AMDCP Credit Designation: This session has been approved for a total of 1.5 Management credit hours toward certification as a Certified Medical Director in Long Term Care (CMD).
The American Medical Directors Association designates this educational activity fora maximum of 1.5 AMA PRA Category 1 Credit(s)TM. Physicians should only claim credit commensurate with the extent of their participation in the activity. Presenter(s): Eleanor McConnell, PhD, RN,GCNS; Heidi K. White, MD, CMD Disclosure(s): All other presenters reported they had no relevant financial relationships to disclose. Session Description: This session reports on projects that evaluated the guidance on (1) oral care for residents with dementia, (2) chronic heart failure, and (3)telephone medicine. Presenters offer insight into the role that advanced practice nurses play in successful implementation. Participants have an opportunity to evaluate case scenarios using tools the authors have found useful in facilitating guideline implementation. Information regarding how bedside teaching sessions were structured in each project are also be presented. Learning Objectives:
Discuss the role of advanced practice nurses in facilitatingguideline implementation
Apply knowledge developed from 3 guideline implementation projects toimprove the capacity of a long term care facility to adopt guidelineadherent care
Apply evidence from the innovations of models to facilitate adoptionof clinical practice guidelines
Contrast bedside clinical teaching approaches to other strategies forinservice education in long term care
References: Greenhalgh, T., Robert, G., Macfarlane, F, Bate, P. &Kyriakidou, O. (2004). Diffusion of innovations in service organizations:systematic review and recommendations. Milbank Quarterly 82, 4:581-629. Lekan-Rutledge, D., McConnell, E., Hendrix, C. Diffusion ofInnovation in Long Term Care: A Bedside Clinical Direction Model forImplementing Heart Failure Evidence-based Practice Protocols in Frail Elders14th International Nursing Congress on Evidence-Based Practice, Sigma Theta TauInternational, Quebec City, Montreal, July 19-22, 2006. McConnell, E.S., Lekan-Rutledge, D.A., Hebert, C., &Leatherwood, L. (2007). Academic-Practice partnerships to promote evidence-basedpractice in long-term care: Oral hygiene care practices as an exemplar. NursingOutlook.55(2):95-105. Whitson, H.E., Hastings,S.N., Lekan, D.A. & McConnell, ES (2008). Project CHAT: A QualityImprovement Program to Enhance After-Hours Telephone Communication BetweenNurses and Physicians in a Long-term Care Facility. Journal of the AmericanGeriatrics Society. 56(6):1080-6.
MD, MHS, MEd, CMD,