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Program evaluation of neuroscience competency programs to implement evidence-based practices.

Staci Sue Reynolds1,2, Susan M McLennon3, Patricia R Ebright4

  • 1Duke University Hospital, Durham, NC, USA.

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|October 22, 2016
PubMed
Summary
This summary is machine-generated.

This study found that competency programs and their implementation strategies were effective in improving neurocritical care nurses' knowledge of evidence-based stroke and spinal cord injury guidelines. Nurses found the programs acceptable and appropriate, leading to adoption into practice.

Keywords:
evidence-based practiceguidelinesimplementationnurseoutcomesprogram evaluation

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Area of Science:

  • Nursing Education
  • Evidence-Based Practice Implementation
  • Neurocritical Care

Background:

  • Program evaluation is crucial for assessing evidence-based practice (EBP) success and facilitating cross-setting implementation.
  • Improving adherence to EBP guidelines in neurocritical care is essential for patient outcomes.

Purpose of the Study:

  • To evaluate the utility of two competency programs aimed at enhancing neurocritical care nurses' knowledge and adherence to stroke and spinal cord injury (SCI) guidelines.
  • To assess the effectiveness of three implementation strategies: local opinion leaders, printed educational materials, and educational outreach.

Main Methods:

  • A qualitative approach utilizing one-on-one interviews with 10 neurocritical care nurses.
  • Semi-structured interviews explored nurses' perceptions of the competency programs and implementation strategies.
  • Data analysis involved first-level coding for theme identification and deductive analysis using an implementation outcomes framework (acceptability, appropriateness, adoption, sustainability).

Main Results:

  • Nurses perceived the competency programs and the three implementation strategies as both acceptable and appropriate.
  • Nurses reported adoption of EBP into their practice following the competency programs.
  • Participants provided actionable suggestions for sustaining improvements in nursing knowledge and guideline adherence.

Conclusions:

  • The Stroke and Spinal Cord Injury Competency Programs, along with the utilized implementation strategies, demonstrated success.
  • Findings offer valuable insights for refining future EBP implementation studies in neurocritical care settings.