Empowering students to create a safer clinical environment utilizing Evidence Based Practice
UMASS Graduate School of Nursing Worcester
Evidence-Based Practice, Patient-Centered Care, Quality Improvement, Safety
Graduate Students, Pre-Licensure ADN/Diploma, Pre-Licensure BSN, RN to BSN
Classroom, Clinical Setting
Upon completion of this activity the students will be able to:
1) Assess the needs of hospitalized patients and identify a clinical problem to evaluate the most current evidence-based practice.
2) Identify strategies to improve quality of care and patient safety by planning evidence-based practice plan.
3) Demonstrate quality patient care in clinical by integrating current evidence into their nursing practice.
Evidence Base Practice
Students will have experiential clinical learning that will require them to collaborate and work together as a team to identify an evidence-base practice issue in the clinical setting. They will then assess the literature to further identify the evidence to support best clinical nursing practice. (Knowledge, Skills, Attitudes)
Students will identify a clinical practice issue on their unit. They will formulate interventions to improve the quality of care based on evidence-based practice. The students will prepare a presentation and paper on this topic. (Knowledge, Skills, Attitudes).
Students will identify how current evidence improves the delivery of care to patients and results in increased patient safety. (Knowledge, Attitudes).
Patient Centered Care
Students will discuss in their presentation and paper how the integration of evidence-based practice promotes a more patient-centered environment. (Knowledge, Attitudes)
Evidence Based Practice Paper Activity
Students will divide into groups of 3 or 4 students within a clinical group. While at clinical, they will identify a clinical problem (see examples below).
They are instructed to utilize the clinical health care environment to explore and discuss their topic in the clinical setting. Students will collaborate with their clinical faculty regarding the unit’s policy and procedures and current practice guidelines for their topic. It will be is critical for students to be organized at the beginning of their clinical experience so that they can focus on their Evidence-Based Practice project.
Students will compare the unit’s policies and current evidence on their topic, and will prepare a group presentation following a grading rubric (see attached). They will then, synthesize the evidence and present current information about their topic and discuss the impact on the safety of their patients, the quality of care delivered, and how to make the care they give more patient centered care.
Lastly, the students will individually prepare and write an APA formatted evidence based practice paper emphasizing best practices within their topic. This paper must include a minimum of 3 nursing articles written within the past 5 years as well as integration of a least one QSEN competency within the evidence based paper.
- Pain Assessment, Management (ex. acute, post-operative pain vs. versus chronic Pain) and patient centered care
- Falls prevention in the hospital and patient centered care
- Medication errors and medication reconciliation increase safety
- Nursing Report and handoffs including nursing and physician SBAR (Situation, Background, Assessment, Recommendation) Communication
- Hand hygiene use of antimicrobial soap versus alcohol-based hand rubs- best evidence based practice
- Preventing Pressure Ulcers and Turning Practices to enhance quality improvement
- Quiet hours and noise level on patient units and patient centered care
- Electronic documentation at the bedside and bar code scanning. How does it improve nursing care and patient safety?
- Infection of central line and blood stream best evidence base practice.
- Social Media dangers and (Facebook © , email, Twitter ©) impact of HIPPA and safety of patient information.