NPACE (Nurse Practitioner Associates for Continuing Education) is a non-profit organization founded in 1980 by a group of nurse practitioner leaders in New England. Event details may change at any time, always check with the event organizer when planning to attend this event or purchase tickets.
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The impact of evidence-based practice (EBP) has echoed across nursing practice, education, and science. Over the past decade, nurses have been part of a movement that reflects perhaps more change than any two decades combined. This discussion highlights some of the responses and initiatives that those in the profession of nursing have taken to maximize the valuable contributions that nurses have made, can make, and will make, to deliver on the promise of EBP.
Evidence-based practice holds great promise for moving care to a high level of likelihood for producing the intended health outcome.
Degree to which health services for individuals and populations increase the likelihood of desired health outcomes and are consistent with current professional knowledge (IOM 1990; 2013, para 3).
The phrases in this definition bring into focus three aspects of quality: services (interventions), targeted health outcomes, and consistency with current knowledge (research evidence). The EBP movement began with the characterization of the problem—the unacceptable gap between what we know and what we do in the care of patients (IOM, 2001). Early in the EBP movement, nurse scientists developed models to organize our thinking about EBP. The ACE Star Model of Knowledge Transformation (Stevens, 2004) was developed to offer a simple yet comprehensive approach to translate evidence into practice.
The ACE Star Model of Knowledge Transformation highlights barriers encountered when moving evidence into practice and designates solutions grounded in EBP. Quality improvement of healthcare processes and outcomes is the goal of knowledge transformation. Bibliographic Databases such as CINAHL-provide single research reports, in most cases, multiple reports.
Cochrane Collaboration Database of Systematic Reviews-provides reports of rigorous systematic reviews on clinical topics.
National Guidelines Clearinghouse-sponsored by AHRQ, provides online access to evidence-based clinical practice guidelines. AHRQ Health Care Innovations Exchange-sponsored by AHRQ, provides profiles of innovations, and tools for improving care processes, including adoption guidelines and information to contact the innovator.
National Quality Measures Clearinghouse-sponsored by AHRQ, provides detailed information on quality measures and measure sets. Following the influential Crossing the Quality Chasm report (IOM, 2001), experts emphasized that the preparation of health professionals was crucial to bridging the chasm (IOM, 2003). Work in interdisciplinary teams - cooperate, collaborate, communicate, and integrate care in teams to ensure that care is continuous and reliable. Employ evidence-based practice - integrate best research with clinical expertise and patient values for optimum care, and participate in learning and research activities to the extent feasible. Utilize informatics - communicate, manage knowledge, mitigate error, and support decision making using information technology. From this core set, IOM urged each profession to develop details and strategies for integrating these new competencies into education.
A measurement instrument was developed from these competencies, called the ACE EBP Readiness Inventory (ACE-ERI). Another curricular initiative became known as Quality and Safety Education in Nursing Institute (QSEN) (QSEN Institute, 2013). Investigation into uptake of evidence-based practice is one of the fields that has deeply affected the paradigm shift and is woven into each of the other fields. When the public cry for improved care escalated, rapid movement of results into care was brought into sharper focus in healthcare research.


Likewise, some of the most recent calls for research from the Agency for Healthcare Research and Quality (AHRQ) are also focusing on PCOR. Two additional federal initiatives exemplify what may be called the next big ideas in EBP—each underscoring evidence-based quality improvement.
A call for increased emphasis on implementation of evidence-based practices brought forth a federal funding program. Recognizing that pockets of excellence in safety and effectiveness exist, there is concern that local cases of success in translating research into practice are often difficult to replicate or sustain over time. The ISRN supports rigorous testing of improvement strategies to determine whether, how, and where an intervention for change is effective. The primary goal of the network is to determine which improvement strategies work as we strive to assure effective and safe patient care.
Those leading clinical practice have willing partners from the academy for discovering what works to improve health care. Those leading education have great advantages offered from a wide variety of educational resources for EBP. Those leading nursing science have access to new funding opportunities to develop innovative programs of research in evidence-based quality improvement, implementation of EBP, and the science of improvement. The challenges for moving EBP forward spring from two sources: nurses becoming powerful leaders in interprofessional groups and nurses becoming powerful influencers of change. Persistence in educating the future workforce, and retooling the current workforce, with awareness, skills, and power to improve the systems of care.
The nursing profession remains central to the interdisciplinary and discipline-specific changes necessary to achieve care that is effective, safe, and efficient. Portions of this work were supported by the National Institutes of Health, National Institute of Nursing Research NIH (1RC2 NR011946-01, PI K. Admission is free and one continuing education unit is available through the American Nurses Association. Following the film screening, a panel will discuss how nurses can change public perception about nursing and the role of the nurse. Each regional magazine delivers high-quality, timely and compelling local and national editorial coverage in a helpful, easy-to-read format. Tell us about yourself so that when possible we can provide you with the most relevant information according to your selections. The call for evidence-based quality improvement and healthcare transformation underscores the need for redesigning care that is effective, safe, and efficient. The recommendation that nurses lead interprofessional teams in improving delivery systems and care brings to the fore the necessity for new competencies, beyond evidence-based practice, that are requisite as nurses transform healthcare. Important new knowledge resources have been developed and advanced owing to the EBP movement.
With a focus on employing evidence-based practice, nurses established national consensus on competencies for EBP in nursing in 2004 and extended these in 2009 (Stevens, 2009).
To stimulate curricular reform and faculty development, the IOM suggested that oversight processes (such as accreditation) be used to encourage adoption of the five core competencies. While the materials presented were in existence in other professional literature, the book added great value by synthesizing what was known into one publication. Investigation into EBP uptake is equivalent to investigating Star Point 4 (integration of EBP into practice). D&I research offers nurses opportunities to guide health care transformation at multiple levels, thereby addressing recommendation from the Future of Nursing. Through this national research collaborative, rigorous studies are designed and conducted through investigative teams. New in our vernacular and skill set are systems thinking, microsystems change, high reliability organizations, team-based care, transparency, innovation, translational and implementation science, and, yes, still evidence-based practice.
Stevens is STTI Episteme Laureate, Professor and Director of the Academic Center for Evidence-Based Practice (ACE) and Improvement Science Research Network (ISRN) in the University of Texas Health Science Center School of Nursing San Antonio.


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The goal of the American Nurse Project is to promote the voice of nurses in the United States through personal stories.
In addition to a continuing education module in every issue, each magazine offers extensive job listings for RNs.
In line with multiple direction-setting recommendations from national experts, nurses have responded to launch initiatives that maximize the valuable contributions that nurses have made, can make, and will make, to fully deliver on the promise of EBP.
Initiatives that followed included the new program standards established by the American Association of Colleges of Nursing, crossing undergraduate, masters, and doctoral levels of education (AACN, 2013). For example, one emphasis in the field is discovering and applying the evidence for the most effective ways to speed adoption of evidence-based guidelines across all health care professionals in the clinical unit and in the agency.
She holds the UT System Chancellor’s Health Fellowship in interprofessional health delivery science.
The future of nursing: Leading change, advancing health [prepared by Robert Wood Johnson Foundation Committee Initiative on the Future of Nursing]. Clinical practice guidelines we can trust [Committee on Standards for Developing Trustworthy Clinical Practice Guidelines].
Though nurses are 3 million strong, the nature of their varied roles does not often place them in the public eye. It has met the continuing education needs of clinicians by offering national and regional primary care and specialty care conferences. Her multi-site research on team collaboration and frontline engagement in quality improvement is conducted through the national collaboratory, the ISRN. NPACE is committed to fostering the nursing profession through on-going initiatives with academic institutions nationwide. This article briefly describes the EBP movement and considers some of the impact of EBP on nursing practice, models and frameworks, education, and research. The strength of these resources is that the approaches and strategies remain closely aligned with the Institute of Medicine’s continuing progress toward better health care. With stories and photos, the documentary hopes to inspire audiences to think about nurses with a newfound appreciation for this essential figure on the front lines of health and healthcare today. The NPACE Board of Directors collaborates with nursing faculty by forming discussion groups to explore professional issues, such as the Nursing Doctorate.
The article concludes with discussion of the next big ideas in EBP, based on two federal initiatives, and considers opportunities and challenges as EBP continues to support other exciting new thinking in healthcare. To affect better patient outcomes, new knowledge must be transformed into clinically useful forms, effectively implemented across the entire care team within a systems context, and measured in terms of meaningful impact on performance and health outcomes. These resources have also been incorporated into educational settings as programs are revised to include EBP skills.
This close alignment reflects the appreciation that nursing must be part of this solution to effect the desired changes; and remaining in the mainstream with other health professions rather than splintering providers into discipline-centric paradigms. The recently-articulated vision for the future of nursing in the Future of Nursing report (IOM, 2011a) focuses on the convergence of knowledge, quality, and new functions in nursing.
The comparative effectiveness of prevention and treatment strategies are [sic] also an important part of translational science” (Section I, para 2). The recommendation that nurses lead interprofessional teams in improving delivery systems and care brings to the fore the necessity for new competencies, beyond evidence-based practice (EBP), that are requisite as nurses transform healthcare. These competencies focus on utilizing knowledge in clinical decision making and producing research evidence on interventions that promote uptake and use by individual providers and groups of providers. Enjoyjan , nursing, medicine and school quotes about teaching nursing Helpmay , sayings on tooct , hard work.



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