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- All Subjects: Evidence-based Practice
- Creators: Arizona State University. College of Nursing & Healthcare Innovation
Description
Importance: Idiopathic Pulmonary Fibrosis (IPF) is a worldwide deadly disease with a mortality rate of nearly 100% without lung transplantation (IPF Foundation, 2020). The exact cause of this disease is unclear. Evidence has shown that IPF patients have a high risk of having abnormal acid reflux. Chronic acid reflux can worsen IPF prognosis.
Objective: To assess the effectiveness of an online educational intervention in enhancing clinician’s belief, confidence and readiness in implementing an acid reflux screening protocol in IPF patients.
Methods: Physicians and nurse practitioners in primary care and pulmonary specialties within the United States were asked to complete online pre- and post-surveys after reviewing a webpage presenting up-to-date research evidence showing the relationship between IPF and gastroesophageal reflux disease (GERD).
Main Outcomes and Measures: Questionnaires adapted from the Evidence-Based Practice Beliefs and Implementation Scales by Melnyk were utilized to evaluate changes in belief, confidence and readiness to implement evidence-based practice recommendations.
Results: Percentage of participants who strongly believed in acid reflux screening in IPF increased from 60% pre-survey to 80% post survey (M=4.75, SD=0.58). The percentage of participants who thought they were ready to implement this screening protocol decreased from 60% pre-survey to 50% post survey (M=4.44, SD=0.63). More participants felt strongly confident during the post-survey. The pre-survey had 130 views with a completion rate of 12.3%.
Conclusion and Relevance: An online educational tool such as a webpage was an effective way to enhance clinician’s belief and confidence in acid reflux screening in IPF.
Keywords: idiopathic pulmonary fibrosis, gastroesophageal reflux disease, abnormal acid reflux screening, evidence-based practice
ContributorsFoster, Lillian (Author) / Baker, Laurie (Thesis advisor) / Arizona State University. College of Nursing & Healthcare Innovation (Contributor)
Created2021-04-27
Description
Healthcare organization leaders greatly rely on evidence-based practice (EBP) to guide the delivery of care and support clinical decisions on patient care. EBP is a process of assessing and implementing best evidence, patient values, and clinical expertise to make clinical decisions on patient care. Engagement in EBP is an opportunity to overcome the barriers that lead to poor patient and system outcomes. However, EBP implementation can be difficult due to barriers such as lack of time, lack of EBP knowledge, lack of leadership support, and difficulty accessing resources. Several studies support educational programs for nurses to strengthen EBP beliefs and implementation. The purpose of this project was to increase participation in EBP for nurses practicing at Mayo Clinic Arizona. The project involved planning for redesign of existing EBP courses along with new types of support and educational sessions. DNP students participated in the initiative through searching for and synthesizing evidence, collecting and analyzing survey data, and presenting recommendations for program development and outcome measurement to nursing leaders in the organization.
Keywords: evidence-based practice, hospital, nurses, engagement, continuing education
ContributorsVea, Davina; Espinosa, Gloria (Author) / Hagler, Debra (Thesis advisor) / Arizona State University. College of Nursing & Healthcare Innovation (Contributor)
Created2021-04-25