An education and skills-building program to deliver competent, confident, and efficient evidence-users

Article type
Authors
O'Mathúna D1, Gallagher-Ford L1
1Helene Fuld Health Trust National Institute for Evidence-Based Practice in Nursing and Healthcare, The Ohio State University
Abstract
Background:
Evidence-based decision-making/practice (EBDM/P) is a systematic problem-solving approach in healthcare that: improves quality and population health outcomes by approximately 30%, reduces costs, and empowers clinicians to fully engage in their roles, all of which align precisely with the concept of rapid-learning health systems. EBDM/P requires clinicians who can use evidence like Cochrane Systematic Reviews effectively and regularly.

Researchers at our Institute and elsewhere have found discrepancies between clinicians’ beliefs about evidence-based practice (EBP) and their EBP knowledge and skills. The situation falls far short of the 2003 Institute of Medicine goal that 90% of healthcare decisions be evidence-based by 2020. To overcome barriers to EBP, our Institute developed a 5-day training program called the EBP Immersion which will be described in this presentation. Since 2012 this program has been delivered to nearly 3000 clinicians, and its educational outcomes have been evaluated. Results will be presented here also.

Objectives:
To describe the 5-day intensive EBP education and skills-building training program.
To provide evidence on how our EBP Immersion develops competent, confident, and efficient evidence-users.

Description:
This oral presentation will begin with an overview of the EBDM/P education and skills-building program developed at our Institute: the EBO Immersion. This has been delivered up to 20 times per year to cohorts of about 25 people, mostly healthcare clinicians. Immersions have been conducted around the US and overseas to nearly 3000 attendees. The presentation will provide an overview of the Immersion content, demonstrate the tools and templates utilized, and explain the teaching/learning strategies employed. Our program includes real-time expert mentoring, and strategies to support follow-up EBP projects at participants home institutions. Research accompanies the program to evaluate its effectiveness in producing competent, efficient, enthusiastic, and empowered evidence-users across disciplines and the care continuum. The workshop will present research findings demonstrating the program’s short-term and sustained effectiveness on EBP attributes (beliefs, knowledge, competence, and implementation). Exemplars will be presented of how this program has underpinned significant practice transformations for individuals and healthcare organizations.

Conclusion:
Participants will come away from this presentation with a clear understanding of the varied, innovative, and effective components of this unique program and how it is helping to make a difference across the healthcare continuum.

Patient or healthcare consumer involvement:
Patients and consumers have not participated in this program to date, but efforts to involve them have already been implemented. Indirectly, they should benefit from having healthcare practitioners who are competent, confident, and efficient users evidence-users.