This paper describes an innovative methodology implemented in an acute care pediatric
setting to build nurses' confidence and competence in questioning practice. The Growing
Culture of Clinical Inquiry (GCCI) project was composed of several evidence-based
strategies to attain and maintain a spirit of clinical inquiry. These strategies included
PowerPoint presentations, evidence-based practice (EBP) unit champions, patient–intervention–comparison–outcome
(PICO) boxes, Clinical Inquiry Posters, summaries of evidence (SOE), layman's SOE,
medical librarian in-services, and journal clubs. After 1 year of implementation, the GCCI project was evaluated and found to be a promising
methodology for fostering a culture of inquiry among pediatric nurses.
Key words
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References
- Effects of hospital care environment on patient mortality and nurse outcomes.Journal of Nursing Administration. 2008; 38: 223-229https://doi.org/10.1097/01.NNA.0000312773.42352.d7
- Overview of ANCC Magnet Recognition Program new model.(Retrieved from)
- Overcoming barrier to research in a Magnet community hospital.Journal of Nursing Care Quality. 2008; 23: 362-368https://doi.org/10.1097/01.NCQ.0000336675.48466.37
- Nursing practice, knowledge, attitudes and perceived barriers to evidence-based practice at an academic medical center.Journal of Advanced Nursing. 2009; 65: 371-381https://doi.org/10.1111/j.1365-2648.2008.04878.x
- Increasing evidence-based decisions about public health interventions.Canadian Journal of Public Health. 1996; 87: 376-410
- Effective methods for disseminating research findings to nurses in practice.Nursing Clinics of North America. 1995; 30: 429-438
- Facilitation as a role and process in achieving evidence-based practice in nursing: A focused review of concept and meaning.Worldviews on Evidence-Based Nursing. 2010; 7: 76-89https://doi.org/10.1111/j.1741-6787.2010.00186.x
- Take 5: Bringing research and library services to front-line staff in a community hospital.Canadian Nurse. 2007; 103: 10-11
- The role of intermediaries: Getting evidence into practice.Journal of Wound, Ostomy & Continence Nursing. 2004; 31: 325-327
- Strategies for advancing evidence-based practice in clinical settings.Journal of the New York State Nurses' Association. 2004; 35: 28-32
- Transforming health care from the inside out: Advancing evidence-based practice in the 21st century.Journal of Professional Nursing. 2005; 21: 335-344https://doi.org/10.1016/j.profnurs.2005.10.005
- Organizational readiness for evidence-based practice.Journal of Nursing Administration. 2009; 39: 91-97https://doi.org/10.1097/NNA.0b013e318195a48d
- Developing evidence-based practice: Experiences of senior and junior clinical nurses.Journal of Advanced Nursing. 2008; 62: 62-73https://doi.org/10.1111/j.1365-2648.2007.04579.x
- Getting evidence into practice: The role and function of facilitation.Journal of Advanced Nursing. 2002; 37: 577-588https://doi.org/10.1046/j.1365-2648.2002.02126.x
- What works: Healing the healthcare staffing shortage.(Retrieved from)
- The clinical scholar model: Evidence-based practice at the bedside.Nursing Clinics of North America. 2009; 44: 117-129https://doi.org/10.1016/j.cnur.2008.10.004
- Roundtable on evidence-based medicine: Learning healthcare system concepts v. 2008.(Retrieved from)
- Wordpress as a library content management system.American Library Association. 2011; 42: 34
- Creating an online journal club using WordPress.com.American Journal of Nursing. 2013; 113 (doi: 10.1097/01.NAJ.0000427884.18171.b0): 61-65
- Variations in nurse practice environments: Relations to staffing and hospital characteristics.Nursing Research. 2006; 55: 1-9
- Nursing research journal clubs: Bridging the gap between practice and research.Medsurg Nursing. 2006; 15: 100-102
- Evidence- based nursing practice. Part 2. Building skills through research roundtables.Journal of Nursing Administration. 2002; 32: 85-90
- Acute care nurses' perceptions of barriers to using research information in clinical decision-making.Journal of Advanced Nursing. 2002; 39: 46-60https://doi.org/10.1046/j.1365-2648.2002.02241.x
- Creating quality evidence summaries on a clinician's schedule.Journal of Nursing Administration. 2010; 40: 7-9https://doi.org/10.1097/NNA.0b013e3181c47ced
- Evidence-based practice in nursing and healthcare: A guide to best practice.Lippincott Williams & Wilkins, Philadelphia, PA2005
- Nurses' perceived knowledge, beliefs, skills, and needs regarding evidence-based practice: Implications for accelerating the paradigm shift.Worldviews on Evidence-Based Nursing. 2004; 1: 185-193https://doi.org/10.1111/j.1524-475X.2004.04024.x
- The evidence-based practice beliefs and implementation scales: Psychometric properties of two new instruments.Worldviews on Evidence-Based Nursing. 2008; 5: 208-216https://doi.org/10.1111/j.1741-6787.2008.00126.x
- Igniting a spirit of inquiry: An essential foundation for evidence-based practice: How nurses can build the knowledge and skills they need to implement EBP.American Journal of Nursing. 2009; 109: 49-52https://doi.org/10.1097/01.NAJ.0000363354.53883.58
Mesias, J. (2008). The importance of newsletters in business. Retrieved from http://ezinearticles.com.
- A case study in evaluating infrastructure for EBP and selecting a model.Journal of Nursing Administration. 2009; 39: 409-411https://doi.org/10.1097/NNA.0b013e3181b920b7
- Asking compelling clinical questions.in: Melnyk B.M. Fineout-Overholt E. Evidence-based practice in nursing and healthcare: A guide to best practice. Lippincott Williams & Wilkins, Philadelphia, PA2005: 25-37
- Engage nurses in EBP with the nursing clinical question process.Nursing Management. 2010; 41: 15-17https://doi.org/10.1097/01.NUMA.0000381736.49292.d0
- An information technology infrastructure to enable evidence-based practice.Nursing Administration Quarterly. 2009; 33: 317-324https://doi.org/10.1097/NAQ.0b013e3181b9dd9d
- Are nurses ready for evidence-based practice?.American Journal of Nursing. 2003; 103: 95-96
- Barriers to using research evidence in nursing practice.Journal of Advanced Nursing. 2000; 31: 599-606
- Clinical expert facilitators of evidence-based practice: A community hospital program.Journal for Nurses in Staff Development. 2011; 27: 231-235https://doi.org/10.1097/NND.0b013e31822d6efd
- Strategies for starting a successful evidence-based practice program.AACN Advanced Critical Care. 2008; 19: 301-311https://doi.org/10.1097/01.AACN.0000330381.41766.2a
- Clinical nurses' understanding of autonomy: Accomplishing patient goals through interdisciplinary practice.Journal of Nursing Administration. 2004; 34 (Retrieved from): 443-450http://dx.doi.org/10.1097/00005110-200410000-00004
- The Quality Chasm reports, evidence-based practice, and nursing's response to improve healthcare.Nursing Outlook. 2006; 54: 94-101https://doi.org/10.1016/j.outlook.2005.11.007
- Curiosity and reflective thinking: Renewal of the spirit.in: Schultz A.A. Clinical scholars at the bedside: An EBP mentorship model for today. The Honor Society of Nursing, Sigma Theta Tau International, Indianapolis, IN2005
- Hospital nurses' use of knowledge-based information resources.Nursing Outlook. 2007; 55 (Retrieved from): 15-19http://dx.doi.org/10.1016/j.outlook.2006.04.006
- Exploring the contribution of the clinical librarian to facilitating evidence-based nursing.Journal of Clinical Nursing. 2006; 16: 621-629https://doi.org/10.1111/j.1365-2702.2006.01726.x
- Strategies for enhancing autonomy and control over nursing practice.Online Journal of Issues in Nursing. 2010; 15: 2https://doi.org/10.3912/OJIN.Vol15No01Man02
Article info
Publication history
Published online: November 04, 2013
Footnotes
1Previous Presentations: The Growing Culture of Clinical Inquiry Project was presented at the (a) Children's Nursing Research Symposium in Atlanta, Georgia on May 11, 2011, as a poster presentation and (b) ACE Conference in San Antonio, Texas on July 2, 2011, as a poster presentation.
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