State Your Proposed EB Practice Change, 15 Points Describe T
State your proposed EB practice change, 15 points Describe the anticipated barriers to the change process
Provide a brief introduction of the case, including the healthcare setting and the proposed evidence-based (EB) practice change. Detail the rationale behind choosing this change, emphasizing the potential impact on patient outcomes, safety, and quality of care. Explain the context of the institution where the change will be implemented, noting relevant policies, resources, and readiness for change. Clarify the specific practice change being proposed, such as implementing a new infection control protocol or enhancing patient education strategies.
Identify the anticipated barriers to the change process within the organization. Consider factors such as organizational culture, staff resistance, resource limitations, and existing workflows. Discuss how organizational culture may influence receptivity to change, highlighting whether the culture is adaptive or resistant. Address potential reactions from staff and leadership, including skepticism or concern about increased workload. Evaluate the leadership role you will assume during this process, emphasizing strategies to foster engagement and support for the change initiative.
Plans to overcome barriers
Develop comprehensive strategies to address each barrier identified. For organizational culture, propose methods such as staff education, demonstrating benefits of the change, and involving staff in planning to foster ownership. To counter resistance, suggest employing effective communication, providing training, and highlighting evidence supporting the change. Address resource limitations by advocating for administrative support, reallocating existing resources, or seeking external funding or grants. Incorporate change management frameworks such as Kotter’s Eight Steps or Lewin’s Change Model to structure your approach and ensure a smooth transition.
Include specific action steps, timelines, and responsible parties for overcoming each barrier. Emphasize how continuous feedback, monitoring, and adaptation will be integral to maintaining momentum and ensuring sustainable change.
Who are the colleagues you will include to facilitate change?
Identify key colleagues and interdisciplinary team members essential for facilitating practice change. This may include nursing staff, physicians, case managers, quality improvement personnel, and administrative leaders. Describe their roles in supporting and driving the change, such as providing expertise, assisting with education, or helping to monitor progress. Highlight the importance of collaboration, communication, and shared responsibility in successfully implementing evidence-based practice changes.
Identify the stakeholders for the change in practice you have chosen for your EB project
List and analyze the stakeholders affected by the proposed practice change. Stakeholders may include patients, family members, healthcare providers, organizational leadership, and regulators. For each stakeholder group, discuss their level of influence, concerns, and expectations. Emphasize the importance of stakeholder engagement through transparent communication, education about the benefits of the change, and addressing potential concerns to garner support. Clarify how stakeholder buy-in is crucial for the sustainability of the practice change and for achieving measurable improvements.
APA formatting is used when appropriate. 5 points
Ensure all references, citations, and formatting adhere to APA standards throughout the paper. Properly cite sources used to justify the proposed change, barriers, strategies, and stakeholder analysis, including peer-reviewed articles, organizational reports, and credible online resources.
Conclusion
Summarize the proposed evidence-based practice change, including the rationale, anticipated barriers, and strategies for overcoming them. Reinforce the importance of stakeholder engagement and leadership roles in facilitating effective change. Conclude with a reflection on the potential impact of the change on patient outcomes and organizational quality, emphasizing the significance of systematic planning and collaboration to achieve sustainable improvement.
References
- American Psychological Association. (2020). Publication manual of the American Psychological Association (7th ed.).
- Kurt Lewin. (1947). Frontiers in group dynamics: Concept, method and reality in social science; social equilibria and change. Human Relations, 1(1), 5-41.
- Kotter, J. P. (1996). Leading change. Harvard Business Review Press.
- Melnyk, B. M., & Fineout-Overholt, E. (2018). Evidence-based practice in nursing & healthcare: A guide to best practice (4th ed.). Wolters Kluwer.
- Rogers, E. M. (2003). Diffusion of Innovations (5th ed.). Free Press.
- Walker, J., & Kay, D. (2020). Implementing evidence-based practice: Strategies for success. Journal of Nursing Administration, 50(4), 188-194.
- Whelan, A., & Horan, S. (2019). Barriers to implementing evidence-based practice in healthcare. Journal of Clinical Nursing, 28(9-10), 1230-1240.
- Willcox, M. (2014). Fundamentals of evidence-based practice: An illustrated review. British Journal of Nursing, 23(4), 210-214.
- Yukl, G. (2012). Leadership in organizations (8th ed.). Pearson.
- Zeigler, M. (2017). Strategies for overcoming resistance to change. Journal of Healthcare Management, 62(5), 341-350.