P1 and P2

In discussing this concept with my mentor, she seems to agree.  One point she made is that we must first know the culture and level of EBP exposure, of the facility and staff.  If the facility has not had much exposure, implementation must "start with the basics at a much slower pace" (Rosshirt, 2017, n.p.).  After assessment, we can begin to determine interventions that will create staff buy-in, and lead to successful EBP implementation.

In conducting research for this post, sources seem to agree with the position that the system must be understood in order to use relevant strategies and interventions.  Individual and organization culture are social systems that must be understood.  Change and EBP implementation are complex so communication is essential.  We must understand the current relationship between researchers and practitioners.  Knowledge gaps are how we determine relevant interventions.  Relevance is the first step to creating staff buy-in, and successful implementation.  Factors that may effect implementation include organization size, staffing levels, resources, and facility location; we must understand those things before we develop any interventions.  Titler (2008) posits that "the strength of evidence alone will not promote adoption" (pg. 11); we must make the evidence relevant to the system.  For example, "clinicians tend to be more engaged in adopting patient safety initiatives when they understand the evidence base of the practice" (Titler, 2008, pg. 12), as opposed to adminstrators forcing it upon them.

What works for one agency may not work for another.  Warren, et al. (2016) educates that different systems have different barriers, and need different types and levels of support.  Demographics, suchs as Magnet designation, staff education level, and employee role, effect successful implementation of EBP practice.  We "must consider the work environment and the culture...across the system" (Warren, et al., 2016, pg. 22) as well, when developing strategies to implement EBP.

In my change proposal, I will consider all of the things discussed in this post.  Motivators must be considered, and staff will want to know "so what?".  In assessing motivators and culture, it will put me in a better position to write a proposal relevant to my audience, which will inspire motivation, and lead to a more successful transition.

Rosshirt, J. (2017). Personal correspondence.

Titler, M. (2008). The evidence for evidence-based practice implementation. Patient Safety and Quality: An Evidence-Based Handbook for Nurses, Chapter 7.

Warren, et al. (2016). The strengths and challenges of implementing EBP in health care systems.  Worldviews on Evidence-Based Nursing, 13 (1): 15-24.

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Substantive Post Yes | No