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CS165
One Chapter's Quest to Bridge the Gap Between Practice and Research: Addressing the Barriers
By: R. Hirsch, I. Vitez, & L. DeStefano; Greater Long Beach-Orange County Chapter, CA
For further information, please contact: Hirsch_rosemarie@sac.edu
Purpose: Nursing practice based on evidence improves patient outcomes. Chapter members reported significant barriers that prevent them from incorporating research findings into their practice. The Greater Long Beach-Orange County Chapter developed a unique journal club format to reduce these barriers.
Description: In 2002, the Chapter initiated a monthly journal club to engage acute and critical care nurses from local hospitals in discussion of research findings. The monthly topics were selected based on clinical relevance, educational assessment, and articles suggested by members. The monthly Journal Club meetings take place at the same time and place in a local restaurant with vendor-sponsored dinners. Methods to decrease the inherent barriers related to critiquing academic research included a chapter led critique and review of research finding themes. This method decreased anxiety related to lack of skills to critique or synthesize the literature and difficulties interpreting the findings by many nurses. Chapter facilitated discussion of complex research by placing less emphasis on interpretation of statistics and research methodologies and focused on adaptation of findings into clinical practice. The confidential, non-threatening, supportive environment promoted open, frank discussion and diminished intimidation. The use of research in everyday practice is promoted by simplification of complex research topics and promotes replacing practice based on tradition with practice based on evidence and results in positive patient outcomes.
Evaluation and Outcomes: Over a five year period, the monthly journal club attendance increased from four members in 2002 to 50 members currently and continues to grow. Several members travel over 50 miles to attend. A community subgroup was established to review sedation protocols prompted by a journal club topic. The Board of Directors received numerous member anecdotal accounts of the influence meetings have played in their professional lives.
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