Perspectives: Implementation strategies to adopt and integrate evidence-based nursing. What are we doing?

Respond to discussion

Include citations/Use in text citation where needed

All sources must be 5 years old or newer

Only needs to be about a paragraph long

More like a discussion rather than a paper

Please add to the discussion in your peer responses with informative responses, instead of posts similar to “great idea! I really agree with you.”

Each response needs to have a citation

 

 

 

POST 1 (Tina)

Strategies to Incorporate Changes in Nursing and Examples to Use Them

According to Moreno-Casbas (2015), EBP can be introduced by enforcing some of the following strategies:

• Effective processes for transferring knowledge and evidence-based practice.
• New knowledge absorption by strategic change.
• Exchange of knowledge and methods to apply practice and inquire about issues pertinent to it.
• Designing and development of spread of research.

For instance, if an EBP regarding prevention of HAP (Hospital Acquired Pneumonia) is to be implemented, then at first, the knowledge regarding HAP is to be transferred along with its prevention technique. Then, the strategic change can be brought by applying the safety and prevention techniques, and it will be for all nurses’ heads to get implemented these techniques by their staff nurses within their departments. While implementation, the barriers, and facilitators to new practice will be revealed that will also be a must to exchange within the health care staff. The final call for assuring of EBP within the nursing practice will be to spread the knowledge as much as possible on all levels.

Changes Needed in My Practice and My Colleagues’ Nursing Practice

The changes that might be needed in I and my colleagues’ practices will be to use patient lifting devices and not lifting the patients manually, especially in critical care units.

Rationale for Proposed Changes

            It is evident from many research studies that the use of patient lifting devices tends to reduce the number of musculoskeletal injuries among nurses (Aslam, Davis, Feldman, & Martin, 2015). The research findings from concerned studies will be served as the rationale as a basis for our proposed changes.

Communication Techniques to Incorporate the Proposed Changes

            First of all, the higher authorities or administration will be notified to incorporate patient-lifting devices within the organization by giving them detailed multi-media presentations. Written hand-outs highlighting EBP regarding patient lifting devices will be spread among the nurses and other health care staff. Person to person and group discussion among health care workers will be encouraged regarding the use and significance of patient lifting devices.

Promotion of Staff Buy-In

            Staff buy-in can be promoted by convincing the nurses that the proposed change to use patient lifting devices has been decided in the best interest of their musculoskeletal health.

 

References

Aslam, I., Davis, S. A., Feldman, S. R., & Martin, W. E. (2015). A review of patient lifting interventions to reduce health care worker injuries. Workplace health & safety, 63(6), 267-275.

Moreno-Casbas, T. (2015). Perspectives: Implementation strategies to adopt and integrate evidence-based nursing. What are we doing?. Journal of Research in Nursing, 20(8), 729-733.

 

 

POST 2 (Brittany)

 

To incorporate change after a study using evidence- based practice an evidence-based mentorship including an immersion process should be established (Wyant, 2020). Nursing staff will learn the skills and knowledge need to embrace and implement change. On my particular unit, an evidence-based educator would need to be hired. This educator will be responsible for keeping up with any changes in care regimens and helping the staff on the unit enhance themselves through simulations. During these simulations the staff will study new evidence and demonstrate proper techniques. During simulation we will focus on patients with different types of epilepsy and those at risk related to various causes. The rationale for simulation is that the staff will be able to safely induce and treat patients with seizure activity. Simulation days will be scheduled in for each employee once a month and last 2-4 hours. To be sure all staff is aware dates of simulation training will be posted at a time clock as well as sent out in an email. The educator will also touch base with each staff member one on one to make sure that they are aware of their scheduled day and time. Nurses can buy in by becoming ambassadors (Thomas & Bechtel, 2018). The nurses will be responsible for helping on simulation days and checking in with actual patients during EEG testing. They will empower the patients by ensuring that the staff is implementing evidence-based training and the patients needs are being adequately met. The educator plus the ambassadors will also hold meetings to go over new evidence and incorporate it into the program.

Thomas, A., & Bechtel, M. (2018, November 8). Five ways to increase technology buy-in from nurses: Nurses touch most systems and virtually every aspect of patient care and experience, so gaining their buy-in is key to successful technology implementation. Retrieved from https://www.beckershospitalreview.com/healthcare-information-technology/five-ways-to-increase-technology-buy-in-from-nurses.html

Wyant, T. (2020, June 08). Strengthen a Commitment to Practice Change Through EBP Immersions. Retrieved from https://voice.ons.org/news-and-views/strengthen-a-commitment-to-practice-change-through-ebp-immersions