2009 Research and EPB Projects | El Camino Hospital

2009 Research and EPB Projects

2009 Research and EPB Projects

2009 Research Projects


EBP Fellow Vanessa Browne, RN, BSN, MSN, Nursing Education Specialist-Maternity Unit (left), with EBP Coach Phuong Nguyen, Pharmacist D, Clinical Pharmacist Specialist

EBP question: "On a postpartum unit, will the use of an electronic device at the bedside at time of medication administration improve documentation and thereby reduce the rate of medication errors and improve patient safety?"

The nursing staff on the Maternity unit really supported the implementation of my project. Improving the process for documentation of medication administration at the bedside led to a decrease in medication errors and an improvement in the time to charting. I really valued the staff’s willingness to remain open-minded and supportive of each other as we explored this test of change. The El Camino Hospital Foundation Board has now allocated funds to supply computers at the bedside in the 28 private rooms to support this best practice.

2009 Research Projects


Research Fellow Sherril Hopper, RN, Stroke Program Coordinator (right) with Research Coach Chris Hunter, RN, MPH, CPHQ, Manager, Performance Improvement

Research question: “In the adult TIA population, will reinforcement of education by means of a follow-up phone call at 2-4 weeks post discharge result in improved recall of stroke symptoms and understanding of actions to decrease risk of stroke?"

Being involved with this fellowship provided a great deal of professional growth for me. I learned so much about how to search literature effectively and how to apply the results. This is beneficial in so many ways, whether determining a best practice based on evidence, starting a new research project, or even just answering a question for a patient or colleague. I am very grateful to the hospital for providing this opportunity.

2009 Research Projects


EBP Fellow Christine Hartman-Kok, RN, MSN, Behavioral Health (left), with EBP Coach Stephanie Hannaford, PT, Director Rehabilitation Services

EBP question: "In an acute adult inpatient behavioral health unit, will hourly rounding on high fall risk patients by direct care staff (to include a prompted voiding protocol) significantly reduce the occurrence of falls?"

The evidence-based practice fellowship provided me with a new way of thinking regarding problem solving. It has completely changed the way I evaluate a problem, by prompting me to gather resources, challenge current practices, and seek out evidence to support implementation of the best possible practices for our patients. Such improvements in how we practice can lead to better patient outcomes. The fellowship has provided me with the knowledge and abilities to be a change agent in the hospital for the benefit of our patients.

2009 Research Projects


EBP Fellow Mabel Cheng, RN, MSN 
Medical-Surgical, Oncology (right), with EBP Coach Kathleen Fahey, RN CNS

EBP question: "Will nursing education in regard to patient-controlled analgesia and related documentation improve compliance with PCA documentation?

It had been a good experience being a fellow in the evidence-based program. I have implemented a project that improves patients’ care. It develops our professional skills and updates our knowledge. I was impressed with how many El Camino Hospital resources there are to assist such projects. Staff from the Health Resource Center library, Information Systems, Clinical Effectiveness, and my nursing coach and colleagues all generously gave me assistance to problem-solve with me. I felt supported and found this very worthwhile.

2009 Research Projects


Research Fellow Shirley Paras, BSN, RN, 6West (left), with Research Coach Nancy J. Woodward MS, RN-BC, CNS, CWON

Research question: "Does improved communication of a patient’s Braden score increase nursing interventions for patients at risk of developing pressure ulcers during hospitalization?"

Decreasing and/or preventing hospital-acquired pressure ulcers (HAPU) has been a problem, especially because of the challenges of caring for the elderly population on 6West. Given the opportunity to work on a project that focuses on improving hand-off communication among nurses and the importance of early intervention has been beneficial not only for me, but also to the 6West nursing staff. Currently, 6West is below the Best Quartile for California (CalNOC) and National (NDNQI) Magnet Mean for (Hospital-Acquired Pressure Ulcers. This is because of the teamwork and commitment 6W nurses demonstrate to excellence when it comes to patient care. I am so lucky to be a part of an evidence-based practice program, which allows nurses to perform a small test of change that is beneficial for everyone, but most importantly, to the patient.

2009 Research Projects


Suann Schutt, BSN, RN-BC, CEP Nursing Education Specialist, 6 West

Suann Schutt was the lead RN on the TOPS research project. This study was a two-year project in three diverse health care settings to improve patient safety culture through interdisciplinary teamwork, communication and collaboration. Suann has also worked with nurse managers closely in her educational roles.

"After recent experience with the supportive environment at El Camino Hospital, I am excited to embark on a new adventure. Our current healthcare system and the new healthcare reform will require that all professionals at El Camino Hospital be ready and flexible for change. As a member of the first group of professionals in the Change Agent Program, I am confident the professional team at the hospital will be prepared to meet this new challenge. Working together we will provide the background and tools necessary for change."

2009 Research Projects


EBP Fellow Joanne Koering, RN, BSN (right) with EBP Coach Kaye Jaramillo, RN, MSN

EBP question: "In an adult Endoscopy unit, will adding peer feedback training to staff education for boarding pass (Universal Protocol--Time-Out) completion improve the compliance and accuracy of nursing documentation?"

We are firm believers of evidence-based practice processes and Nursing Research. We’ve seen what a tremendous difference its application can make in the professional development of nurses. We appreciate all of the resources and innovation that El Camino Hospital has acquired as an organization to go the extra distance in doing whatever it takes to support nurses in constantly developing best practices. It was a great experience and we look forward to continued growth and participation in small tests of change and improvement in nurse practice and patient care. Congratulations to the 2008-2009 fellows and coaches.