title: Implementation of a Bowel Management Program in Critical Care.
abstract: OBJECTIVE
  The purpose of this study was to examine the effectiveness of a unit-based, educational program on implementation of a sustainable bowel management program in a critical care setting.
  
  
  METHODS
  Two hundred thirty nurses in 6 critical care units within a 750-bed level I trauma hospital and 400-bed university academic teaching hospital participated in the study.
  
  
  METHODS
  Data collection and analysis were guided by a quasi-experimental pre-/postdesign. An evidence-based, interactive Web-based education program was developed. The education program consisted of 3 components: (1) knowledge acquisition (Web-based education module), (2) skill acquisition (unit-based skill session performance and competency), and (3) mastery experiences (self-efficacy). Data collected included pre- and posteducation module test scores, skill-acquisition competency, and self-efficacy scores.
  
  
  RESULTS
  The Web-based education module pre- and posttest scores for 225 participants showed significant (P < .001) improvement in knowledge scores. All participants (100%) completed the skill acquisition sessions successfully during the unit-based performance session. Nurses' self-efficacy scores significantly improved (P < .001) over the course of this study period. Eighty-six percent (n = 125) of critical care nurses reported enhanced collaboration with the WOC nurses and clinical nurse specialists.
  
  
  CONCLUSIONS
  Study findings support the use of a structured, evidence-based educational program incorporating a multimethod approach to implement practice change for critical care.
authors.affiliation: Joyce Pittman, PhD, ANP-BC, FNP-BC, CWOCN, Indiana University Health-Methodist, Indianapolis. Terrie Beeson, MSN, RN, CCRN, ACNS-BC, CWOCN, Indiana University Health-Methodist, Indianapolis. Brandt Carter, CWOCN, Indiana University Health-Methodist, Indianapolis. Collin Terry, MS, CWOCN, Indiana University Health-Methodist, Indianapolis.
authors.forename: Joyce
authors.initials: J
authors.lastname: Pittman
authors.forename: Terrie
authors.initials: T
authors.lastname: Beeson
authors.forename: Brandt
authors.initials: B
authors.lastname: Carter
authors.forename: Collin
authors.initials: C
authors.lastname: Terry
mesh_terms: D003422:Critical Care / Q000379:methods; D064648:Critical Care Nursing / Q000193:education*; D005242:Fecal Incontinence / Q000451:nursing*; D006801:Humans; D020377:Self Efficacy