Institutional members access full text with Ovid®

Outcomes of a Clinical Nurse Specialist-Initiated Wound Care Education Program: Using the Promoting Action on Research Implementation in Health Services Framework

CAPASSO, VIRGINIA PhD, ANP-BC; COLLINS, JACQUELINE MSN, CNS-BC; GRIFFITH, CATHERINE MSN, ACNP-BC, CCRN; LASALA, CYNTHIA ANN MS, RN; KILROY, SUSAN MS, RN; MARTIN, ANN T. MS, ANP-BC; PEDRO, JILL MS, CNS-BC, ONC; WOOD, SUSAN L. MSN, ANP-BC

doi: 10.1097/NUR.0b013e3181b207f5
Feature Articles

Consistent with the sphere of clinical nurse specialist (CNS) practice related to advancing nursing practice and patient outcomes, a CNS task force of 20 of the 60 CNSs in our large teaching hospital was convened to plan, implement and evaluate a comprehensive wound care education program. The purpose of the program was to ensure the 24-7 hospital-wide availability of nurses with evidenced-based wound care knowledge and skills. The facilitative environment, in which the program was developed and operates, is analyzed using the Promoting Action on Research Implementation in Health Services framework. Outcomes of the CNS task force include (1) designation of unit-based CNS as the first line resources for wound care at the unit level, (2) education of almost 10% of the 3,800 nurses at Massachusetts General Hospital as staff nurse resources, and (3) a shift in the nature of CNS wound care consultations from prescription to validation of the staff nurse-initiated wound care plan.

Author Affiliations: Knight Nursing Center for Clinical and Professional Development, Munn Center for Nursing Research, MGH Wound Care Center, and Harvard Medical School (Dr Capasso); and General Medicine, Massachusetts General Hospital, Boston (Mss Collins, LaSala, Kilroy, and Wood); Cardiac Surgical Intensive Care Unit, Massachusetts General Hospital Heart Center (Ms Griffith); Oncology (Ms LaSala); General Surgery/Trauma (Ms Martin); and Orthopedic Nursing, Massachusetts General Hospital, Boston (Ms Pedro).

Corresponding author: Virginia Capasso, PhD, ANP-BC, 18 Whitehall Lane, Reading, MA 01867 (vcapasso@partners.org).

© 2009 Lippincott Williams & Wilkins, Inc.