Date of Award

7-30-2021

Document Type

Capstone

Degree Name

Doctor of Nursing Practice (DNP)

School Name

Donna and Allan Lansing School of Nursing and Health Sciences

Department

Nursing

Major Advisor

Julianne Evers, DNP

Abstract

Abstract

BACKGROUND: This project took place at a community-based rural hospital in eastern Kentucky. During completion of a needs assessment, adoption of an evidence-based nursing practice model and improvement of clinical outcomes of the community’s heart failure patient population were revealed as opportunities.

PURPOSE: The purpose of this project was to introduce the organization’s key stakeholders to the Johns Hopkins Nursing Evidence-Based Practice Model (JHNEBP), encourage implementation of an evidence-based practice (EBP) committee, and to use heart failure as an exemplar to facilitate discussions and stakeholder education.

METHODS: The goal of this project was to develop a supportive EBP culture through adoption of the JHNEBP model. Methods included developing and launching a virtual nursing EBP education module, developing an EBP committee, and utilizing the JHNEBP model and steps to implement heart failure EBP’s at the project site. The University of Iowa Hospitals & Clinics Nursing EBP Survey, 2005 edition, was administered pre and post EBP module education to assess nurses’ perceptions of EBP.

RESULTS: Although post-intervention group scores (M=98.4, SD=14.1) improved from pre-intervention group scores (M=94.2, SD=13.5), Mann-Whitney U revealed no statistical significance in pre and post score comparisons for survey subscales (organizational culture (p=.156), unit culture (p=.165), nurses knowledge and skills (p=.301), time (p=.131), attitude (p=.595)] or total score (p=.184).

CONCLUSION: Driving EBP culture changes may take up to three to five years (Dang & Dearholt, 2017). This project was limited in both time and sample size (n=53), although statistical significance could not be determined in the pre-intervention and post-intervention groups, continuation on the path of creating a supportive EBP culture is key in driving EBP care.

Keywords: evidence-based best practice model, Johns Hopkins nursing evidence-based best practice model, heart failure, rural healthcare

Available for download on Saturday, July 30, 2022

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