Proposed Topic (Most preferred): :
Staff Engagement and Empowerment (motivating staff / teamwork / work revamp tackling manpower issue / staff wellness / OSH / retention)
Proposed Topic (Second preferred): :
Research and Innovations (new projects / technology / innovations / service models)
Authors (including presenting author) :
Wong KS(1), Wong CH(1), Chow CM(2), Chan C(1), Wong WK(1), Lui P(1), Ho ML(1)
Affiliation :
(1)Orthopaedics & Traumatology, Tseung Kwan O Hospital, (2)Orthopaedics & Traumatology, United Christian Hospital
Introduction :
HA has made significant strides in promoting evidence-based practice (EBP), leveraging the Johns Hopkins Nursing EBP Model to implement it across diverse clinical settings, thereby enhancing patient outcomes. A robust EBP talent pool has emerged through comprehensive training, facilitating increased nurse participation in projects and the enhancement of EBP skills and leadership. The introduction of the new ANC role has further elevated nursing consultant services, providing expert consultation, education, research, and quality improvement across various clusters and specialties.
However, the burgeoning demand for EBP has introduced complexity in coordinating and supervising activities. In the TKOH O&T department, projects originate from various sources, such as staff self-initiatives, specialty-based initiatives, multi-disciplinary efforts, institutional projects, and cooperative initiatives. The current record-keeping system, distributed among different project leaders and managers, is fragmented. Moreover, the department's web-based folder system lacks sustainability and cannot effectively address the demands of coordination and supervision. While the corporate-level Continuous Quality Improvement Initiatives System exists, its hierarchical nature makes it challenging for frontline nurses to report initiative proposals and results, lacking continuous progress tracking and project support.
Recognizing these challenges, the introduction of EBP Watch emerges as a crucial step. Serving as a centralized governance system, EBP Watch aims to provide guidance, coordination, and support to foster a robust EBP culture and increased participation within the department.
Objectives :
Establish and maintain a centralized registry for departmental EBP activities. Offer guidance and supervision to support the execution of departmental EBP activities. Promote and nurture a culture of evidence-based practice, encouraging active participation among department members.
Methodology :
The approach involves two key components: Central Registry and EBP Facilitator Service. The Central Registry is essential for all EBP activities, utilizing an electronic dashboard to categorize projects by progress status. Details such as project name, type, team structure, dates, and results dissemination are included, with a tag function for quick searches. The registry encourages open access to project material, fostering shared learning. It also shows submission status of departmental projects on the corporate Continuous Quality Improvement Initiatives System. The EBP Facilitator Service is instrumental in transforming the EBP culture. Supported by the NC team and the service link nurse APN, it guides departmental EBP activities across project management, knowledge transfer, team formation, and result dissemination. Nurses receive support at any project phase, with the service leading inexperienced starters through the implementation process.
Result & Outcome :
The Central Registry, established in 10/2023 on the Notion platform, enables easy dashboard access and result sharing.
Before EBP Watch, 1 ongoing and 2 completed EBP projects existed by 10/2023. After the launch of EBP Watch, there has been a surge in registered EBP activities. As on 3/2024, 7 projects were completed with EBP facilitator services, and 10 ongoing projects received facilitator assistance. Additionally, 5 EBP activities are currently in the planning stages.
Enrollment in EBP activities has seen notable participation, with 29 out of 84 nursing staff (35%), including 20 RNs and APNs newly engaging.
The EBP Facilitator Service has successfully driven nurse participation, leading to a gradual shift in EBP culture. It has also facilitated EBP result dissemination, with 5 projects submitted to CQIs, 2 presentations conducted in TKOH, and 3 presentations held outside TKOH. Special recognition is extended for 2 notable achievements in presentations outside TKOH.
