Evidence map›Paper›PMID 30714308›Full record

ArticleWorldviews on evidence-based nursing2019

Impact of a Hospital Evidence-Based Practice Center (EPC) on Nursing Policy and Practice.

Julia G Lavenberg, Pamela Z Cacchione, Kishore L Jayakumar, Brian F Leas, Matthew D Mitchell, Nikhil K Mull, Craig A Umscheid

Abstract read
In one paragraph

Article in Worldviews on evidence-based nursing, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. Article
  5. The Magnet Recognition Program and Quality Improvement in Nursing.Global journal on quality and safety in healthcare · 2022
    Article
  6. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Julia G LavenbergPenn Medicine Center for Evidence-based Practice, Philadelphia, PA, USA.
Pamela Z CacchionePenn Presbyterian Medical Center, Associate Professor of Geropsychiatric Nursing, School of Nursing, University of Pennsylvania, Philadelphia, PA, USA.
Kishore L JayakumarDepartment of Medicine, Crozer Chester Medical Center, Upland, PA, USA.
Brian F LeasPenn Medicine Center for Evidence-based Practice, Philadelphia, PA, USA.
Matthew D MitchellPenn Medicine Center for Evidence-based Practice, Philadelphia, PA, USA.
Nikhil K MullPenn Medicine Center for Evidence-based Practice, Assistant Professor of Clinical Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Craig A UmscheidPenn Medicine Center for Evidence-based Practice, Vice Chair, Quality and Safety, Department of Medicine, Associate Professor of Medicine and Epidemiology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.

Funding

INSTITUTIONAL CLINICAL AND TRANSLATIONAL SCIENCE AWARDUL1RR024134 · NCRR · UNIVERSITY OF PENNSYLVANIA · PI FITZGERALD, GARRET A · 2006 to 2011
$70.4M
Institutional Clinical and Translational Science AwardUL1TR000003 · NCATS · UNIVERSITY OF PENNSYLVANIA · PI FITZGERALD, GARRET A · 2012 to 2015
$38.9M
National Center for Advancing Translational Sciences UL1TR000003National Center for Research Resources UL1RR024134NCATS NIH HHS UL1 TR000003NCRR NIH HHS UL1 RR024134
6 · The paper itself

Abstract

backgroundIn 2006, our healthcare system created a hospital Evidence-based Practice Center (EPC) to support the local delivery of high-quality, safe and high value patient care. Since then, the importance of healthcare staff work life has also been highlighted, and together these four elements form the Quadruple Aim framework. Synergistic to this Aim, the Magnet

objectiveTo examine the EPC's work to inform nursing policy and practice in support of the goals of the Quadruple Aim framework and Magnet

methodsMethods used included the following: (1) descriptive analysis of the hospital EPC's database of rapid reviews; and (2) administration of a 40-item electronic questionnaire to nurses who requested an EPC review during fiscal years (FY) 2015 and 2016.

resultsOf 308 rapid reviews completed in the EPC's first 10 years, 59 (19%) addressed nursing topics. The proportion of reviews relevant to nursing increased from 5% (2/39) in the center's first 2 years to 44% (25/60) in FY 2015-2016. The majority of nursing reviews (39/59) examined processes of care. Of 23 nurses eligible to participate in the survey, 21 responded (91%). Nurses with administrative or managerial responsibilities requested 70% of reviews; clinical nurse specialists and bedside nurses requested 17% and 9%, respectively. Reviews were used to support clinical program development (48%), provide clinical guidance (33%), update nursing policies or procedures (24%) and develop training and curricula (24%). Nurses were satisfied with the hospital EPC reviews (mean; 4.7/5), and 95% indicated they were likely to request a future review. LINKING EVIDENCE TO ACTION: A dedicated hospital EPC in partnership with nursing offers a unique mechanism for promoting a culture of evidence-based practice. Nurses at all organizational levels use the services of a hospital EPC to inform nursing policy and practice and are highly satisfied with the process, supporting the Quadruple Aim and Magnet

Indexed as

Evidence-Based PracticeHealth PolicyHospitalsHumansPennsylvaniaProgram DevelopmentSurveys and Questionnairesevidence-based nursingevidence-based practiceevidence-based practice centerquality improvementrapid reviews

Identifiers

PMID30714308
PMCPMC6413326

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.