A key component to determine if an EBP change project is successful is by measuring the EBP change project outcome. According Melnyk and Fineout-Overholt (2015) it is important to be able to monitor outcomes in an EBP change project to determine the significance that it could potentially have on healthcare quality and patient outcomes. Therefore, data collection and data analysis is pertinent to determine the success of an EBP change project (Harris, Roussel, Walters, & Dearman, 2011). The intended outcome for this EBP change project is that African Americans between the ages of 18-60 years old with prediabetes will exhibit an increase in diabetes at the end of the 6-week diabetes education program. An increase in diabetes knowledge would be…
Great job to all members of this group, I enjoyed reading your points in favor of EBNP and other points that against nurses using EBNP only. It is true that EBNP does not discard all nursing theories but used those ones that can be proven to improve quality of care and still relevant for our days as focused on nursing practice shifted to the use of research work and technology in nursing care.” Nursing profession, as a practice discipline sanctioned by society, is expected to incorporate the best sound evidence of patient care with the clear purpose of improving that care. Evidence- based nursing practice is more than use of research because it includes all forms of practice knowledge. In essence, evidence- based nursing is a discipline in…
Introduction: A conceptual model is a representation of concepts which are used to help people know, understand or simulate a subject represents. Moreover, a model is used to create the various hypothesis which can be used to test in the laboratory study or which can be utilized for explaining in a case study. The goal of this assignment is to explore three models of evidence-based practice (EBP) that may interest the authors and give an explanation. Although several models are used in research, this paper will only highlight three specific models and provide a summary, strengths, weaknesses and a model that will be utilized by in a particular practice.…
From experience, we know people often struggle with change in the workplace, which can in turn create resistance within. Yoder-Wise (2015), outlines Beven’s Seven Change Factors as an effective means to successfully promote change in the controlled chaos of healthcare and include clarity, engagement, resources, alignment, leadership, communication, and tracking. As the nurse-manager, nursing staff will be informed of the need for change and proposed method. Next, requesting input and ideas will promote employee engagement.…
QSEN Round Robin Activity 1. 1) Reflect on your assigned competency and respond with your reaction: agree or disagree; thoughtful insights; values challenged, unanswered questions. I agree that best practices are essential to the EBP in that nursing research has a major influence on nursing care. Research allows nurses to implement more effect practices and can cut down on the misuse and or overuse of care. In patient centered care, in order to use best medical practices we first most use the best information provided and research is vital.…
Evidence-based practice (EBP) is incorporated throughout the health care field to improve patient care and organizational outcomes. The implementation of EBP relies on the infrastructure and culture of a facility. It is the job of the nurse manager to promote a culture in the facility that allows staff the ability to accept change and grow. The purpose of this discussion is to discuss how an organizational infrastructure and culture plays a part in implementing EBP. I will also be discussing my facilities process in implementing EBP.…
To begin with, the wording of the organization’s mission, vision, plan’s, and even staff performance evaluations should include the wording of evidence-base practice. This will affect every area in the company and the future of where the organization is going. As a result, the culture will be influenced and moving the practice of evidence-base learning as the standard. A second example is incorporating evidence-base practice in the shared governance in the organization. This allows leadership and staff to be on the same page and provide nurses the autonomy to implementing evidence-base practice.…
In the past health and social care practices were largely based on trial and error, this led to an unhealthy population and caused considerable harm. Due to the development of EBP it has led to the reduction of interventions which can be considered damaging. This can be reflected for example in a change of legislation, where a solid evidence base is needed for effective practices. EBP is an indispensable approach to health care as it is essential that staff can provide a clear rationale for the care they give to patients and requires that decisions about health and social care are based on the best available, current, valid and relevant…
Evidence-Based Questions 1.Who can I seek out to assist me in enhancing my evidence-based practice (EBP) knowledge and skills and serve as my EBP mentor? Mentorship in evidence-based practice should be bidirectional. The process requires a nurse to seek mentorship from various sources, given that there is nobody who can have entire knowledge about a given subject in nursing. Consequently, I believe that I need to seek assistance from the nurses who have experience in the facility I am working in while also referring to the existing information from scholarly work, including scholarly journals, especially those from the recent studies conducted in the specific field of my interest at a given time. In this case, I should use PICOT, search for…
The final stage of Lewin’s model of change, refreezing, focuses on maintaining the implemented change over a long period of time (Yoder- Wise, 2011). Lewin suggests that reinforcement of the new change along with rewarding positive behavior and providing positive feedback on the change may assist with the maintenance of the intervention (Yoder- Wise, 2011). A series of surveys about the change will be provided to nurses throughout the process of implementing the standardized template for end-of-shift handovers. Additionally, a suggestion box will remain present within the break room of each floor to allow for feedback from staff on the project. As the project progresses and data continues to be collected throughout the implementation of the employment of the SBAR formatted, standardized template, the progress of the project will be displayed within the break rooms.…
In this paper I will discuss my vision of nursing in the future, adapting to changes, and how I would handle certain situations if I was in a nursing leadership position. Adapting to Change After completing nursing school, I began working at Duke University Hospital in Durham, North Carolina in the Pediatric Float Pool. I float between the Pediatric Intensive Care Unit, Pediatric Cardiac Intensive Care Unit, Neonatal Intensive Care Unit, Pediatric Progressive Care Unit, pediatric hematology and oncology unit, pediatric medical surgical unit, and the Pediatric Bone Marrow Transplant Unit. Adapting to change has become second nature to me and I have become a professional at it.…
Every day, nurses are keeping up with evidence-based practice and updating their nursing practice. Innovation does not have to be a large change- it takes one person to light the fire. As the nurse conducts the assessments and evaluations, they can determine whether their interventions were successful. If not, they change their practice by involving new medications, equipment, or assistance from others. On a bigger level, there is a wide variety of medical and pharmaceutical companies that create new machines and medications that provide improved care.…
Buy –in: who and why Buy-in is for everyone in the organization starting from the top management to front-line staff and the patients. Everyone involved need to approve and be in agreement with the program for it to be successful. The success of this program depends on the receptive of the Buy-in. The individuals involved in the buy-in are the Management staff, the nursing’s staff that comprise of the nurses and certified nurses’ assistants.…
Implementation of EBP can result to nurses’ satisfaction, increase cohesion, and turnover (Levin & Feldman, 2012). As a healthcare professional, an organizational budget is not what nurses would like to be reminded of before going to work. However, as each year passes, the focus has shifted to how much nurses can save lives as well as save money for the organization. This is the reason why EBP plays an important role in nursing because it is known to decreased hospital and healthcare cost (Levin & Feldman,…
As healthcare continues to grow, so will organizational structure, policy, interventions, frameworks, programs which is necessary to facilitate desired outcomes (Shirey, 2013). Some nurses will resist change, some assume that change is a negative chain of events while the truth is change is imperative in healthcare. Lewin’s Theory of Planned Change is as a strategic resource to capture the human beings fundamental aspect of change furthermore pinpoint conditions that will pre-determine identifiable goals (Shirey, 2013). Unfreezing, for example, is the first stage of development that a leader recognizes that a problem exists, once the cause is identified, then leadership seeks measurable goals to implement change (Shirey,…