2011 Best of WORLDviews on Evidence-Based Nursing Award Recipient
The Role of Nursing Best Practice Champions in Diffusing Practice Guidelines:
A Mixed Methods Study
Author(s): Jenny Ploeg, PhD, RN; Jennifer Skelly, PhD, RN; Margo Rowan, PhD; Nancy Edwards, PhD, RN; Barbara Davies, PhD, RN; Doris Grinspun, PhD, MSN, RN, O.ONT; Irmajean Bajnok, PhD, RN; Angela Downey, PhD
Dr. Jenny Ploeg is an associate professor, School of Nursing and associate member in the Department of Health, Aging and Society at McMaster University, Hamilton Ontario, Canada. She is an Ontario Ministry of Health and Long-Term Care mid-career nursing research award recipient. The focus of her career award is on Nursing Approaches to Support Older Adults and their Caregivers. Her primary research interests include evaluation of health services for older adults and their caregivers, evidence-based practice and qualitative research. This paper represents one of five research projects related to the emergence and spread of evidence-informed models of nursing. The Best Practice Champions project was co-led by Dr. Ploeg and Dr. Skelly. The larger program of research was co-led by Dr. Nancy Edwards and Dr. Doris Grinspun and funded by the Canadian Health Services Research Foundation, the Registered Nurses’ Association of Ontario, Government of Ontario, Canadian Nurses’ Association and Health Canada.
Dr. Jennifer Skelly is an associate professor and the assistant dean of Nursing Graduate Studies at McMaster University in Hamilton Ontario. She also maintains an active clinical practice in continence care and established the nurse continence advisor role in Canada. In 2008 Dr. Skelly was selected by the Canadian Nurses Association to receive an award for her contribution to continence nursing in Canada. Her research interests include using goal attainment scaling to evaluate quality improvement in continence care. This paper represents one of five research projects related to the emergence and spread of evidence-informed models of nursing. The Best Practice Champions project was co-led by Dr. Ploeg and Dr. Skelly. The program of research was co-led by Dr. Nancy Edwards and Dr. Doris Grinspun and funded by the Canadian Health Services Research Foundation, the Registered Nurses’ Association of Ontario, Government of Ontario, Canadian Nurses’ Association and Health Canada.
Margo S. Rowan, PhD, runs her own consulting business and is an assistant professor in the Department of Family Medicine, University of Ottawa. She has more than 25 years’ experience in providing health evaluation and research services to faculties of nursing and medicine, hospitals, health associations, research institutes, governments, and non-profit organizations. She has an extensive background in all facets of health evaluation and research design, implementation, analysis and publication. Her special interests are in developing performance measurement frameworks and conducting qualitative and mixed method research studies in health care. Her PhD is from the University of Toronto in the department of Measurement, Evaluation and Computer Applications (MECA).
Dr. Nancy Edwards is a full professor, School of Nursing and Department of Epidemiology and Community Medicine, University of Ottawa. She holds a Nursing Chair award, funded by the Canadian Health Services Research Foundation, the Canadian Institutes of Health Research and the Government of Ontario. The focus of her Chair is multi-strategy and multi-level interventions for community health nursing and she has led many research projects in both Canada and internationally. Dr. Edwards was appointed to the position of Scientific Director, Institute of Population and Public Health, Canadian Institutes of Health Research in 2008. She has widely published and has won numerous awards including the title of Distinguished Professor at the University of Ottawa.
Dr. Barbara Davies is a professor at the School of Nursing, Faculty of Health Sciences, University of Ottawa. She is the co-director of the Nursing Best Practice Research Unit and has worked in partnership with the Registered Nurses' Association of Ontario for 11 years. She conducts research about the methods and measures for guideline implementation with a focus on sustainability and spread of innovations.
Dr. Doris Grinspun is executive director of the Registered Nurses' Association of Ontario (RNAO) since 1996. Publishing and speaking extensively in Canada and abroad, she is a forceful advocate of the Canadian health care system and the contribution of registered nurses to its success. She has received numerous professional and scholarly awards and in 2003 was invested with the Order of Ontario which recognizes the highest level of individual excellence and achievement in any field. In 2010 Grinspun was named one of the top ten Hispano-Canadians. In 2011 she was conferred by the University of Ontario Institute of Technology an honourary Doctor of Laws in recognition of her eminent career as a visionary, advocate and tireless champion of excellence in patient care, and for transforming nursing and health care practice at the bedside with the introduction of best practice guidelines. Dr. Grinspun has been featured in numerous publications as a positive change agent.
Dr. Irmajean Bajnok is currently the director of RNAO’s International Affairs and Best Practice Guidelines Programs and the Centre for Professional Nursing Excellence. In this capacity she oversees the development, dissemination and evaluation of the RNAO Best Practice Guidelines (BPGs) in both the clinical nursing and healthy work environment areas of focus. She plays a lead role in the many strategies developed to support and evaluate implementation of evidence based practice, through the RNAO BPGs, locally, provincially and internationally. She also oversees the RNAO Centre’s extensive national and international conference and events program and works closely with numerous health care organizations, who receive education and consultation services as RNAO Centre Members. In her role as co-director of the NBPRU, (an organization devoted to fostering research and developing capacity in outcomes based research), she participates in numerous studies related to knowledge transfer and the impact of BPG implementation.
Angela M. Downey, PhD, CMA, FCMA, is an associate professor of Accounting in the Peter B. Gustavson School of Business at the University of Victoria. Her research interests are centered in the health environment. She has published and presented extensively on the role of measurement in health promotion and prevention. Dr. Downey is involved in research using her economic and costing models to measure the impact of changes in health care system delivery including the development and adoption of evidence-based best clinical practice. She has published in the Journal of the Association for Information Systems, WORLDviews on Evidence-Based Nursing, and the Journal of Accounting Ethics, among others.