Practicing Nurse Evidence-Based Practice Fellows share their outstanding work
Five members of the current cohort of the Practicing Nurse Evidence-Based Practice Fellowship recently shared details of the incredible work they have been performing at Michigan Medicine!
The fellowship is a year-long program that provides an opportunity for practicing nurses to take a clinical idea through the evidence-based practice process with support and guidance provided by university experts. It is composed of a mixture of classroom education, self-learning and dedicated work time. Content covered in the fellowship includes: finding, critiquing, and synthesizing research articles; implementation strategies to ensure success; and methods for evaluation.
The nurses selected for the fellowship are supported by a mentor, their unit/local leadership, individuals from the Research and Translation Committee (including a health system librarian), and other nursing and institutional groups as needed.
Here is a brief rundown of each of the nurse’s projects:
Deanna Ames, R.N., M.S.N., oncology acute care
In my quality improvement project, I looked at non-pharmacological interventions to chemotherapy associated nausea. There are many effective anti-emetics that are readily available for our oncology population, but I wanted to find an effective non-pharmacological therapy. One of my main goals of my project was to lower the amount of rescue anti-emetics we’re using in our patient population. There are many side effects of anti-emetics so I wanted to find something that was safe yet effective at the same time. Peppermint inhalers are now readily available on 8A as a non-pharmacological intervention for nausea. In the future, I hope to collect more data along with trying the peppermint inhalers with post-operative patients.
Amanda Dear, R.N., R.N.C., N.I.IC., Brandon NICU
Phototherapy and developmental positioning for premature babies are no longer exclusive goals in the Neonatal ICU. This QI project has demonstrated that it is possible to maintain appropriate containment while delivering adequate phototherapy to premature neonates.
Brianne Hyde, R.N., B.S.N., RNC-OB, Birth Center
National organizations support the use of intermittent auscultation (IA) in low risk women. Increasing interdisciplinary team comfort with IA is a way to support physiologic birth, reduce the cesarean section rate, and follow national standards. Nurses and providers were assessed pre and post education roll out on their comfort around using IA. Education was rolled out to nurses and providers as well as documentation changes for easier ordering and charting. A reference sheet was also made for providers. The work with allowing low risk women the option of IA during birth, coincides with work being done with the Obstetric Initiative, both having the goal of decreasing cesarean birth rates.
Hallie O’Branovic, M.S.N., APRN, NP-C, allergy and clinical immunology
This project is about optimizing learner comprehension to empower families caring for children with atopic dermatitis (eczema). Eczema is a skin condition that will fluctuate in severity often requiring a variety of treatments depending on skin appearance. Families/ caregivers often find it difficult to understand when to step up and step down therapy for eczema skin care. This project evaluated the use of an Eczema Action Plan to see if families found it helpful and to see if skin improved with the use of an action plan.
Michelle Stanley, R.N., B.S.N., PMH-BC, psych emergency services
This evidence-based practice project will help manage aggression with children with Autism in the Emergency room and help Michigan Medicine with the care of children with Autism.