Successfully Coaching Nursing Staff to Publish Outcomes.

There is a need for bedside nurses to disseminate the results of evidence-based practice quality initiatives to a wider audience through publications in peer-reviewed journals. Barriers to publication are common and include lack of time, skills, experience, confidence, and tangible support. This article describes the structured approach, timeline, writing activities, and coaching guidance used to support the publication of 12 quality improvement articles in 1 nursing journal.

Adapting SugarWatch to manage metabolic syndrome in a partial hospitalization program: a feasibility study.

A successful worksite diabetes prevention program, SugarWatch,was adapted for a seriously mentally ill patient population in a partial hospitalization program in Hawai'i. A feasibility study was implemented using an intervention with 3 components: SugarWatch curriculum, structured physical activity,and Create a Plate lunch. Twenty participants completed the three month intervention.

Part I: triggers for an evidence based practice project: managing peri-operative hyperglycemia in total hip and total knee replacement surgeries.

A descriptive study of risk factors for surgical site infection (SSI) in patients receiving total knee arthroplasty discovered an infection rate higher than the benchmark. Although no risk factors were significant predictors of SSI in this population, an important finding was that, despite a patient population with comorbid diabetes, a lack of standardized practice related to the identification and management of hyperglycemia was identified. These findings identified and validated an important practice issue and led to the continued commitment to improve glucose management.

Hawaii's statewide evidence-based practice program.

Hawaii's innovative statewide evidence-based practice program facilitates practice change across multiple health care systems. The innovation eliminated duplicative efforts and provided resources, was compatible with the values of health care organizations, and had experience with a pilot program. Interpersonal and mass media communication promoted and embedded the practice change.

Nursing research fellowship: building nursing research infrastructure in a hospital.

The largest private hospital in Hawaii was recently awarded Magnet Recognition, partly due to its exemplary nursing research culture. The hospital fostered and sustained a strong research environment through the establishment of a nursing institute, nursing research council, and, most recently, a nursing research fellowship. The authors describe the fellowship that was designed to educate nurses on the research process and enable nurses to lead research projects.