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Introduction

  • This Flowchart must be adhered to by ALL nurses who practice at Cone Health or if the project impacts or touches nursing in any way at Cone Health.
  • Review ALL steps below in their entirety prior to beginning any work.
  • Each step has 3 parts.
    • What to KNOW: Informational and tells you what you need to be aware of.
    • What to DO: Provides the actions you need to take.
    • Helpful LINKS: Lists the links in the first two parts as well as any additional helpful links.
  • NOTE @ the links.
    • Access to some links in the Flowchart will require you to login to Cone Health with user ID and password.
    • If you are not already logged into Cone Health SharePoint, you will be prompted to do so the first time you click on a link needing Cone Health authorization.

Step 1 image

What to KNOW

  • If you are NOT a student, you can disregard this step.

  • If you ARE a student, regardless of degree level, enrolled program or employer, you MUST meet certain PREREQUISITES as determined by Cone Health Staff Education.

  • You MUST have your school IRB approval letter BEFORE scheduling your consultation with the Office of Research Support.

  • [For RESEARCH STUDIES ONLY]: Your team MUST include a Cone Health employed CLINICAL nurse as defined as spending more than 51% of their time providing direct patient care as Principal Investigator (PI), Associate or Co-Principal Investigator (AI/Co-PI) or Site Principal Investigator (Site PI).
  • You will need to upload to your IRBNet account documentation of Staff Education's APPROVAL.

What to DO

  1. Contact Staff Education for the list of documentation and further requirements.

  2. Get documentation of Staff Education's approval and upload it to IRBNet (Step 8).

Helpful LINKS

A. Email Staff Education
     [Trouble with email link? Copy & paste...staff.education@conehealth.com]

B. Staff Education's Post-Licensure Individual Nursing Program Students and Academic Point-of-Contacts page.
     [Staff Education's main Nursing Student Resources page]

Step 2 image

What to KNOW

  • You should conduct an initial survey of the literature to:
    • See what has or has not already been done.
    • Give context to the issues that triggered your inquiry.
    • Help you develop your Burning Question (or see if it has already been answered).
  • The Medical Library can help when searching the literature.
  • A more thorough search of the literature and synthesis of what you find will come later.

What to DO

  1. Do a preliminary review of the literature on your topic or issue.
  2. Develop your Burning Question.

Helpful LINKS

A. Working with the Literature

B. Email the Medical Library
     [Trouble with email link? Copy & paste...medical.library@conehealth.com]

C. Information on how to Develop a Burning Question

Step 3 image

What to KNOW

  • Your great ideas will need the support of others within the organization.
  • Leadership support is crucial. It is important to get your leadership’s backing on your project.
  • After your leader green-lights your idea, then proceed but make sure to keep them apprised as your work progresses.

    You need Departmental approval. However, if resources or the project has an impact beyond the department, you will need to include Nursing Executive level support as well.

What to DO

  1. Discuss with your Departmental Nurse Leader:
    • Your idea for a project plan. 
      • Present your proposal (to the extent that it is formed at this point.)
    • Are resources required outside of the department?
      • If so, you will need to discuss with a Nurse Executive/Leader of the impacted areas.
    • Is the project a current priority for the organization?
      • You will need to identify how your project supports and aligns with Cone Health's True North metrics.
        • Click here to view the True North Dashboard.

Helpful LINKS

A. Cone Health True North metrics.
     [Note: Will need to login with Cone Health user ID and password. Click Sign In.]

Step 4 image

What to KNOW

  • You MUST get a Project Navigator to work with you. This needs to be someone who will agree to help guide you on the project.
  • The Project Navigator will:
    • Steer you through the process.
    • Connect you with resources.
    • Help you to have a successful project.
  • [For RESEARCH STUDIES ONLY]: Your team MUST include a Cone Health employed CLINICAL nurse, as defined as spending more than 51% of their time providing direct patient care, as Principal Investigator (PI), Associate or Co-Principal Investigator (AI/Co-PI) or Site Principal Investigator (Site PI).

What to DO

  1. Get a Project Navigator.
    • Click here to learn more about Project Navigators and help you identify one.
    • If you are having trouble getting a Project Navigator, email the Nursing Research Council Chair.
  2. Note: Looking ahead, you will be giving a presentation to the Nursing Research Council for approval. Click here to download the slides you will need for the presentation. Looking at them early will allow you to begin thinking about the content. The slides will also be available from your IRBNet account you will be setting up later.

Helpful LINKS

A. Learn more about the Project Navigator

B. Email the Nursing Research Council Chair
     [Trouble with email link? Copy & paste...nursingresearchcouncilchair@conehealth.com]

C. Download Project Presentation slide template

D. Review the Quick Links and Answers to Questions page, it might save you time and frustration.

Step 5 image

What to KNOW

  • Connecting with the Office of Research Support early on will save you time and frustration. They will review your project to determine if the project qualifies as a QI project, EBP project, or Research Study.

  • The Office of Research Support offers resources to help you identify areas of need that include Survey/Questionnaire Design, CHL Access/Data Extraction, and Funding Procurement.
  • ALL RESEARCH STUDIES MUST COMPLY with the Principal Investigator (PI) Study Check-Off Sheet document.
    • The Principal Investigator (PI) Study Check-Off Sheet is NOT required for Quality Improvement (QI) projects and Evidence-Based Practice projects.

What to DO

  1. Complete the Study Start Up survey to determine if any additional resources are needed for your project.
    • Click here to start the survey and register your project.
    • The Office of Research Support will contact you within 5 business days to arrange a consultation. If you have not heard from them after 5 business days, email research@conehealth.com.
  2. Include your Project Navigator in all communications.

    • NOTE: The Project Navigator should attend all meetings with the PI and be present at the presentation to the Nursing Research Council (Step 9).

  3. If you have confirmed you are doing a RESEARCH STUDY, download the Principal Investigator (PI) Study Check-Off Sheet document.

Helpful LINKS

A. Study Start Up survey

B. Email research@conehealth.com
     [Trouble with email link? Copy & paste...research@conehealth.com]

C. Further information on differentiating the types of projects

D. The Principal Investigator (PI) Study Check-Off Sheet

Step 6 image

What to KNOW

  • It’s now time to conduct a more thorough search of the literature.
  • You will also synthesize and grade what you find, to make sure you are using the best available evidence.

What to DO

  1. Intensify your search of the literature.
    • Refer to the Working with the Literature guide to review information for improving your earlier search strategies.
      • Learn about different types of studies and download tools to help appraise and synthesize your articles.
    • If you want assistance from the Medical Library, email medical.library@conehealth.com. They can help on search strategies, resource selection and conducting a search.

Helpful LINKS

A. Working with the Literature

* Searching the Literature

* Understanding the Types of Studies and Levels of Quality

* Article Review Worksheet

* Grading the Quality an Article

* Literature Synthesis Worksheet

B. Email the Medical Library
     [Trouble with email link? Copy & paste...medical.library@conehealth.com]

Step 7 image

What to KNOW

  • Quality Improvement (QI) Project:
    • Think "Plan-Do-Study-Act"!
    • Click here for more characteristics of a QI project.
  • Evidence-Based Practice (EBP) Project:
    • Think "Application of the literature to practice" and "Iowa Model Revised"!
    • Click here for more characteristics of a EBP project.
    • Cone Health subscribes to the Iowa Model Revised as its framework for doing Evidence-Based Practice (EBP).
      • Click here to learn more about this important tool and determine if your EBP project should be a Research Study instead.
  • Research Study:
    • Think "Methods, variables, outcomes & conclusions" and "New knowledge".
    • ALL RESEARCH Studies done at Cone Health must comply with the Principal Investigator (PI) Study Check-Off Sheet document.
    • Click here for more characteristics of a Research Study.
    • NOTE: For ALL Cross-Campus Projects
      • It is a Nursing Research requirement that ALL data collected must be analyzed by individual hospital.

What to DO

  1. Conduct your project or study!

Helpful LINKS

A. Differentiating Types of Projects

B. Iowa Model Revised

C. Principal Investigator (PI) Study Check-Off Sheet

D. Email the Nursing Research Council

Cone Health employees:
Email the Nursing Research Council Chair
     [Trouble with email link? Copy & paste...nursingresearchcouncilchair@conehealth.com]

Non-Cone Health employees:
Email the Office of Nursing Research
     [Trouble with email link? Copy & paste...marjorie.jenkins@conehealth.com]

E. Email the Office of Research Support
     [Trouble with email link? Copy & paste...irb.coordinator@conehealth.com]

F. Email the Medical Library
     [Trouble with email link? Copy & paste...medical.library@conehealth.com]

Step 8 image

What to KNOW

  • ALL ...
    • Quality Improvement (QI) projects
    • Evidence-Based Practice projects
    • Research Studies

...require IRB Review.

  • Cone Health Requires ALL investigators and research teams to complete Collaborative Institutional Training Initiative (CITI) training.
    • Investigators and research teams should complete all required modules of the Biomedical Research – Basic/Refresher course.
    • Click here for more information on CITI training.
  • [For RESEARCH STUDIES ONLY]: Your team MUST include a Cone Health employed CLINICAL nurse, as defined as spending more than 51% of their time providing direct patient care, as Principal Investigator (PI). Associate or Co-Principal Investigator (AI/Co-PI) or Site Principal Investigator (Site PI).
  • STUDENTS need your approved school IRB application.
    • Your faculty advisor’s signature approving your study is also required within IRBNet.
  • ALL RESEARCH STUDIES MUST COMPLY with the Principal Investigator (PI) Study Check-Off Sheet.
    • Quality Improvement (QI) projects and Evidence-Based Practice projects ARE EXEMPT.

What to DO

  1. Create an IRBNet account for your submission package.
    • The Office of Research Support can provide you with further information on this process.
    • Click here to connect to IRBNet.
  2. Upload your materials.
    • Work with your Project Navigator and the Office of Research Support to learn the list of required documents.
    • Email the IRB Coordinator if you have any questions.
  3. When ready to "Submit" your project, you need to "Share" the project in IRBNet with the following people.
    • Your Project Navigator
    • The Nursing Research Council Chair
    • The IRB Coordinator

Email the IRB Coordinator if you have any questions.

Helpful LINKS

A. Principal Investigator (PI) Study Check-Off Sheet

B. CITI Training

C. IRBNet

D. Email the IRB Coordinator
     [Trouble with email link? Copy & paste...irb.coordinator@conehealth.com]

Step 9 image

What to KNOW

  • When you submit (share) your project in IRBNet (Step 8), the Nursing Research Council Chair will be notified.
  • ALL Cone Health Nursing...
    • Quality Improvement (QI) projects
    • Evidence-Based Practice projects
    • Research Studies
    • and ALL STUDENT work

...requires Nursing Research Council (NRC) peer approval.

What to DO

  1. Make sure all your required materials are uploaded into your IRBNet account (Step 8).
  2. Prepare to present to the Nursing Research Council.
    • Click here to download the slides. The presentation slides template is also available in the IRBNet.
    • It is the expectation that the PI will do the presentation to the Nursing Research Council.
    • The Project Navigator should also attend the presentation.

MARK YOUR CALENDAR

The Nursing Research Council meets the 4th Wednesday of each month from 10am-11:50am.

The agenda fills up quickly and meetings may be cancelled, or your study may be deferred to the following month so prepare ahead.

Helpful LINKS

A. Email the Nursing Research Council.

Cone Health employees:
Email the Nursing Research Council Chair
     [Trouble with email link? Copy & paste...nursingresearchcouncilchair@conehealth.com]

Non-Cone Health employees:
Email the Office of Nursing Research
     [Trouble with email link? Copy & paste...marjorie.jenkins@conehealth.com]

Step 10 image

What to KNOW

  • Once your work is done, share your findings
  • You will want to report your results to the Nursing Research Council and the IRB.
  • Additional options would include a poster presentation, podium presentation or publication.

What to DO

  1. Email the Nursing Research Council Chair to get on the agenda at the conclusion of your project to report on your great work.
  2. Submit documentation of project closure and results to the IRB within the IRBNet.
  3. Collaborate with your Project Navigator for disseminating project results and opportunities for implementing practice findings.
    • Click here for lots of helpful information on writing abstracts, creating posters or writing articles for publication.

Helpful LINKS

A. Email the Nursing Research Council Chair
     [Trouble with email link? Copy & paste...nursingresearchcouncilchair@conehealth.com]

B. Email the IRB Coordinator
     [Trouble with email link? Copy & paste...irb.coordinator@conehealth.com]

C. More information on dissemination options.