The Helene Fuld Health Trust National Institute for

The Helene Fuld Health Trust National Institute for Evidence-based Practice MENTORING EBP

The Helene Fuld Health Trust National Institute for Evidence-based Practice The Steps of EBP Step 0: • Cultivate a Spirit of Inquiry & EBP Culture Step 1: • Ask the PICO(T) Question Step 2: • Search for the Best Evidence Step 3: • Critically Appraise the Evidence • Integrate the Evidence with Your Clinical Expertise and Step 4: Patient Preferences to Make the Best Clinical Decision Step 5: • Evaluate the Outcome(s) of the EBP Practice Change Step 6: • Disseminate the Outcome(s)

The Helene Fuld Health Trust National Institute for Evidence-based Practice EBP Competencies The Evidence-Based Practice Competencies for Practicing Registered Professional Nurses: 13: Participates in strategies to sustain an evidence-based practice culture. The Evidence-Based Practice Competencies for Practicing Advanced. Practice Nurses: 17: Leads trans-disciplinary teams in applying synthesized evidence to initiate clinical decisions and practice changes to improve the health of individuals, groups, and populations. 22: Mentors others in evidence-based decision making and the evidence-based practice process.

The Helene Fuld Health Trust National Institute for Evidence-based Practice Objectives • • • Discuss the role and importance of a mentor in EBP Describe the characteristics of a mentor Explore mentoring practices and benefits Align EBP Competencies with EBP mentor actions and practices Analyze potential barriers, facilitators and leveraging strategies to aid in the implementation of EBP • Apply mentoring strategies to support integration of EBP

The Helene Fuld Health Trust National Institute for Evidence-based Practice Why is mentoring important?

The Helene Fuld Health Trust National Institute for Evidence-based Practice What are the characteristics of a mentor?

The Helene Fuld Health Trust National Institute for Evidence-based Practice “Mentoring is more an affair of the heart than the head- it is a 2 way relationship that is based on trust. A mentor wins and sustains the mentee’s trust through constancy (staying the course), reliability (being there when it counts), integrity (honoring commitments and promises), and walking the talk” M. J. Tobin

The Helene Fuld Health Trust National Institute for Evidence-based Practice MENTOR – The KEY to Sustaining EBP

The Helene Fuld Health Trust National Institute for Evidence-based Practice Definitions of EBP Mentor • ARCC: Mentors assist in shifting from traditional practice paradigm to an EBP paradigm, conducting EBP implementation initiatives, and generating and integrating practice-based data to improve healthcare quality as well as patient and/or system outcomes • Iowa: The EBP facilitator or mentor is a leader with advanced EBP knowledge and skill who guides others through the EBP process • Hopkins: Mentors…provide a safe and supportive environment for staff to move out of their comfort zone as they learn new skills and competencies

The Helene Fuld Health Trust National Institute for Evidence-based Practice Jakubik’s Evidence-based Mentoring Model Used with permission from the author, Jakubik, 2015 (Weese, M. , Jakubic, L. Eliades, A. , Huth, J. 2015)

The Helene Fuld Health Trust Mentoring Practices and Benefits National Institute for Evidence-based Practice (Weese, M. , Jakubic, L. Eliades, A. , Huth, J. 2015)

The Helene Fuld Health Trust National Institute for Evidence-based Practice (Weese, M. , Jakubik, L. Eliades, A. , Houth, J. , 2015)

The Helene Fuld Health Trust National Institute for Evidence-based Practice Benefits of Mentoring to YOU You grow: Emotionally, Spiritually, Interpersonally, and Intellectually.

The Helene Fuld Health Trust National Institute for Evidence-based Practice Apply the Jakubik Framework to Your EBP Mentor Role

The Helene Fuld Health Trust National Institute for Evidence-based Practice Mentoring Practices Welcoming Mapping the Future Teaching the Job Supporting the Transition Providing Protection Equipping for Leadership EBP Mentor

The Helene Fuld Health Trust National Institute for Evidence-based Practice Activity Competency Clinical Inquiry Searching Critical Appraisal, Evaluation, Synthesis, Recommendation Implementing Outcomes Leading Disseminating Mentoring Practices Mentoring Actions

The Helene Fuld Health Trust National Institute for Evidence-based Practice • Staff workload • Protected time • Competing priorities Resources • “It is just another change…it’s ‘flavor of the month’” • “I don’t really care what the evidence says” Time • “We have always done it that way” • Top down approach to initiatives • Leadership disconnect • Lack of infrastructure to support EBP • Power & hierarchy Attitude Culture EBP mentor challenges Access to: • Computers • Health information technology • Librarian • Mentors for the EBP mentor

The Helene Fuld Health Trust National Institute for Evidence-based Practice Creating opportunities out of challenges

The Helene Fuld Health Trust National Institute for Evidence-based Practice EBP mentors are change leaders As EBP Mentors you are leaders in a paradigm shift. Leadership does not necessarily come with a title. . . it can be manifested at any level. Be prepared for the challenges and rewards of this experience!

The Helene Fuld Health Trust National Institute for Evidence-based Practice “I alone cannot change the world, but I can cast a stone across the waters to create many ripples. ” Mother Teresa

The Helene Fuld Health Trust National Institute for Evidence-based Practice What is the difference between management and leadership? • Management – – Planning and budgeting Organizing and staffing Controlling and problem solving Taking complex systems of people and technology and making them run efficiently and effectively, hour after hour, day www. Kotterinternational. com after day

The Helene Fuld Health Trust National Institute for Evidence-based Practice What is the difference between management and leadership? • Leadership – – – Creating vision and strategy Communicating and setting direction Motivating action Aligning people Creating systems that managers can manage and transforming them when needed to allow for growth, evolution, opportunities, and hazard avoidance www. Kotterinternational. com

The Helene Fuld Health Trust National Institute for Evidence-based Practice Leadership is Earned Many individuals think that a title gives them power and positions them as a leader However, good leaders know that they need to earn their leadership by garnering the trust, respect and support of their team Support Respect Trust

The Helene Fuld Health Trust National Institute for Evidence-based Practice Building trust, respect & support • • Be transparent - willing to disclose information Have integrity Follow through on what you say Delegate and believe in the team Have a “no secrets” policy Be fair and don’t show favoritism Hold people accountable for their behavior Give credit to your team: appreciate and thank them

The Helene Fuld Health Trust National Institute for Evidence-based Practice Characteristics of leadership • Think about your COMMUNICATION STYLE – Are You a “D”, “i”, “S” or a “C”? • Informal vs. formal leader • What can you LEVERAGE to be successful: – who you are? – relationships • Role modeling? ?

The Helene Fuld Health Trust National Institute for Evidence-based Practice Kotter’s 8 -stage process of creating major change 1. 2. 3. 4. 5. 6. 7. 8. Create urgency Form a powerful coalition Create a vision for change Communicate the vision Empower action Create quick wins Build on the change Make change stick

The Helene Fuld Health Trust National Institute for Evidence-based Practice Beware of the BARRIERS to Change…and EBP BARRIER: Skepticism STRATEGY: Educate people and appeal to their emotions about why a change to EBP is critical • Enhance their beliefs that they can do EBP • Use motivational techniques • Provide examples of EBP: improves care and patient outcomes

The Helene Fuld Health Trust National Institute for Evidence-based Practice Barrier: The past Strategy: Acknowledge the past and why it is difficult to “let it go” Explore emotions related to old/new Declare commitment to provide support

The Helene Fuld Health Trust National Institute for Evidence-based Practice Barrier: Lack of a sound, written strategic plan Strategy: • Plan carefully • Communicate the written strategic plan so that everyone is clear on what needs to be done

The Helene Fuld Health Trust National Institute for Evidence-based Practice Barrier: Resistance Strategy: • Assist people with overcoming their fears and anxieties • Provide information • Develop trust • Address it • Be prepared “I hear you, I know this is hard. And, this is not about you, this is about the patient”

The Helene Fuld Health Trust National Institute for Evidence-based Practice Barrier: Lack of resources Strategy: • Start small (not many resources are needed for EBP rounds and journal clubs) • Negotiate for additional resources! • Access resources through collaborations with outside entities (i. e. clinical practice/academic partnerships)

The Helene Fuld Health Trust National Institute for Evidence-based Practice Barrier: Fatigue Strategy: • Acknowledge the “Big Picture” • Pace yourself • Recognize efforts • Celebrate small successes

The Helene Fuld Health Trust National Institute for Evidence-based Practice Barrier: Subterfuge Strategy: • Select EBP Champions strategically • Know who is trying to undermine you and address it head on • Understand the influence of “leaders” – formal and informal – positive and hostile • Publicly navigate negative behaviors

The Helene Fuld Health Trust National Institute for Evidence-based Practice Barrier: Manager & leader resistance Strategy: • Ask for what you need clearly • Align your EBP work with your manager/leader’s deliverables • Identify a champion who will help support your EBP work

The Helene Fuld Health Trust National Institute for Evidence-based Practice Sustainability Some things just don’t go away!

The Helene Fuld Health Trust National Institute for Evidence-based Practice “Dripping water hollows out stone, not through force but through persistence. ” Ovid

The Helene Fuld Health Trust National Institute for Evidence-based Practice Facilitators What already exists in your organization to promote EBP implementation?

The Helene Fuld Health Trust National Institute for Evidence-based Practice Key facilitators of EBP ● ● Aligned with and stated in the mission/vision Spirit of Inquiry EBP mentors & champions are visible Individual EBP knowledge, skills, & attitudes • Belief that EBP it’s important • Belief that we can do it here! ● Administrative/organizational support ● Infrastructure (tools, resources, etc) ● Recognition

The Helene Fuld Health Trust National Institute for Evidence-based Practice “Be the change that you wish to see in the world. ” - Mahatma Gandhi

The Helene Fuld Health Trust National Institute for Evidence-based Practice Gratitude

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