Biomedical subjects
Publications and source records attributed to C B Stetler.
Research use is a frequent theme in the literature, but few strategies facilitate nurses' education in this area. The Stetler/Marram model, a practitioner-oriented perspective on use, has been converted into a series of questions that guide the learner through a conceptual and decision-making process. These guidelines can be used through one of a number of related assignments.
A Fall Prevention Program was initiated at an acute care academic medical center grounded on a dynamic evidence-based framework. Multiple sources of evidence were collected and integrated to engage clinical managers and staff in an evolving process designed to both reduce falls and enhance evidence-based thinking. Clinical practice now is based more frequently on evidence rather than ritual, unsystematic clinical experiences, or tradition. This article provides details on this replicable method of enhancing professional practice.
Data on nursing-sensitive outcomes, beyond traditional isolated indicators such as pressure ulcers, are often unavailable for nurses to evaluate the overall quality of their care. This article describes a quality improvement effort to provide nurses with both a positive and a negative patient outcomes score. The approach can make visible the often invisible role of nurses in the growing field of patient safety.
Nurse executives must challenge basic assumptions about their organizations and help create visions that are feasible and applicable to the institutions' realities. Evaluative criteria and the relationship of the nurse executive to a reality-based model of care are vital to this goal.
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Using nurse practitioners in acute care is a relatively new phenomenon with little existing data on related expectations and effectiveness. This article describes one organization's program evaluation of the Advanced Practice Registered Nurse (APRN) role. It includes a conceptual model as well as pragmatic data on: perception of the performance of agreed-upon role expectations, influence on targeted aspects of care, retention of a focus on nursing, and factors facilitating or hindering APRN effectiveness.