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%3Knowledge Utilization Initiatives from Associations: AWHONN s CVH for Women and NAPNAP s HEAT Initiatives*kj((Knowledge Utilization/Transfer: From Theory to Practice KU-03 Colloquium, Quebec September 25-26, 2003 Karen KellyThomas, PhD, RNC, FAAN Executive Director, NAPNAP Cherry Hill, NJ 8PP   Objectives&  @kDescribe an association based theory, program model and strategy that promotes and advances evidence-based clinical practice Describe ways to achieve desired organizational and health outcomes in communities served by association members Compare commonalities and differences in application of KU/translation theory and models among associations and other groupslZl Disclosure& 9Karen Kelly Thomas was an employee of AWHONN during the time this model and program were developed. She is now employed by NAPNAP. AWHONN applies for and receives federal grants and government service contracts. In addition, AWHONN seeks and receives unrestricted grants and contributions from multiple sources, including but not limited to Johnson & Johnson, Procter & Gamble, and Pfizer. As Executive Director of NAPNAP, Karen Kelly Thomas seeks and receives unrestricted grants and contributions from multiple sources, including those listed above and others. :P:WBe not afraid of going slowly, be only afraid of standing still. Chinese ProverbFXB(3` Ever tried. Ever failed. No matter. Try again. Fail again. Fail better. Samuel Beckett lP`P 3I(3AWHONN RBP Program Purpose*((Advance evidence-based clinical practice in women s health, obstetric and neonatal nursing Measure clinical efficacy and effect on health outcomes of project guideline Meet standard bearer and guideline development responsibility Transfer specific research-based knowledge and innovation into practice to improve clinical practice of nurses and other health care providers for the care of women and newborns and to evaluate the effectiveness of that transfer of knowledge (Gennaro, 1994) Making the unknown known is the important thing  and keeping the unknown always beyond you. Georgia O Keeffe\PPPo o Assumptions&  33Fit with AWHONN mission, strategy, focus areas and goals Available body of validated knowledge ready for transfer into practice Members committed to improve practice to ensure high quality nursing care n`$3@$!$$$3$C$Theoretical Influences&33lChange Behavioral (Prochaska & DeClemente) Organizational (Deming) Research Utilization Clinical nursing (Stetler, Horsley, Haller) Clinical practice (Oxman) Knowledge and innovation diffusion (Rogers) Adult learning (Knowles) Other Interpretative research (Denzin, Diekelman, Benner) Project management/logistics (Block) Translation research Synchronicity (Jung)pP-$pP-pP pP-,pP-FpP pP-pP-pP $r      @-(Jung s Synchronicity0An acausal connecting principle As  meaningful coincidences Not dismissing irrational data, rather attempting to integrate them by whatever means are at hand Interpretation for KU? Jung, 1969>$  !"Outcomes& 33Measurable progress toward AWHONN strategic plan and goals Measures of project effect on health and lives of women and newborns Disseminate and diffuse association experience s effect on clinical practice`K$!KAWHONN Evidence-Based Clinical Practice Guideline (EBG) Development Program*LK33Inception in 1998 as a result of collaborative effort of AWHONN Practice, Research and Education Committees AWHONN framework for guideline development based on American Nurses Association Manual to Develop Guidelines (Marek, 1995) AWHONN Evidence-Based Clinical Practice Guidelines have been accepted for inclusion in Agency for Healthcare Research and Quality (AHRQ) National Guideline Clearinghouse LZ%"1Why Evidence-Based Clinical Practice Guidelines?*21$3$3Promotes nursing profession s commitment to practice based on best available evidence Provides clinical practice recommendations and rationale based on current evidence  at-a-glance Enhances credibility with evidence-based  talking points to facilitate collaboration with other health care providers about pertinent patient care issues Provides stimulus for further reading and research Provides basis for continuing education programs Provides basis for CQI projects and outcomes evaluation.Z  A.fAWHONN s Cardiovascular Health for Women Initiative44(CThird stage, DHHS contracts to specific regions Trained several tiers and types of nurses to implement specific strategy Implemented in practice setting community and consumer groups CQI effort continues with recruitment and 4 follow-ups assessments regarding smoking cessation, nutrition, activity, and stress management &DZA )&TGreat works are performed, not by strength, but by perseverance. Samuel Johnson6UC(( *'Products( 33Articles in refereed journals Presentations at conventions and meetings Presentation packages Clinical practice monographs with CE Online CE learning Workshops ACG specific products " B/~NAPNAP s Healthy Eating and Activity Together (HEAT) Initiative@@$Reduce prevalence of overweight and obese children by 5% (1994 baseline=11% of 6-19 year olds are overweight or obese) Multi-year, multiple components addressing advocacy, education, research and practice improvement Organizing resources and tools on web and print Testing  do-ability factors and effect on BMI Led by a Steering Work Group with 7 core work groups Strategic and tactical alliances being made during next three months; funding sought; EB committed P +(Opportunities and Threats3Opportunities Walking among giants Members are best of the best Commitment to test  do-ability factor Welcoming creativity Threats HIPPA fears of unknown IRBs and human subjects protection Data sharing Funding We are each born so creative  then we forget our purpose, our mission. We believe our doubts and fears, and slowly stop  being creative as though it was a separate thing. SarknOPP3<O  C0Riding the dragon6rEvery problem has two handles. You can grab it by the handle of fear or the handle of hope. Margaret Mitchell.s^,)Key Facilitators&33Volunteer members Association commitment Project support staff/liaison Site organization support Human subject protection templates Money Creativity 0A Path to Seeking and Achieving Desired Outcomes*10(3(3 Competence development Research utilization Clinical practice outcomes Health outcomes in community Patient information and education8""  Creating Real Roles"3E Champion and leader Truth seeker and teacher Logician and magician(FE" ?,WBe not afraid of going slowly, be only afraid of standing still. Chinese ProverbFXB(3` Ever tried. Ever failed. No matter. Try again. Fail again. Fail better. 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Chinese ProverbAWHONN RBP Program Purpose AssumptionsTheoretical InfluencesJungs SynchronicitySlide 9 Slide 10 OutcomesLAWHONN Evidence-Based Clinical Practice Guideline (EBG) Development Program2Why Evidence-Based Clinical Practice Guidelines?4AWHONNs Cardiovascular Health for Women InitiativeUGreat works are performed, not by strength, but by perseverance. Samuel Johnson Products@NAPNAPs Healthy Eating and Activity Together (HEAT) InitiativeOpportunities and ThreatsRiding the dragonKey Facilitators1A Path to Seeking and Achieving Desired OutcomesCreating Real RolesXBe not afraid of going slowly, be only afraid of standing still. Chinese Proverb  Fonts UsedDesign Template Slide TitlesD@8_AdHocReviewCycleID_EmailSubject _AuthorEmail_AuthorEmailDisplayName_ReviewingToolsShownOnced=Presentation Handoutskkellythomas@napnap.orgKaren Kelly Thomas _0cmmillercmmiller  !"#$%&'()*+,-./0123456789:;<=>?@ABCDEFGHIJKLMNOPQRSTUVWXYZ[\]^_`abcdefghijklmnopqrstuvwxyz{|}~      !"#$%&'()*+,-./0123456789:;<=>?@ABCDEFGHIJKLMNOPQRSTUVWXYZ[\]^_`abcdefghijklmnopqstuvwxyz{|}~      !"#$%&()*+,-.5Root EntrydO)PicturesCurrent User'SummaryInformation( UPowerPoint Document(rDocumentSummaryInformation8