabaki, S., Mecherikunnel, A., Brown, K. (2010). Family presence during trauma activations and medical resuscitations in a pediatric emergency department: An evidence-based practice project. Journal of Emergency Nursing, 36(2), 115-121
 
Kelly, K. P., Guzzetta, C. E., Mueller-Burke, D., Nelson, K., DuVal, J., Hinds, P. S., Robinson, N.(2011). Advancing evidence-based nursing in a children’s hospital using competitive awards.Western Journal of Nursing Research, 33(3), 306-332. DOI: 10.1177/0193945910379586

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Implementing and sustaining evidence-based nursing practice to reduce pediatric cardiopulmonary arrest

In 2008 we implemented the use of an early warning assessment, the PEWS throughout the organization. An early evaluation demonstrated reduction of codes outside of the intensive care units and in fact an overall reduction of code blues, demonstrating the effectiveness of the PEWS in helping bedside nurses recognize early signs of patient deterioration and escalate care accordingly. We continue to work to enhance the implementation of this important EBP care.

Randhawa, S., Roberts-Turner, R., Woronick, K., & DuVal, J. (2011).Implementing and sustaining evidence-based nursing practice to reduce pediatric cardiopulmonary arrest. Western Journal of Nursing Research, 33(3), 443-456. DOI: 10.1177/0193945910379585

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Resources for EBP at Children’s National

Key resources to help nurses and others use the best evidence in their daily practice include:
EBP curriculum: Members of the Department of Nursing Research and Quality Outcomes provide ongoing training in Evidence- Based Practice.  In addition, departmental members help to support unit-level journal clubs.

Health Science librarians and library services:Susan Keller, MLS and Debbie Gilbert, MLS work closely with nursing staff to help them locate evidence for practice. (mlibrary@cnmc.org)

Nurses at Children’s National Medical Center have other opportunities to pursue scholarly interests.

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