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Nurses at Texas Children’s Hospital Engage in Research to Improve Patient Care and Outcomes
One-on-one time with patients helps identify problems and design studies that lead to real solutions

 
 News media contact

Sarah Hoffman
Edelman for Texas Children’s Hospital
(512) 634-3651
sarah.hoffman@edelman.com

 

HOUSTON, Texas – May 12, 2009 – Every nurse being celebrated during National Nurses Week has memories of special patients. Emotional bonds and singular experiences can keep certain patients top of mind or deep in the heart for a nurse’s entire career. But at Texas Children’s Hospital, nurses are also using their experiences with patients and families to improve care through research and evidence-based practice to advance excellence in patient care.

Texas Children’s Hospital’s Center for Research and Evidence-Based Practice prepares nurses to critically analyze the latest literature that can improve their practice. Nurses at the bedside are the consistent healthcare providers for patients and families and are in the best place to identify opportunities for improvement in patient care. Nurses who participate in the Center activities are actively involved in applying evidence to their practice and evaluating its impact on quality nursing care provided to patients and families. When evidence is lacking, nurses work with Center faculty to develop research studies that will provide evidence to achieve the best nursing care possible.

“Because nurses have the most regular interaction with patients – usually more than any other discipline – they have an especially deep understanding of patient care needs,” said Marilyn Hockenberry, PhD, director of the Center for Research and Evidence-Based-Practice at Texas Children’s Hospital and professor of pediatrics at Baylor College of Medicine. “The nurses participating in the Center for Research and Evidence-Based Practice programs are scholars caring for patients and families at the bedside. The clinical research questions developed at that level of care are often the most critical issues that can impact quality patient and family care. It’s an essential role for nurses.”

While improving patient care and clinical outcomes is the Center’s primary focus, it also aims to expand the role of nurses – who already contribute significantly to a patient’s well-being – in research and evidence-based practice. The Center’s focus on implementing evidence-based practice promotes collaboration among nurses, doctors and other caregivers to integrate the best available research, clinical expertise and patient and family preferences to make the best clinical decisions. With its commitment to evidence-based practice and research supporting it, Texas Children’s Hospital is a leader in a nationwide movement toward evidence-based practice and quality improvement for nursing care at the bedside.

In 2008, nurse researchers within the Center for Research and Evidenced-Based Practice participated in studies evaluating clinical topics such as pain management in hospitalized children, transition of adolescents with chronic conditions to adult care, nutrition in children with cancer, clinical assessment of acute respiratory distress, symptom management for chronically ill children, improving sleep for hospitalized children, as well as research on integrating evidence-based practice into nursing and expanding the role of nurses in clinical research.

The Center coordinated an 18-month nursing research fellowship to develop independent nurse researchers who will not only expand their expertise in patient care, but also contribute to Texas Children’s Hospital’s growth as a nursing research center of excellence. Five nurse fellows recently completed the program that included a focused curriculum in research design, instrumentation evaluation, research critique, statistical analysis and grant writing.

“The Center for Research and Evidence-Based Practice is just one way we’re helping nurses grow individually and evolve as professionals,” said Susan Distefano, senior vice president of Patient Care Services and chief nursing officer at Texas Children’s Hospital. “Our main focus always has been and always will be the best care for our patients. As part of that, we’re looking at new ways to expand nurses’ roles so they can be the very best patient caregivers and advocates.”

Because of its commitment to nursing excellence, in 2003, Texas Children’s Hospital was one of the first freestanding pediatric hospitals in the United States to receive the American Nurses Credentialing Center’s national Magnet recognition – one of the highest honors in nursing – for meeting rigorous quality indicators and nursing practice standards set by the American Nurses Association. The hospital was re-designated in 2007.

About Texas Children’s Hospital
Texas Children's Hospital is committed to a community of healthy children by providing the finest pediatric patient care, education and research. Renowned worldwide for its expertise and breakthrough developments in clinical care and research, Texas Children’s is ranked in the top 10 best children’s hospitals by U.S. News and World Report. Texas Children’s also operates the nation’s largest primary pediatric care network, with more than 40 offices throughout the greater Houston community. Texas Children’s has embarked on a $1.5 billion expansion, Vision 2010, which includes a neurological research institute, a comprehensive obstetrics facility focusing on high-risk births and a community hospital in suburban West Houston.