Capstone Project Change Proposal Presentation for Faculty Review and Feedback

DQ2 Neoma Rice

Evidence based practices are important when it comes to nursing care and really all health care, but unfortunately these practices are not always followed, or they are short lived. In a recent review they found that common barriers internationally that affect the implementation of evidence-based practices are barriers due to lack of time, lack of support, and lack of skills (Naghibi, Mohammadzadeh & Azami-Aghdash, 2021). In my proposal, I feel two of those would most certainly apply as a potential barrier. The first one would be certainly lack of time, I am currently the only nurse in the office. I'm also the one who sees and visits with a majority of the multiple slcerosis patients, but while I would love to implement this change it would be difficult to run in and do an assessment and educate patients while seeing their provider if I have an infusion in another hall. The other barrier would be lack of support. As much as the providers seem engaged and interested in my proposal, they tend to be in and out of their appointments to start the next one. I would assume that if I took one of their rooms for too long, it may cause more problems in the future.

Naghibi, D., Mohammadzadeh, S., & Azami-Aghdash, S. (2021). Barriers to Evidence-Based Practice in Health System: A Systematic Review. Journal of Evidence-Based Care, 11(2), 74–82. https://doi-org.lopes.idm.oclc.org/10.22038/EBCJ.2021.60075.2561

DQ2

Melissa Ball

"The field of implementation science was developed to better understand the factors that facilitate or impede implementation and generate evidence for implementation strategies" (Powell et al., 2019).Two potential barriers for preventing the continuation of EBP based practice can be inadequate support from the administration, and management team. Another factor could be resistance to change or implement the new proposed change idea. Which is what I fear I will experience with implementing my change proposal .My project is about implementing change to retain our current nurses from leaving the profession and hiring new nurses. My strategy for overcoming these barriers are having individual meetings with the nurses that are wanting to leave and finding out why they are wanting to leave and what we can do to prevent that from happening. Also ensuring that the changes I am requesting are within the healthcare's organizations policy. 

Reference

Powell, B. J., Fernandez, M. E., Williams, N. J., Aarons, G. A., Beidas, R. S., Lewis, C. C., McHugh, S. M., & Weiner, B. J. (2019). Enhancing the Impact of Implementation Strategies in Healthcare: A Research Agenda. Frontiers in public health, 7, 3. https://doi.org/10.3389/fpubh.2019.00003