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Impacting Quality Patient Care Though Evidence Based Nursing  Practice and Education Overview What did we know about nursing and quality? Assessment of current environment History evolution of EBNP Our Journey steps to implementation of ENBP Examples of EBNP Specific EBNP project Bringing education service together Thoughts on future What is Our Charge? Develop Integrated Educational and Practice Strategies to Strengthen and Support Evidence Based Nursing Practice Need For Better Education That Transcends Academia and Service Increasing complexity of patient care half of hospital nursing administrators find new nurses prepared to deliver safe, effective care Newly licensed nurses report similar educational needs Limited mechanisms to evaluate competency Hospital orientation and CE programs scaled back Lack of clinical training sites Begin With Assessment JCAHO National Patient Safety Goals Safety projects AHRQ Medication administration Health care acquired infections Staffing and staff competence IOM reports Benchmark data Understanding Some Work Processes Inherently Dangerous Medication administration 770,000 annually killed or injured from adverse drug events in hospitals In two studies, 34-38% of medication errors occurred during nurse administration of medication Handwashing 80,000 deaths / year from hospital-acquired infections Most hospital-acquired infections transmitted by hospital workers Handwashing most effective at decreasing infections Handwashing rates at 16-81% How Does Nursing Decide? Need to “do the research that matters” Disease prevention and treatment Assuring patient safety Health management across the continuum Social and cultural context of health Risk assessment Behavior modification Cognitive impairment Identify Critical Success Factors Move beyond morbidity and mortality Larger role on functional status, caregiver burden, satisfaction with care, costs of care and cost-effectiveness Determine which interventions are most