Clinical Research and Practice Collaborative: An Evidence-Based Nursing Clinical Inquiry Expansion

Abstract

Introduction: Implementation and sustainment of evidence-based practices (EBPs) are common challenges faced by healthcare organizations. The Clinical Research and Practice Collaborative, an evidence-based initiative implemented at a large Military Treatment Facility, addresses EBP implementation and sustainment by expanding the culture of nursing clinical inquiry and broadening nursing research efforts to include EBP. The evidence-based intervention of scheduled, intentional, intraprofessional collaboration between PhD nurse scientists and advanced practice registered nurses as compared to previous methods of spontaneous, consultative collaboration, focuses on developing support for nursing research and EBP initiatives. Materials and Methods: A 2-year pre- and 2-year post-implementation timeframe compared outcomes (proposals, publications, posters) from individual and collaborative nursing research and EBP initiatives. Results: Although nursing research initiatives remained stable, research publications and posters were reduced by 63%, EBP initiatives grew 450%, EBP publications and collaborative nursing initiatives for both research and EBP increased. Additionally, EBP Council membership rose 300%, and an intraprofessional cadre was formed during the implementation. Conclusions: Intentionally scheduled collaboration between PhD nurse scientists and advanced practice registered nurses is a promising model to promote an expanded culture of nursing clinical inquiry and should be considered for medical facilities seeking to enhance EBP and nursing research efforts.

Leadership competencies of first-line nurse managers: a quantitative study

“…This information calls for future directions to help nurses build and maintain research skills. The finding is inconsistent with the work of Lehane et al (2019) and Migliore et al (2020) which reported a high level of clinical research competencies among nurses.…”

Differences in beliefs on and implementation of evidence‐based practice according to type of health care institution—A national cross‐sectional study among Slovenian nurses

“…Migliore et al. (2020) also stress the importance of cooperation between science and advanced clinical practice for establishing EBP in nursing, while Oh et al. (2016) found that before implementing an EBP initiative, systematic educational programmes that target EBP mentors should be offered.…”

A scoping review on the nurse scientist role within healthcare systems

“…Therefore, a facilitator for such activities is a nurse scientist salary that is supported in the organizational budget to provide time for this work (Logsdon et al, 2017). Other reported facilitators of the nurse scientist role involve institutional support for: Nursing research and EBP committees or councils (Birkhoff et al, 2020; Granger, Westlak, et al, 2021; Siedlecki & Albert, 2020); EBP process model for implementation and outcomes (Chesak et al, 2020; Migliore et al, 2020); Institutional champions for research and EBP (Vessey et al, 2017); Fellowship or Clinical Scholars programs in EBP and research to increase outcomes and develop staff (Brant, 2015; Carter et al, 2020; Granger, Bryant, et al, 2021; Milne et al, 2007; Mulvenon & Brewer, 2009; Schwartz, 2014; Siedlecki & Albert, 2020); Institutional infrastructure supporting EBP implementation and research, grant writing, and securing funds (Grange et al, 2005; Granger, Westlak, et al, 2021); and Software and technology platform access to collect and analyze data (Hickey, 2018). …”