This text provides a roadmap for developing and nurturing nursing research programs in complex hospital environments. Written by experienced clinical researchers who have successfully implemented these techniques in the Cleveland Clinic, the handbook shows nurses how to build and sustain a research programóa fundamental requirement for transforming patient care and administrative practices and obtaining and sustaining American Nurses Credentialing Center MagnetÆ program recognition. The book demonstrates, step by step, how leaders and staff can integrate nursing research into the workflow of complex health care environments. It provides a framework for developing horizontal and vertical structures that promote the creation of new knowledge and for enhancing the scientific foundation of nursing evidence. With a focus on practical applications, the book addresses the structures, systems, processes, and resources required for creating and maintaining a research program, along with methods for its evaluation. The handbook describes foundational principles that apply to hospitals of all sizes (including ambulatory centers and hospitals without extensive resources), and provides concrete guidance for adapting structures and processes to fit the needs of hospitals with varied nursing staff sizes and program goals. Replete with a wealth of ideas and strategies, it provides detailed templates that will assist novice and more experienced researchers, offers guidelines for committees to support nursing research within a hospital, and discusses the "who," "what," and "why" of systems that enhance workflow. Chapters offer experiential stories written by nurses who describe the "real world" experiences of implementing clinical research in their practice. Tables and figures further illuminate information. KEY FEATURES: Written by experienced researchers who have implemented the techniques used in this book Provides a framework adaptable for use with hospitals of all sizes Includes guidelines for committees/councils to support nursing research within the organization Discusses processes and systems that enhance collaboration and workflow Offers stories from the field by nurses about lessons learned from their research experiences

The first resource to present the “nuts and bolts” of creating a successful nursing research program. This text provides a roadmap to develop and nurture a nursing research program in complex hospital environments. Written by experienced clinical researchers who have successfully implemented these techniques in the Cleveland Clinic, the handbook shows nurses how to build and sustain a research program—a fundamental requirement to transform patient care and administrative practices and obtain and sustain American Nurses Credentialing Center Magnet® program recognition. The book demonstrates, step-by-step, how leaders and staff can integrate nursing research into the workflow of complex health care environments. It provides a framework for developing horizontal and vertical structures that promote the creation of new knowledge and for enhancing the scientific foundation of nursing evidence. With a focus on practical applications, the book addresses the structures, systems, processes, and resources required for creating and maintaining a research program along with methods for its evaluation. The handbook describes foundational principles that apply to hospitals of all sizes (including ambulatory centers and hospitals without extensive resources), and provides concrete guidance in adapting structures and processes to fit the needs of hospitals with varied nursing staff size and program goals. Replete with a wealth of ideas and strategies, it provides detailed templates that will assist novice and more experienced researchers, guidelines for committees to support nursing research within a hospital, and discusses the “who,” “what,” “why” of systems that enhance workflow. Chapters offer experiential stories written by nurses who describe the “real world” experiences of implementing clinical research in their practice. Tables and figures further illuminate information. Key Features: Written by experienced researchers who have implemented the techniques used in this book Provides a framework adaptable for use with hospitals of all sizes Includes guidelines for committees/councils to support nursing research within the organization Discusses processes and systems that enhance collaboration and workflow Offers stories from the field by nurses about “lessons learned” from their research experiences

As the Magnet Recognition Program® continues to influence hospital-based nursing, the need to educate clinical nurses on how to conduct research is more important than ever. Establishing a Research-Friendly Environment: A Hospital-Based Approach is a unique text that helps clinical nurses conduct or participate in research that leads to better health care in hospitals. Each chapter includes an introduction, working definitions of key concepts, and resources required for success. The text also features numerous case examples that serve to highlight research done by nurses and health professionals in the field.

2014 AJN BOOK OF THE YEAR AWARD! 2014 DOODY’S CORE TITLE Now in its third edition, this highly acclaimed text remains the leading comprehensive textbook and professional reference for Clinical Nurse Specialist (CNS) education and practice. Supported by theory, research, and current literature, the book focuses on CNS roles and scope of practice; expanding opportunities in primary and home care settings; and outcomes of CNS practice throughout the care continuum and across the three spheres of impact. The third edition is updated to reflect current trends affecting CNS practice, with several new chapters that focus on telehealth, home care, and quality improvement. The text begins with an overview of the evolution, attributes, philosophical underpinnings, and key outcomes of CNSs in the United States. It then addresses nursing interventions, quality, and care delivery, as well as the business side of CNS practice—consultation, mentoring, project management, and entrepreneurship. It features examples of CNS practice in a variety of settings and specialty areas. This resource provides students and professionals with the guidance required to achieve core competencies and improve patient outcomes. NEW TO THE THIRD EDITION: Updated to reflect current practices and the latest core competencies Features a new section—Creating a Culture of Quality—that addresses patient safety, high-reliability organizations, Big Data, and efficiency Highlights emerging areas of CNS practice such as telehealth, pediatric palliative care, wound care, and home care KEY FEATURES: Emphasizes the importance of the CNS practitioner as expert clinician, consultant, researcher, and educator Written and edited by more than 40 individuals representing the “Who’s Who” of CNS nursing Highlights core competencies and practice outcomes identified in NACNS’s 2019 Statement on Clinical Nurse Specialist Practice and Education Presents models of CNS specialty care and CNS practice with outcomes Includes discussion questions, ethical considerations, analysis and synthesis exercises, and clinical application considerations Instructor’s PowerPoint slides included

A fundamental, reader-friendly guide to evidence-based practice (EBP) for BSN, MSN, and DNP nursing students, Evidence-Based Practice in Nursing explains the conceptual underpinnings of EBP and demonstrates how nurses can put EBP concepts into practice. Replete with critical knowledge, skills, tools, and scholarly development to enable nurses to fully and confidently deliver the highest-quality EBP care, this book eschews a one-size-fits-all approach unique systematic guidelines for understanding and applying EBP. Building blocks of information grow progressively more complex to apply to any point along nursing’s academic trajectory. Thoughtfully organized to fit a variety of EBP-related course objectives, Evidence Based Practice in Nursing easily adapts for standalone EBP courses at any level as well as advanced practice specialty courses that integrate EBP content. This book addresses the needs of all nursing instructors, including those who teach at multiple levels simultaneously. Key content discusses requisite conceptual knowledge of EBP for building clinical decision-making skills; conceptualizing, implementing, and evaluating EBP projects; conducting translational research and quality improvement for implementation and evaluation of EBP; developing leadership and structural empowerment strategies; and analyzing how students at each degree/level work with EBP independently, inter-professionally, and intraprofessionally. Chapters align with AACN essentials. Key Features: Follows a methodical systematic trajectory building from simple to complex concepts Includes abundant examples demonstrating both negative and positive EBP applications Enables instructors to adopt one textbook for BSN, MSN, and DNP students Includes practical design templates for developing EBP information plans with critical guideposts Provides a quality improvement toolkit, key words and concepts, illustrative tables, and figures

Focused specifically on the APRN role in implementing evidence-based practice in the clinical environment The fourth edition of this award-winning text—written specifically for Advanced Practice Registered Nurses (APRN) and students devoted to scholarly investigation—describes essential ways to implement Evidence-Based Practice (EBP) and quality improvement skills into practical application. Step-by-step instructions walk the reader through the process of finding relevant evidence, appraising it, translating it into practice to improve patient care and outcomes, and disseminating it. This text delivers expert guidance on designing questionnaires and data-collection forms, and on analyzing qualitative and quantitative data. The authors also offer guidelines for evaluating research articles and a variety of EBP activities and protocols demonstrating how to integrate EBP into multiple clinical settings relevant to all APRN practice domains. New to the Fourth Edition: New chapter on Continuous Quality Improvement (CQI) includes information on models, processes, and tools New chapter filled with examples of APRN-led initiatives showcasing improved processes and health outcomes resulting from EBP and quality improvement (QI) projects Expanded literature reviews including integrative and other types of literature reviews beyond systematic review Increased focus on Doctor of Nursing (DNP) competencies and QI Key Features: Helpful in achieving hospital Magnet® status Integrates EBP concepts related to patient care Examples highlight application of evidence into practice Describes strategies for establishing and sustaining an organizational evidence-based practice Discusses issues of costs and ethics from EBP perspective Purchase includes digital access for use on most mobile devices or computers

Historically, nursing, in all of its missions of research/scholarship, education and practice, has not had access to large patient databases. Nursing consequently adopted qualitative methodologies with small sample sizes, clinical trials and lab research. Historically, large data methods were limited to traditional biostatical analyses. In the United States, large payer data has been amassed and structures/organizations have been created to welcome scientists to explore these large data to advance knowledge discovery. Health systems electronic health records (EHRs) have now matured to generate massive databases with longitudinal trending. This text reflects how the learning health system infrastructure is maturing, and being advanced by health information exchanges (HIEs) with multiple organizations blending their data, or enabling distributed computing. It educates the readers on the evolution of knowledge discovery methods that span qualitative as well as quantitative data mining, including the expanse of data visualization capacities, are enabling sophisticated discovery. New opportunities for nursing and call for new skills in research methodologies are being further enabled by new partnerships spanning all sectors.