Keywords
Akutsygepleje
Klinisk beslutningstagen
How to Cite
Abstract
Background: Evidence-based practice (EBP) is a means for clinicians to minimize the gap between theory and practice. EBP is grounded in decision-making and is employed to optimize patient outcomes and enhance clinical practice. To strengthen clinicians' focus on EBP in the Emergency Department (ED), we introduced 10 minutes of professional nursing-related discussion daily. A nurse leader and a clinical nurse specialist facilitated the sessions, using the EBP model to structure the discussion.
Objective: The aim was to explore clinicians’ assessment of '10 Professional Minutes' and their experience of its professional value in relation to clinical practice.
Method: Each day, a nurse from the ED chose a topic for discussion. A clinical nurse specialist and a staff nurse facilitated the discussion by using a flip-over to illustrate the topic in the EBP model. To evaluate the project, a questionnaire containing 11 questions was distributed to all nurses at the ED (n = 116) after 4½ months. Two focus group interviews with clinicians and leaders were conducted to elaborate on the survey.
Results: The questionnaire had a response rate of 72%. 61% of the clinicians answered that ‘10 professional minutes’ had influenced their nursing practice. 54% gained an increased focus on guidelines and a search for evidence. Clinicians with education between 3-6 years evaluated ’10 professional minutes’ contribution to clinical practice the lowest. From the focus group interviews, two themes emerged: 1) Opportunities and barriers for nursing reflection and peer support, and 2) Concerns about exposing one's own lack of knowledge.
Conclusion: In conclusion, ‘10 professional minutes facilitate an increased focus on evidence-based work. It creates room for nursing-related discussion and reflection in the clinicians’ daily work. Special attention must be directed towards its intent to prevent the feeling of being professionally questioned.
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