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New Knowledge Innovations and Improvements Research NK4: Describe and demonstrate the structure(s) and process(es) used by the organization to develop, expand, and/or advance nursing research. YH provides the structure and process to support the development, expansion, and/or advancement of nursing research. The infrastructure that supports these processes includes:

· A full-time doctoral-prepared nurse (Barbara Buchko, DNP, RNC-MNN) as director of EBP and Nursing Research

· The EBP/Nursing Research council, which conducts monthly education, and also serves as a resource for nursing staff interested in nursing research

· A nursing research budget to support the work of the EBP/NR Council, extensive nursing research activities, purchase of books and journals, attendance at nursing research conferences as well as presenting oral and poster presentations at regional, national, and international conferences.

· Two paid EBP/Nurse Research 192 hour fellowships per year · Internal mentors and consultants such as nurses with advanced degrees, physician champions

and the Director of EBP/NR · A system-wide Emig research center with support staff · York Hospital-WellSpan Health-IRB members and chairs · Library with talented and helpful librarians · External nurse researchers and consultants including YCP nursing faculty · Dr. Linda Pugh’s book, Johns Hopkins Nursing Evidence-Based Practice Model and Guidelines

was given to each nursing unit, as a resource for all YH’s nursing staff. In addition, a copy can be borrowed from the Hoover Library. Dr. Pugh was our first part-time director of EBP and Nursing Research.

· Computers on every nursing unit which can access the Hoover library, EBP/NR Council intranet site, and internet

Director of EBP and Nursing Research

Our experience shows us that expertise is necessary to support a culture of inquiry. Since April 2006, originally two part-time doctoral-prepared nurses advised YH staff in development of nursing research. YH nurse leaders recognized the importance of the director role to support clinical nurses in conducting evidence-based practice projects and nursing research. The 2008-2009 Nursing Strategic Plan included a 3 year goal of a full-time position for a Director of Evidence-Based Practice and Nursing Research. Valerie Hardy-Sprenkle, VPPCS/CNO gained support of the organizational leaders for the expansion of the director position from 0.3 FTE in FY10 to 0.6 FTE in FY11 and 1.0 FTE in FY12.

That position was filled by Dr. Barbara Buchko in July 2011. In anticipation of the 3 year goal, the organization invested in the development of our infrastructure by providing financial support to Barbara to complete her doctorate from August, 2009 to May, 2011. The key responsibility of the Director of EBP and Nursing Research (EBP/NR) at York Hospital is to develop and manage a system-wide nursing strategic plan and goals for evidence based practice and nursing research. The director provides education and consultation in EBP and research methods, overseeing nursing research activities within and between departments/divisions/entities/units and with other institutions/organizations including collaboration in preparation of grant applications, contract proposals, and scientific presentations and publications. The director also acts as the advisor to the EBP/NR SDM Council and meets with the council chair monthly for council agenda planning and evaluation of goals. Barbara seeks consultation with her PhD prepared colleagues where she may need assistance with

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certain aspects of specific research design or statistical analysis. These consultants have been identified in OO28, as well as in further in this document and NK6. The director provides opportunities for staff education and open consultation for any YH employee interested in participating in or starting a research project as well as providing assistance to prepare dissemination of findings including writing an abstract, preparing a poster or podium presentation, and writing a manuscript. Barbara also assists principal investigators with their approval process with the IRB, personally reviewing each nursing research protocol and providing a letter of support, which was described and shown in NK2

Barbara works with individuals and groups to mentor them through all aspects of developing a nursing research protocol. She is available by phone, e-mail and face-to-face meetings to answer questions and provide assistance with appraising the evidence, developing an action plan for translation of evidence, identifying measurable outcomes and ways to collect data, data analysis and dissemination. She is a member of the YH Leadership Council and an ad-hoc member to the YH Practice Council where she has been invited on numerous occasions for staff to ask her questions and guide their journal club activities or project work. Barbara supports the EBP/Research Council, the EBP/Research Fellows and the York Hospital/ York College EBP Collaborative as well as many other individuals and groups evaluating nursing practice. Barbara and Valerie Hardy-Sprenkle along with the past part-time doctoral-prepared nurse researcher advisers demonstrated the growth of EBP and Nursing Research at York with a poster presentation at a recent conference. The poster received a 3rd place award. Developing Nursing Research EBP/Nursing Research Council The EBP/NR Council is composed of approximately 16 members that include:

· Chair and chair elect of EBP/NR Council · Director of EBP/Nursing Research · Clinical Nurse Specialists (minimum of 4) · Each service line is represented with staff of its choice, without limitation to number of

representatives. · Clinical Director · Doctoral-prepared nurse consultants · Ad hoc members: Emig research Center representatives; IRB Liaison RN: Librarian; VP of

Patient Care; Director of the Center for Nursing Excellence and Innovation

The council meetings are attended by approximately 10-13 bedside clinical nurses representing each of the nursing divisions. Master’s prepared nurses in roles of clinical nurse specialist, advanced clinical nurse, and direct care clinical nurses provide expertise to coach/mentor council members and other nurses. The EBP/NR Council provides many resources and educational opportunities for YH nurses to develop, expand, and/or advance nursing research. One of the events described below, Annual Collaborative Nurses Research Day has identified keynote speakers based on academic level and expertise in research. Some of the well known and respected nursing researchers that have accepted this keynote opportunity have been Robin P. Newhouse, PhD, RN, NEA, BC, CNOR; Kathryn T. Von Rueden, RN, MS, ACNS-BC, FCCM; and Anne B. (Nancy) Woods, PhD, MPH, CNM. Each of them has geared their presentations in collaboration with the EBP/NR council planning committee to meet the needs of YH nurses. This educational event has been full to capacity within 24 hours of on-line registration opening for the past two years. Nurses attend the event because they feel it offers them

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a solid base of understanding to develop a nursing research protocol, or begin to explore the possibility that this type of activity is within their grasp. The activities and resources supported by the EBP/NR council are listed below:

· SharePoint portal where documents and presentations are stored and available 24/7 in an electronic medium, for staff

· monthly one-hour educational presentations · bi-annual participation in an EBP and Nursing Research Forum · bi-annual sharing of nurses external poster and podium presentations in a session titled

“Scholarly Works: Presentation by Your Peers” · co-sponsorship of an annual Nursing Research Day with keynote speaker

The vision and mission of the EBP/Nursing Research Council guides the members: Vision: Nursing at York Hospital/WellSpan Health will be recognized nationally for strong, evidence-based nursing practice influencing the future of nursing care. Mission: To promote nursing research by educating, nurturing, and sponsoring nurses as researchers and by incorporating evidence-based practice and research into the culture of York Hospital/WellSpan Health. Goals: Each year council goals are chosen that support the nursing strategic plan and accountabilities of the council. These goals provide a structure to develop, expand, and/or advance nursing research. The council reviews the goals bi-annually to evaluate progress and determine actions needed to continue to move forward. The goals for FY 2012 have led to expansion of council members’ accountability to drive YH nurses efforts in translation of evidence and nurse led research. A change in the council structure to include subcommittees provided support for council members to continue moving EBP and nursing research forward in the organization. These subcommittees included 1) EBP/NR Forums planned bi-annually; 2) council website update; 3) education sessions; and 4) peer recognition through a bi-annual presentation of scholarly works. Following completion of the council website updates the sub-committees were re-formatted in March 2012 to combine the bi-annual council forum planning and monthly education into one subcommittee and creating a new subcommittee focused on increasing the development of journal clubs. The journal club subcommittee utilized the EBP/NR council website for announcement of journal clubs to encourage nurse participation. EBP/NR council’s Intranet (INET) portal (NK4.1) EBP/NR council’s Intranet portal provides a resource for nurses to access the following: · Council meeting agendas and minutes · Findings from EBP and Research Forums · Presentation from scholarly work by nurse peers · Call for abstracts for outside conferences · Grants from outside sources · List of current NR studies · YH journal club announcements · JHNEBP appraisal tools · Tools to support an EBP project or research study · Request for funding form · Links to other sources

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The intranet site offers the nurses at any role or setting the at your fingertip resources to develop nursing research. Whether they need just a phone number, links to the Office of Human Research Protections (OHRP), material regarding the protection of human subjects and informed consent or more advanced reference material, the structure of having the council resources electronically has been an integral part of our development strategies. Advancement and expansion of this electronic resource and nursing research infrastructure has evolved since our initial designation.

Tami Hartlaub RN, BSN, CEN, SANE-A, a clinical nurse III, forensic nurse examiner, and EBP/Nursing research council member shares how the council structure has influenced her participation in research.

I was encouraged to join the EBP/Research Council by my nurse manager and have been a member for two years. My membership in this council has encouraged my professional growth by increasing my knowledge of research in nursing. During this time, I led an EBP forum while being mentored by one of our clinical specialists. I was encouraged to take the lead in this project but always felt supported if I had questions or needed assistance as to how to handle a situation. I found the collaboration with the clinical specialist very beneficial as she made sure I had the tools needed to be successful in my new informal leadership role. My participation and the support I received allowed me to take the next step in my career. Through council involvement, I came to realize the important role research and EBP have in the future of the nursing profession and decided to make this my focus for furthering my education. I am currently enrolled at Drexel University for a master’s degree in clinical trials research. My membership in this council continues to support my academic efforts and plays an integral role in my educational track for my degree. Monthly Education Sessions (NK4.2) Understanding and applying research findings as well as the research process is a new skill for many nurses. The EBP/NR Council’s monthly education offerings have included topics about evidence appraisal and research. Educational offerings are publicized in mass e-mailings, newsletter and website formats. Below is a table of the monthly education sponsored by the EBP/NR Council. It wasn’t until preparing this table that we visually saw the increase in RN attendance of these educational activities demonstrating a heightened interest among YH RNs to learn about evidence-based practice and nursing research. Included is a sample roster representing attendance at an educational offering.

Nk4.1 EBP/NR site on YH Intranet

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EBP/Nursing Research Council Educational Offerings DDaattee TTiittllee PPrreesseenntteerr AAtttteennddaannccee

8/10 Creating Posters using PowerPoint Ted Bell, MS

Emig Research Center 4

10/10 Overcoming Challenges in Outcome Assessment

Sharon Dudley-Brown, PhD, RN Johns Hopkins University School of Nursing

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11/10 Valid and Reliable Tools Rod Grim, MA Emig Research Center

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12/10 Survey Construction Rod Grim, MA Emig Research Center

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8/11 Submitting your project to the IRBnet and other functions

Melissa Schlenker Emig Research Center

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9/11 Translation: Moving Evidence to the Bedside

Barbara Buchko, DNP, RN Director EBP and Nursing Research

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1/12 Beyond the Recommendations: Moving Evidence Into Practice: A Panel Discussion by our EBP Fellows

Karen Dykstra, BSN, RN, CPAN; Clinical Nurse 3, PACU Valerie Smeltzer RN, MS, CCRN; Clinical Nurse 3; HELP Team Teresa Tomlinson, RN, BSN; Clinical Nurse 3;OHICU Amy Mong, RN, BSN, CNOR; Clinical Nurse 3; Operating Room Peter Eisert, BS, RNC-NIC, SANE-A, SANE-P, CFN; Clinical Nurse 3, NICU Elizabeth Fisher, RN, BSN, CCRN; Clinical Nurse 3, MSICU

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2/12 Universal Nursing Issues: EBP Solutions for IV Care, Pressure Ulcer Prevention, and Fall Reduction

Diana Kassaman Aga Khan University Hospital, Nairobi, Kenya

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8/12 The Overture: Ethics in Research: Protecting Study Participants

Tara Moore IRB Coordinator and Quality Assessment Specialist Emig Research Center

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Expanding and Advancing Nursing Research EBP and Research Forum

Education alone may not fulfill the goal for nurses to use and participate in research. The EBP/Research Council uses an EBP/Research Forum as one opportunity for direct care clinical RNs to complete a project in a group setting. The bi-annual EBP/NR Forums have provided nurses with the opportunity to learn and apply evidence appraisal skills with support from nurses with more experience in this skill (further description of this process is documented in NK 6). In January - April 2012, the forum planning committee chose lateral violence among RNs as the topic for the 1st Nursing Research Forum. The choice of this topic was based on an organizational strategic initiative related to workplace violence. Following completion of the EBP Forum, EBP/NR Council requested the development of a Research Forum to identify nurses’ perception of the incidence and severity of lateral and vertical violence among YH nurses. The Director of EBP/NR developed and facilitated this process in conjunction with the staff nurse and CNS leaders of the EBP Forum in August 2012. Forum participants include Council members and all respondents to the e-mail invitation. Below is an example of communication (NK4.3) from the director of EBP and Nursing Research inviting bedside nurses from all units at York Hospital to participate in the Nursing Research Forum:

NK 4.2 Nursing Research Educational Offerings

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Preparation for the Research Forum included the Director of EBP/NR as the leader, the leaders

of the Forum (Cindy Stermer MS, RN, CCRN and Melissa Miller, BSN, RN), and consultation with Emig Research Center staff. The Research Forum was divided into three separate 2 hour sessions: Session 1: protocol development, Session 2: outcome measures and protocol finalization, Session 3: final data analysis and recommendations for dissemination. The design of the program included a 1 hour education overview in preparation for each session’s forum activity. The planned topics for the preparatory education included an overview of ethics in research presented by Tara Moore, the IRB Coordinator and Quality Assessment Specialist; the how to identify study outcomes, presented by Ted Bell, MS, Research Program Manager; and finally, how to analyze research findings, led by Rod Grim, MA, Senior Research Specialist, Emig Research Center.

Twenty-three RNs representing every YH nursing division participated in the first Research Forum. The group was highly participative and the objectives for the session were met and exceeded. The nurses were excited to learn and apply research. The documents linked here demonstrate the education provided to the nurses involved in the research forum, as well as associated documents of a power point and session evaluation. Scholarly Works: Presentation by Your Peers Another process to expand and advance EBP and nursing research is the EBP/NR Council sponsored bi-annual “Presentation by Your Peers”. In FY 2011, the EBP/NR Council implemented a program to showcase scholarly work that is implemented at YH as a result of EBP and/or nursing research conducted by its nurse. During this session, nurses’ share their poster and podium presentations that they presented at external conferences. The goal is to inform attendees of the current trends in research and/or practice and to disseminate the scholarly work of YH nurses throughout the organization. The first 2 programs (12/1/2010 and 6/2/2011) were held from 7:30 – 10:30 AM and participants earned 3 WSH contact hours. Since then PSNA contact hours have been awarded to provide nurses with the ability to apply continuing education hours toward their certification.

NK 4.3 Lateral Violence NR Invite

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The first program was held on December 1, 2010. There were 5 poster presentations given by bedside nurses and 3 oral presentations that included:

· “The Disruptive Practitioner” by Valerie Hardy-Sprenkle and Dr. Peter Hartmann · “The Use and Abuse of the Visual Analog Scale” by Dr. Richard Haas · “Taking Evidence-Based Practice to Kenya” by Barbara Buchko, MS, RN and Dr. Linda Pugh

Since then the number of oral presentations has grown to 5 with many poster presentations. Many of these presentations include research studies. December 2011 and June 2012 Annual Collaborative Nursing Research Conference In 2007, the EBP/NR Council partnered with the Eta Eta chapter of Sigma Theta Tau International (STTI) to sponsor the first annual Nursing Research Day conference. Since that time the conference has grown to include a sponsorship of 4 area hospitals, York College of Pennsylvania, and the Eta Eta Chapter of STTI. The Director of EBP and Nursing Research, chairperson of the EBP/NR Council, and York Hospital clinical nurses are members of the Collaborative Nursing Research Day committee. The program has been a collaborative effort so that we could partner together to provide a robust program, and something which would be worthwhile and educational for participants to attend. The conference held on April 26, 2012 was the sixth annual Collaborative Nurses Research Day with record breaking attendance of over 250 RNs from multiple local hospitals and schools of nursing. York Hospital nurses involvement in EBP and research was apparent. York Hospital was well represented by 34 RNs who contributed poster and podium presentations and manuscript submissions. More than half of the attendees were York Hospital nurses (140). There were six podium presenters of which two were York Hospital nurses. Melissa Schneider, DNP, RN-BC, ONC, a Clinical Nurse Educator for Tower 3 who shared results of her study titled “The Effect of Listening to Music on Post-Operative Pain & Patient Satisfaction in the Adult Orthopedic Patient” and Peter Eisert, BS, RNC-NIC, SANE-A, SANE-P, CFN a NICU nurse and sexual assault nurse examiner who shared findings from his study titled “Do Men Belong in Sexual Assault Nursing?” for the emergency department. Eleven of the 24 posters presentations were by York Hospital nurses. The keynote speaker Kathryn Von Reuden, RN, MS, ACNS-BC, FCCM was inspiring. She shared practical examples of research studies led by nurses at the bedside at the “inter-galatically” well known Shock Trauma Center at the University of Maryland Medical Center. She encouraged bedside clinical nurses to become involved in improving care and told stories that highlighted pitfalls to avoid when changing practice at the bedside. Awards were presented for best poster, best oral presentation, and best manuscript. This was the second year for the Outstanding Manuscript competition. There were eight participants that included entries from nurses at Temple University, Pinnacle Health, York College of Pennsylvania, and York Hospital. Our very own Melissa Schneider, DNP, RN-BC, ONC received the award for “Prevention of Catheter-Associated Urinary Tract Infections in Patients with Hip Fractures through Education of Nurses to Specific Catheter Protocols,” which was published in Orthopaedic Nursing Journal in January 2012.

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EBP/Nursing Research Fellowship As a strategy to engage and inspire clinical bedside nurses to create and develop EBP and NR projects, the EBP/Nursing Research Fellowship was created and implemented in 2007. Since that time there have been two EBP Fellows per year, for a total of 10 Fellows since its inception. The Fellowship provides 192 hours of protected time for a nurse to complete an EBP and/or Research project over 12 weeks (further described in NK6 and NK7). The 12 week time frame has worked well for completion of appraisal of evidence and making recommendations for practice; however, was not conducive to completion of a research project. Tina Malec, BSN, RN-BC the Fall 2011 Fellow identified that some medical units had patient satisfaction scores below the mean for “nurses doing everything they could for my pain”. She hypothesized that nurses’ knowledge and attitudes affected pain management and began to review the literature. When the application for Fellowship was announced, she applied with the specific goal of completing a research study based on her review of the literature. At the recommendations of Dr. Barbara Buchko, Director of EBP and Nursing Research, Tina was guided to lead a team to conduct a systematic review of the literature before writing the research protocol. With the support of the CNO, Dr. Buchko was able to gain approval to extend Tina’s Fellowship by 64 hours to allow for the completion of a research study that evaluated the effectiveness of an intervention to improve nurses’ knowledge and attitude about pain management (LION-Tina-IRB application). Further description of this research study can be found in NK4-EO. EBP/NR Budget Funding and resources to support the work of nursing research is enthusiastically approved at the hospital and system-wide levels of the organization since the creation and charter of the Evidence-Based Practice/Nursing Research Council in April 2006. From the beginning, the decision was made to create a separate budget and cost center for Nursing Research (cost center 6012). The budget has continued to expand to support the development, expansion, and advancement of nursing research based on recommendations from members of the EBP/NR Council and the director of EBP/NR. The budget has grown from $53,000 to $208, 000 in the past 6 years which demonstrates an increase of almost 400%. The fact that we have a separate budget from nursing administration and its own cost center demonstrates our organization’s commitment to support our nursing research efforts across YH. A total budget to foster and support research and nurses’ attendance at local, regional and national conferences is found in the OOD 4. Below we highlight some of the labor and non labor expense categories included in our structure to support the development and advancement of nursing research. Labor Expenses: · Salary for the Director of EBP and Nursing Research (1.0 FTEs) · Salary for the EBP/NR Council Chair (0.1 FTE) · RN hours for participation in the monthly council meetings (placed in unit budgets) · Salary for 2 EBP/Nursing Research Fellows ( · Salary for nurses to participate in the York College of Pennsylvania Collaborative (placed in unit

budgets) · Secretarial support (0.1 FTE)

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Non-Labor Expenses: · Membership into professional organizations (Eastern Nursing Research Society) for 2 council

members · Purchase of journals and books · Article reprints for YH RN publications · Sending 20 individuals to a national conferences for oral and poster presentations (registration,

hotel, airfare, meals and mileage) · Outside vendor printing for poster presentations · Annual Research Day conference with Gettysburg Hospital, Sigma Theta Tau – Eta Eta Chapter,

York College of Pennsylvania, Memorial Hospital, and Hanover Hospital · Awards for the Annual Research Day · Registration and other expenses for EBP/NR conferences for educational purposes Request for funding

Many of the YH Nursing EBP and research projects have resulted in presentations at local, regional, and national professional conferences. A request for funding is made available on the EBP/NR Council SharePoint portal for nurses to apply for financial support. In addition, Valerie has supported the funding for a mentor to attend the conference with each first time clinical staff nurse who is presenting an oral or poster presentation at a local or national conference. For example, Barbara Buchko, DNP, RNC-MNN, mentored Tina Malec RN, BSN, and Teresa Helwig, BSN, RN, and Lydia Ganoung, BSN, RN during their first presentations, in 2012, at the University of Maryland Research Conference. Emily Cooper, RN, MS, ACNS-BC, CCRN, a clinical nurse specialist in the Cardiovascular Division, mentored Brenda Altland, RN and Angela Crum, RN on their first poster presentation, at the 2012 Nurses Research Day.

In addition, nurses have had the opportunity to present their findings at international conferences with financial support provided by the EBP/NR budget. Peter Eisert, BSN, RN, SANE-A, SANE-P; Joan Luce, BSN, RNC; and Dawn Becker, MSN, RN, ACNS had the opportunity to travel outside of the US to present their research findings. Peter’s oral presentation regarding his mixed-methods study “A Boy Nurse? Nurses are Girls! Men in Sexual Assault Nursing” was presented at the International Association of Forensic Nurses, Montreal, Canada (10/2011). Joan Luce presented a poster “Improving the Efficiency and Safety of Managing Children with Diabetic Keto-Acidosis” at the national conference for Pediatric Endocrinology Nursing Society (PENS) in April, 2012. The PENS abstract reviewers chose her abstract for submission to the International Congress of Endocrinology and European Congress of Endocrinology, Florence, Italy (05/05-09/12). PENS provided her with a $3200 scholarship. Dawn Becker’s abstract was accepted for a podium presentation at Sigma Theta Tau International, Sydney, Australia (08/03/12). Philip A. Hoover Medical Library(NK4.5)

The Philip A. Hoover Medical Library is another resource available to nursing staff to enhance research and scholarly activities. The library serves the health information needs of the medical staff, house staff, nurses, students and employees of Wellspan Health. It is open to the York area community for health information needs and is conveniently located in the Medical Education Pavilion on first floor of the Main Building, and it occupies the original space set aside for a library in 1929. The collection, comprised of more than 6,000 books and 350 active periodical subscriptions, includes medical, nursing, allied health, scientific and health administration materials.

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Hoover Library provides access to a number of current and past medical literature databases which are searchable by end-users or by request from the librarians. The databases available include, but are not limited to, the following:

· MEDLINE - Over 16 million citations from 4600+ journals accessible either through the National Library of Medicine’s PUBMED database or EBSCOHost MEDLINE. Subsets of MEDLINE include databases on AIDS, Cancer, Toxicology, Bioethics, Dentistry and History of Medicine.

· CINAHL - Cumulative Index to Nursing and Allied Health Literature indexing 2700+ periodicals back to 1982

· COCHRANE DATABASE OF SYSTEMATIC REVIEWS · COCHRANE CONTROLLED TRIALS REGISTER · PSYCHOLOGY AND BEHAVIORAL SCIENCES COLLECTION - A database of 500+ journals in

psychiatry and psychology, emotional and behavioral health.

The process for using the Hoover Library to develop, expand, and/or advance nursing practice is the

ease with which nurses at YH are able to access the Hoover library through their unit based PC and even from home. The Hoover library staff, led by Suzanne Shultz, has been more than helpful in performing literature searches and/or mentoring staff to learn how to do the search themselves. The YH nursing staff appreciates the friendliness and helpfulness of the library staff, as well as the wealth of resources to which they have access. The nursing staff, regardless of level, just needs to contact the librarians either by phone or email and make an appointment to come and see them. Once together the librarians assist the nurses per their comfort level, and mentor them in performing the search for the literature. Educational sessions held through the EBP/NR council teach nurses how to use the literature they have found and critique it so that what they use in their practice recommendations are evidence based and referenced.

In addition, Suzanne has developed educational sessions for nurses about performing literature searches. These sessions are led in a computer lab where nurses can actively participate in conducting a literature search with the guidance of the librarian. Since 2007, over 200 YH nurses have participated in these sessions. Suzanne has also books requested by the Director of EBP and Nursing Research to support nurses efforts in evidence-based practice, research, and development of manuscripts and were purchased by the Hoover Library.

NK 4.5 Hoover Library Portal (INET)

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Emig Research Center The Emig Research Center was established at YH in 1994 is named in memory of Charles and Verbie Emig. The Emig’s generous bequest established a charitable trust to develop and maintain research facilities for improving health and health care in our community. The Center provides:

· Scientific research consultation and services for physicians, residents, nurses, allied health professionals, and students.

· Research grant administration and clinical trial coordination · A Human Research Protection Program including operations of the Wellspan Health Institutional

Review Board (WSH-IRB) for research · Sponsors conferences to promote the practice of implementing evidence-based medicine and

conducting research as an independent academic medical center. Mission The mission of the Center is to promote and facilitate the conduct of responsible scientific research which aims to improve the quality of health and health care. Research activities supported by the Emig Research Center are directed toward the following.

· Meeting the changing needs of the community for health care. · Facilitating safe, efficient and cost-effective delivery of health care services. · Enhancing problem solving skills of aspiring and practicing health care professionals through

education and experience in scientific methods and medical research.

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Goals 1. Ensure that the patient comes first in all studies. 2. Promote and support scientific research activities which are aimed at improving the health and

health care of the community. 3. Assure that individuals involved in the conduct of research are knowledgeable of, and comply

with, federal regulations and professional standards on research. 4. Assure that Graduate Medical Education and nursing accreditation requirements addressing

research and scholarly activity are met. 5. Assure that clinical care programs with specialty accreditation standards involving research are

successful in obtaining an optimal level of accreditation, such as cancer and trauma. 6. Provide material resources for professional development and research projects, as well as

excellent educational and consultative services. 7. Assure that institutional and extramurally-funded resources provided for research are efficiently

and optimally utilized. 8. Maintain a reputable institutional track record of successful involvement in extramurally-funded

research and pursue opportunities to secure additional research funding. Services include all aspects of scientific research and biostatistician education, administration, consultation, and technical assistance. Services provided are customized to the needs of the individual and their research interests.

· Planning research and obtaining WSH-IRB approval · Designing research protocols, consent forms, data collection methods and instruments · Coordinating clinical trials, research team activities and implementing research protocols · Creating secure databases and interpreting research findings · Performing specialized statistical analysis · Preparing tables and graphs of scientific data · Developing abstracts, posters and papers for scholarly presentation · Assisting with the writing and submission of manuscripts for publication in peer-reviewed

journals The Emig Research Center offers opportunities for staff education and open consultation for any YH employee interested in participating in or starting a research project. The Research Support Center of the Emig Research Center is a state-of-the-art data management and computing center that supports clinical research activities, experiential learning and access to contemporary medical informatics technology. This 460-square foot facility provides designated space and resources for researchers, students and health care professionals to work on scientific projects. Both large scale research studies and small or medium research projects are serviced by the Research Support Center. Secure data storage and sophisticated statistical analysis are available for large clinical studies requiring compilation of many specific data elements on hundreds of patients. Data for smaller projects are also electronically compiled and analyzed on a routine basis, and upon completion, can be securely stored to allow easy access in the event the data need to be reassessed. The Research Support Center has 24-hour continuous electronic monitoring of the facility and computer use. Several security mechanisms are also in place to protect the confidentiality and integrity of data.

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Tina Malec, BSN, RN-BC; staff RN; Fall 2011 Nursing Evidence-Based Practice Fellow shares the support she received from the staff of Emig Research Center: “Being chosen as the Fall 2011 Evidence-Based Practice Nursing Fellow provided me with challenges I had not expected. When my project went beyond an EBP project and became a research project, I was not familiar with CITI training, obtaining IRB approval for a research project, writing abstracts or constructing posters for presentation. I utilized the assistance of the Emig Research Center in helping me through all of these processes. I found the Medical Writer, Kate Kelly, a wonderful resource for polishing my abstracts and research protocol and helping me narrow my focus to meet specific word counts. Her input on how to construct a poster presentation was invaluable. Melissa Schlenker provided a wonderful presentation to the nursing staff regarding CITI training on the protection of human subjects, which I attended, and explained the entire process in a way that was easy to comprehend. Ted Bell, MA and Rod Grim, MA, statisticians in the Emig Research Center, were instrumental in the process of writing a research protocol and obtaining IRB approval. They met with me and answered all my questions respectfully realizing I was a novice in the research process. Using the IRB net helped me to keep my research documents in one convenient place and also allowed team members to access and follow along in the process. Navigating the site was easy and was user-friendly, even for the beginner researcher. The Emig Research Centers’ website, which provided a link to the IRB net, was equally useful with pertinent information. The services from Rod Grim were especially helpful once I had collected all the data. Rod met with me and discussed what the data meant, what was statistically significant, and how to present the research. Even after our meeting Rod continued to answer questions I had and was always available via telephone or email. I found the experience of working with the personnel of the Emig Research Center very beneficial and look forward to working with them again.” The EBP/NR Council’s efforts to expand and advance nursing research at YH along with the support from the librarian, Hoover library staff and staff of the Emig Research Center has assisted our previously established EBP project process to expand to the realm of nursing research in a richer more meaningful way. The FT EBP/NR Director allows for a greater resource to the staff on a consistent basis to interact with the nursing staff at all levels to assist them in the development of their protocols and research documents. Being a teaching facility, we also have the opportunity to foster collaboration with our medical resident staff to create a culture in which YH nurses are highly engaged in research not only with themselves but with our physician colleagues. YH nurses were principal investigators for 29 research studies in 2010 – 2012 (NK4 EO). Of these projects, nearly 50% were disseminated through presentation and publication.