Evidence-Based Practice

Nursing excellence at Schneck means nurses integrate the best research evidence, clinical expertise, and patient and family preferences to achieve optimal health outcomes. Evidence-Based Practice (EBP) integrates medical evidence to guide nursing care. Schneck nurses research and review the most relevant information about a particular clinical issue. After a thorough review, nursing units can implement changes in a patient- and nurse-friendly environment. Positive changes are then incorporated into the unit and shared with other areas to accelerate change in care. 

Nurses at Schneck regularly participate in EBP. The learnings are shared throughout the organization using a variety of tactics like orig-wide nursing education, poster presentations, unit-based council meetings, and the nurse practice council. EBP is also integrated into the Nurse Residency Program so that our newest nurses are prepared to identify and use EBP to improve care of their patients during their entire career. 
 

Recent EBP projects

  • Nurses in Home Services worked implemented environmental changes within the home to help prevent falls in hospice patients with dementia.
 
  • Inpatient nurses worked to implement an evidence-based screening tool for detecting delirium. They implemented non-pharmacological interventions to prevent delirium and were able to decrease the average length of stay for patients diagnosed with delirium.
 
  • Clinical nurses and the Interdisciplinary Total Joint Team worked to implement a new evidence-based screening tool for readmission risk. The team was able to significantly reduce readmissions to the hospital after a total joint replacement procedure.
 
  • Intensive Care Unit (ICU) nurses worked to implement the mobility for ventilator patients who met a particular set of criteria. The nurses were able to decrease the average number of days the ventilator was used and improve patient mobility scores.
 
  • Patient Services and the nursing home nurse practitioners worked to improve care provided to COPD patients in local nursing homes. Due to their efforts, the hospital was able to reduce the readmission rate for COPD.
 
  • Nursing Education introduced a Handle with Care course into the Nurse Residency Curriculum which teaches nurse residents verbal deescalating and self-defense techniques. The training successfully increased nurse safety while caring for patients.
 
  • Nurses in the Pre-Operative Education (PACE) department worked to re-design nurse workflow and decreased overtime hours.
 
  • Nurses on the 3 North inpatient unit worked with Lean Six Sigma to redesign their supply room. A decreased supply cost savings was realized after the redesign.