The Science Journal of the American Association for Respiratory Care

2007 OPEN FORUM Abstracts

INTRODUCTION OF A CULTURE OF EVIDENCE-BASED PRACTICE TO RESPIRATORY CARE STAFF

J. R. Edens1, E. Mendez2, C. Tierney2


Introduction: Evidence-Based Medicine was first mentioned in the literature in 1992. The medical model evolved over time as other healthcare disciplines became involved in evidence-based efforts and the use of terms such as Evidence-Based Practice, Evidence-Based Care and Evidence-Based Decision making were increasingly used in the literature to describe the multidisciplinary evidence-based work being done. Evidence-Based Care results when the integration of clinical evidence, the clinician’s experience and expertise and the patient and family values and preferences occurs. A Division of Respiratory Care education strategy was developed to improve staff’s knowledge of evidence-based care and research.

Method:
In January 2006, in collaboration with the Center for Health Policy and Clinical Effectiveness, a brief survey was developed utilizing validated questions to assess members of the Division of Respiratory Care’s knowledge and comfort with evidence-based care, and their desire to increase their evidence-based care skills. Survey was distributed to current council members of the Division of Respiratory Care that same month prior to any formal education provided.

Results:
Thirty council members completed the survey (90% response rate). The following were survey Results: 93% of respondents identified familiarity with Evidence-Based Practice. 10% of respondents identified some knowledge of Evidence-Based Practice or research skills. 100% did not know how to form an answerable clinical question. 60% felt their level of communication to other health care providers was impaired on this subject. 93% of respondents indicated a desire to learn more about Evidence-Based Practice. An educational strategy was developed for staff that would be used to introduce Evidence-Based Practice and how to utilize Evidence-Based Practice skills to change and improve patient outcomes.

Conclusion:
As a direct result of this training, an Evidence-Based Practice Research Council will become part of the Division of Respiratory Care’s Shared Governance structure in June 2007. The Evidence-Based Care education successfully reinforced the importance of research and evidence. Observations of staff have indicated that they are beginning to apply EBP concepts in their clinical care and their language. Since the initial education provided in 2006, other staff have expressed increased desire to gain Evidence-Based Care training, which is currently being scheduled.

Survey
Are you familiar with the term Evidence-Based Medicine/Practice?
Yes No
Do you know how to start the research process?
Yes No
Do you know how to ask an answerable clinical question?
Yes No
Do you feel you can communicate effectively to other health care team members on this topic?
Yes No
Would you like to learn more? Yes No



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