Implementation Science Presentation Quigley C113.pdf -...

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Using Implementation Science to Further Evidence-
based Practice in Quality, Staffing and Safety
C113
Expert Faculty: Pat Quigley, PhD, ARNP, CRRN, FAAN, FAANP
Veterans Integrated Service Network 8
Patient Safety Center of Inquiry
Objectives
• Integrate 3 complimentary perspectives to translate knowledge
and evidence into practice to improve outcomes
• Examine the relationship of implementation, fidelity and reliability
sciences
• Apply methodology rigor to advance evidence-based practice
• Showcase at least 2 examples of implementation science from
pilot test to enculturation
Challenges to improve the conduct and reporting of patient
safety interventions are keys to evaluation
• Describe the theory: theory or logic why patient safety practice
works
• Describe the patient safety practices in detail
• Detail implementation process
• Assess outcomes and the influence of context (external factors,
organizational characteristics, teamwork and leadership,
management tools)
Shekelle, et al., (2011). Advancing the science of patient safety.
Annual of Internal Medicine. 154(10): 693-696

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Integration of Complementary Perspectives
Evidence-based Practice
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Innovation
Diffusion
Knowledge
Transfer
Knowledge Outcome
Three Perspectives
Evidence-based Practice (Sackett)
“…the conscientious use of current best evidence in
making decisions about the care of individual
patients or the delivery of health services.”
Innovation Diffusion (Rogers)
The process of communicating new ideas through
certain channels over time among members of a
social system
Knowledge Transfer (Dixon)
Sharing of common knowledge , that is the
knowledge that employees learn from doing the
organization’s tasks.
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Remember Research Utilization?
• Research utilization refers to the use of some aspect of
scientific investigation in a clinical application unrelated to the
original research . The ultimate responsibility for research
utilization rests within the entire nursing community. There is
tremendous potential for the utilization of research throughout
the nursing process" (Polit & Hungler, 1999).

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Models
• THE CURN MODEL : The Conduct and Utilization of Research in Nursing (CURN) project.
Developed in 1975-1980 by the Michigan State Nurses Association with 34 hospitals participating.
This model exemplifies a structures, formal organizational process that requires organizational
commitment, resources, and research expertise.
• THE STETLER MODEL : The Stetler Model design is a structure for using the research conducted
and create a vehicle for changing policies and procedures. Individual nurses, such as practitioners,
educators, and policymakers, summarize research and use the knowledge to influence
educational programs, make practice decisions, and impact political decision making (Burns &
Grove, 1997).