Abstract
Increasingly, nurses are expected to systematically improve their practice according to principles of evidence-based practice (EBP). In 2009, the Norwegian Radium Hospital, inspired by the EBP nursing model at its sister institution, The University of Texas MD Anderson Cancer Center, began transitioning its oncology nurses to an EBP model. Norwegian Radium Hospital nursing leaders selected an EBP expert to design an EBP educational program. The program consisted of a 1-semester, 15-credit-hour postgraduate EBP course followed by a clinical practicum during which selected nurses worked in groups to apply principles of EBP to challenging clinical questions. As of this writing, 60 staff nurses have completed the program. Nurses participating in the EBP program have developed 13 evidence-based clinical guidelines, evidence-based clinical procedures, and patient information documents, 9 of which have been adopted as national standards. Participants have demonstrated increased confidence in providing the best available patient care, deeper reflection about their practice, and a sense of being valued by their nurse and physician colleagues. At the institutional level, the EBP project has resulted in higher confidence that patients are receiving patient-centered care based on the best scientific evidence. The project has also resulted in increased collaboration between nurses and other practitioners within multidisciplinary clinical problem-solving teams. This successful EBP program could serve as a model for other cancer hospitals desiring to move to an EBP patient-care model, not only for nursing practice but also, more broadly, for delivery of cancer care by diverse multidisciplinary teams.
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Acknowledgments
The authors thank the following individuals: from Oslo University Hospital, Professor Stein Kvaløy for unwavering enthusiastic support, Kjersti Stokke for leadership of the project, the nurses who took part in the project, and Moya Berli for continuous contributions to the sister institution partnership; from Bergen University College, the staff at the Center for EBP for contributions to the educational program; from The Norwegian Knowledge Centre, Gro Jamtvedt for support of the program; from The University of Texas MD Anderson Cancer Center, Dr. Barbara Summers for inspiration and advice, Dr. Oliver Bogler for leadership of Global Academic Programs, Dr. Greg Pratt for assistance with searching the EBP literature, Stephanie Deming for manuscript editing, Kathleen Wagner for graphical design, Steven Rosita and Alex Gomez for logistical and technical assistance, and Dr. Geri LoBiondo-Wood for sharing expertise about EBP; from The University of Texas at Austin, School of Nursing, Dr. Terry Jones for sharing expertise about EBP; and from OSF Saint Francis Medical Center, Peoria, Illinois, Brittany Woods for sharing expertise about EBP.
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The authors declare that they have no conflict of interest.
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Bruheim, M., Woods, K.V., Smeland, S. et al. An Educational Program to Transition Oncology Nurses at the Norwegian Radium Hospital to an Evidence-Based Practice Model: Development, Implementation, and Preliminary Outcomes. J Canc Educ 29, 224–232 (2014). https://doi.org/10.1007/s13187-013-0575-9
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DOI: https://doi.org/10.1007/s13187-013-0575-9