Date of Graduation

Fall 12-16-2016

Document Type

Project

Degree Name

Doctor of Nursing Practice (DNP)

College/School

School of Nursing and Health Professions

Department/Program

Nursing

First Advisor

KT Waxman, DNP, MBA, RN, CNL, CENP, CHSE, FAAN

Second Advisor

Robin Buccheri, PhD, RN, MHNP, FAAN

Abstract

Technology, innovation, and a demand for the safest, value-added healthcare have led to the proliferation of research studies. Unfortunately the evidence from most of those studies has yet to be applied to evidence-based practice (EBP) projects. Much of this research and many of EBP projects remain waiting to be retrieved, analyzed, translated, and applied to everyday practice. A finding from the Agency for Healthcare Research and Quality (AHRQ) is that it takes approximately 10 years to integrate research evidence into practice (Rogers, 2009). Recent studies recognize nurses as a vehicle to shorten the research-to-practice 10-year journey; nurses are realized as the pinnacle for achieving safe and effective patient outcomes (Eggenberger, 2012). In order to maximize nurses’ capability, however, nurse leaders are challenged to identify and create the necessary support to deliver safe, EBP. Astonishingly, nurse leaders, in general, have also been identified as ill-equipped for EBP promotion (Melnyk, Fineout-Overholt, Gallagher-Ford, & Kaplan, 2012). For this reason, nurse leaders are implored to identify a framework and champion support needed for nurses to be successful with engaging team members to understand and utilize EBP. The goal, therefore, of this project was to create an adaptable EBP architectural framework with design elements and resources, which may be utilized and modified by nursing leaders across health care environments, including those incorporating high reliability, project management, continuous improvement, and lean principles. In creating this framework for EBP diffusion, dissemination and institutionalization, clinical outcomes of this organization improved from low to high decile performance.

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