NURS 8410 Week 8: Creating an Environment for EBP Essay

NURS 8410 Week 8: Creating an Environment for EBP Essay

NURS 8410 Week 8: Creating an Environment for EBP Essay

“What health care needs most are effective leaders who understand innovation and how it spreads, who respect the diversity of change itself, and who can nurture innovation in all its rich and many costumes” (Hyrkäs & Harvey, 2010, p. 1)

As a nurse engaged in advanced practice, you are uniquely positioned to motivate your colleagues and contribute toward the development of a culture that embraces change.  Yet, even with the worthwhile goal of translating evidence into practice, barriers present a formidable challenge in many settings in today’s health care system.

This week you examine barriers that may inhibit the adoption and implementation of evidence-based practice. You also explore change theories and consider how they can be applied to help create an environment that facilitates practice grounded in evidence and, ultimately, to promote the achievement of outcomes related to quality and safety.

In addition, you continue your practicum experience and begin Application 4 this week. NURS 8410 Week 8: Creating an Environment for EBP

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Learning Objectives for NURS 8410 Week 8: Creating an Environment for EBP

Students will:

• Assess the readiness for change in a practice environment
• Develop theory-based strategies to facilitate the implementation of change in a practice environment

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Learning Resources

Note: To access this week’s required library resources, please click on the link to the Course Readings List, found in the Course Materials section of your Syllabus.

Required Readings

White, K. M., Dudley-Brown, S., & Terharr, M. F. (2016). Translation of evidence into nursing and health care practice (2nd ed.). New York, NY: Springer.

• Review Chapter 3, “Change Theory and Models: Framework for Translation”
• Chapter 14, “Creating a Culture That Promotes Translation”
• Chapter 15, “Best Practices in Translation: Challenges and Barriers in Translation”

Darling, F. (2016). Practitioners’ views and barriers to implementation of the Keeping Birth Normal tool: A pilot study. British Journal of Midwifery, 24(7), 508-519.

Note: You will access this article from the Walden Library databases.

Sadeghi-Bazargani, H., Tabrizi, J.S., & Azami-Aghdash, S. (2014). Barriers to evidence-based medicine: a systematic review. Journal of Evaluation in Clinical Practice, 20, 793-802.

Note: You will access this article from the Walden Library databases.

Smith, E.L., Rice, K.L., & Agrell-Kann, M. (2015). Improving quality outcomes using a champion model for ancillary nursing staff, Journal of Continuing Education in Nursing, 46(12), 539-541.

Note: You will access this article from the Walden Library databases.

Discussion: Preparing for Change

What steps might be utilized to move a practice issue from development and design through implementation to the realization of positive outcomes? How does theory provide a framework? What barriers might you encounter? NURS 8410 Week 8: Creating an Environment for EBP

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To prepare:

• Review the theories and frameworks (i.e., change, organizational, behavioral) presented in Chapter 3 of the course text, Translation of Evidence Into Nursing and Health Care Practice, and conduct additional research of your own. What insights do these theories provide regarding how to take your practice issue from development and design through implementation to the realization of positive outcomes?
• Think about your practicum setting and evaluate the readiness for change in this environment. Identify barriers and facilitators for change.
• Consider strategies to address the barriers, and assess why they might be effective based on theory.

By Day 3

Post a cohesive scholarly response that addresses the following:

• Assess the readiness for change in your practicum environment. Discuss those factors (barriers and facilitators) that need to be considered.
• Identify a theory or framework that will guide your change efforts.
• Discuss strategies to address barriers, and provide one or more insights regarding why you think they might be effective based on theory NURS 8410 – Best Practices In Nursing Speciality – Weekly Discussion Essays

Read a selection of your colleagues’ responses.

By Day 6

Respond to two of your colleagues in one or more of the following ways:

• Ask a probing question, substantiated with additional background information, evidence, or research.
• Share an insight from having read your colleagues’ postings, synthesizing the information to provide new perspectives.
• Offer and support an alternative perspective using readings from the classroom and/or from your own research in the Walden Library.
• Validate an idea with your own experience and additional research.
• Make a suggestion based on additional evidence drawn from readings or after synthesizing multiple postings.
• Expand on your colleagues’ postings by providing additional insights or contrasting perspectives based on readings and evidence.

Return to this Discussion in a few days to read the responses to your initial posting. Note what you learned and/or any insights you gained as a result of the comments made by your colleagues.

Be sure to support your work with specific citations from this week’s Learning Resources and any additional sources. NURS 8410 Week 8: Creating an Environment for EBP 

Submission and Grading Information

Grading Criteria

To access your rubric:

Week 8 Discussion Rubric

Post by Day 3 and Respond by Day 6

To participate in this Discussion:

Week 8 Discussion Assignment: Application 4: Planning for Change, Implementing and Evaluating EBP Projects

Planning for Change

Change can be difficult—and implementing new practices based on evidence can present challenges. How can you effectively prepare your work environment for change? What factors need to be considered (e.g., financial, legislative, systems)?

This week you begin working on Application 4, which builds on this week’s Discussion and is a continuation of your EBP Project. For this first section of the assignment, determine the factors that would impact stakeholders or end users as you create change and implement a new process/project to address your EBP issue.

Prepare for this week’s section of Application 4 as follows:

• Continue (from this week’s Discussion) to analyze the impact of implementing change in your practice environment. What factors need to be considered regarding stakeholders or end users? How would you communicate with them to address their questions or concerns? How would you enlist their support?
• Develop a summary of the methods you would use to ensure that those factors are adequately addressed.

By Day 7 of Week 10

Application 4 is due. You do not need to submit anything this week.

Practicum

Continue to keep a time log and journal of your practicum experiences. See the Practicum Guidelines located in the Practicum area of the Course Overview page for a complete description of the practicum.

By Day 7 of Week 11

Reminder You will submit your time log and a journal entry in Week 11.

Week in Review

This week, you assessed change readiness in a practice environment and developed theory-based strategies to facilitate the implementation of change.

Next week, you will assess an issue within an organization—analyzing the system at the macro- and micro-level—and identify strategies that can be used to assess the clinical environment and the associated nonclinical units that support the provision of quality.

To go to the next week:

Week 9