Igniting a spirit of inquiry using a Sacred Cow round-up
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Poster presentation
Session G presented Tuesday, October 1, 1:00-2:00 pm
Purpose: This project challenges long held nursing practices that might not be best for the patient and ignited a spirit of inquiry among nursing staff at Baptist Health Care (BHC) in pilot units. The aim of this project is to examine nursing practices that are not supported by evidence based research and to give nurses an avenue to submit ideas and tools to promote involvement in changing their own practice.
Design: This is a process improvement project for the entire hospital system. The ED is one of four pilot units for the Sacred Cow project.
Setting: This is a Level II Trauma Center hospital which is a primary stroke center, bariatric center, and psychiatric receiving hospital and sees approximately 70,000-80,000 patients annually.
Participants/Subjects: Participants included interested nurses from all over the Baptist Health Care Organization who wanted to affect positive change at the bedside through identifying sacred cows.
Methods: Education on the definition of Sacred Cows and how to research using EBP was provided to interested nurses from pilot departments in January 2019. Nurses were asked to place “pastures” in their respective units and given a tool kit with instructions, a marker, and cows. The units were given 2 weeks to identify Sacred Cows and place them on the pastures. At the end of the 2 weeks, approximately 40 Sacred Cows had been identified and placed on the pastures. These Cows were presented at the Research Council in January. The next step will be choosing a Sacred Cow from each unit and researching it to roll out institutional change with the evidence that is found. The final step will be to implement the process throughout the rest of the hospital and create an ongoing platform for nurses to create and promote change in their own practice.
Results/Outcomes: The need for creating a platform where nurses could address Sacred Cows was evident in our first Sacred Cow Round-up. Nurses throughout the organization nominated approximately 40 Sacred Cows for consideration in a 2 week time period. This suggests that bedside nurses are excited to have an avenue to change tradition and implement evidence-based practice. BHC is excited to see the progress that will occur in the hospital in the next 6 months through the use of the Sacred Cow Round-Up. The plan is to update this project and present the outcomes of researching the first four Sacred Cows (one from each of the pilot units) at the ENA conference.
Implications: This project revealed that nurses at the bedside in the ED and throughout the hospital are eager to challenge traditional practices and put Sacred Cows out to pasture. This platform allowed these nurses to have a voice in changing their own practice. Managers in the ED can use this to ignite a spirit of inquiry with nursing staff and improve nursing engagement and retention.
Type | Poster |
Format | Text-based Document |
Evidence Level | N/A |
Research Approach | N/A |
Keywords | Sacred Cows; Evidence-based Practice; Spirit of Inquiry |
Name | Emergency Nursing 2019 |
Host | Emergency Nurses Association |
Location | Austin, Texas, USA |
Date | 2019 |
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