EBP Training: A Program Evaluation

EBP Training: A Program Evaluation

Bibliography

Name: Bridget Brozyna

Rank:

Presenter/Poster: Presentation and Poster

Year: 2019

Abstract

Background/Purpose: The Air Force Medical Service (AFMS) recognizes evidence-based practice (EBP) as a key component of Trusted Care.  Since 2014, the AFMS has sent over 517 participants to EBP training at a cost of over $500,000.  Little follow-up has been done to demonstrate a return on investment.  The purpose of this study is to conduct a program evaluation of military members attending an EBP Immersion training program.

Objectives/Methods: An anonymous electronic 13 item program evaluation survey was conducted of participants who had completed an EBP course since 2014.   Survey questions included Likert scale and open ended responses.  Descriptive statistics were conducted of quantitative questions and responses to open ended questions were coded and sorted into initial categories which were then analyzed and organized into meaningful patterns or themes.

Findings: The sample size of 108 represents a response rate of 24%.  Of those responding, 97% were Air Force and 77% were active duty officers.  Over 78% attended a 5-day EBP Immersion course and 80% strongly agreed or agreed that the course they attended adequately prepared them to conduct an EBP project through to completion.  Whereas 68% had not completed an EBP project and 28% had not engaged in any type of EBP activity since attending the EBP training, 26% responded they had completed an EBP project which resulted in a practice change.  The top 3 barriers encountered while conducting EBP projects included 1) lack of protected time/competing priorities, 2) lack of leadership support/staff buy-in, and 3) lack of EBP resources or mentors.

Implications for Military Nursing:  

EBP will continue to be a key component of the AFMS’s Trusted Care and the Military Health System’s Quadruple Aim.  How we educate providers and implement EBP, however, needs to be cost effective and demonstrate return on evestment.  Barriers identified in this study will inform recommendations which will be discussed.  The goal of these recommendations will be to create a Joint benefit and operational culture were EBP is implemented in an efficent cost-effective manner while maximizing patient outcomes.