206227 Public health nurses review of the evidence base of state healthcare priorities

Monday, November 9, 2009: 9:30 AM

Kathleen A. Baldwin, PhD RN , College of Nursing, University of Illinois-Chicago, Peoria, IL
Roberta L. Lyons, MPH , College of Nursing, University of Illinois-Chicago, Peoria, IL
Nancy W. DeVilder, MS RN , College of Nursing, University of Illinois-Chicago, Moline, IL
Sharon Foy, BS, RN , Stickney Public Health District, Burbank, IL
Deborah Kasper, BSN, RN , College of Nursing, University of Illinois-Chicago, Peoria, IL
Lisa Walter, BS, RN , College of Nursing, University of Illinois-Chicago, Chicago, IL
Marlene Robertson, BSN, RN , College of Nursing, University of Illinois-Chicago, Peoria, IL
Roberta Burns, BS, RN , Peoria City/County Health Department, Peoria, IL
With the information explosion on the Internet, research evidence for public health nursing interventions is often available, but not in a format that is readily accessible and understood by practicing public health nurses (PHNs). This paper reports the process and outcomes of a collaborative evidence-based PHN project. University PHN faculty, students, and members of a state public health association's nursing section came together with a two-fold purpose: (a) to improve PHN skills in retrieval and analysis of research evidence, and (b) to identify specific evidence-based interventions targeted at previously identified state healthcare issues. Healthcare issues reviewed were chronic disease (adult obesity), immunizations, lead, prenatal outcomes, and sexually transmitted diseases. Within the collaborative, subcommittees created questions using the PICO (population, intervention, comparison, and outcome) format for each issue, investigated the evidence base, reported results, and made recommendations. Fact sheets with findings and recommendations were prepared in formatting styles similar to that of US Preventative Services Task Force or Cochrane Collaborative. These fact sheets are held in a repository located on the state public health association's website. Bringing together faculty, students, and practicing PHNs in this venue provided the means for all to integrate the evidence-based practice process and discover interventions applicable to practice. Finally, in this constantly changing environment, evidence-based investigations such as those above must be dynamic, rather than static in nature, to keep effective evidence-based interventions at the forefront of public health nursing practice.

Learning Objectives:
1. Describe the process a collaborative of PHNs used to identify evidence-based findings associated with state healthcare issues. 2. Explain two outcomes of the evidence-based collaborative in relation to their utility for practice. 3. Discuss how an evidence-based collaborative such as the one described could be adapted to her/his environment.

Keywords: Collaboration, Evidence Based Practice

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: As Director of the UIC, College of Nursing - Central Illinois Regional Program and an Associate Professor providing instruction in public health nursing programs, I facilitated the activities reported.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.