I organized training sessions where nurses were trained on the significance of evidence-based practice. I also worked with them closely in performing a critical analysis of the available evidence that can be used to inform evidence-based practice in nursing. Successful use of evidence-based practice also demands facilitation of the change process. Therefore, we proposed the provision of incentives that could enhance the adoption of the change by the nurses. Through these interventions, the change was successfully implemented in the organization.
Nurses and other healthcare providers have the responsibility of providing safe, efficient, and quality care to the patients in need. They work in collaboration with their patients and significant others to identify the actual and perceived health needs that should be addressed for optimum health and wellbeing. The ability of nurses to provide care that addresses the prioritized needs of their patients is dependent on the use of principles of evidence-based practice. Evidence-based practice entails the use of best-available clinical evidence to inform the healthcare decisions by healthcare providers. Our institution leads in the provision of quality healthcare in the region. However, the use of evidence-based practice is a relatively new concept. Therefore, I was tasked with the responsibility of leading the implementation of evidence-based practice in the unit I work in the organization.
The assessment and introduction of evidence-based practice involved individuals from different healthcare professionals. They included nurses, doctors, nutritionists, lab technologists, and social workers. We worked collaboratively in determining the best ways in which evidence-based practice could be implemented in the organization. The stakeholders that were involved included the healthcare providers, the managers, leaders, and experts in the use of health information technology.
Several processes were followed to ensure the success of the change. One of them was raising the level of awareness and understanding of the healthcare providers about evidence-based practice. This was achieved with the use of interventions such as training and increasing the availability of materials on evidence-based practice. The other process that was used was facilitating the adoption of the change (Hughes, 2019). The leaders and managers acted as the role models of the adoption of the change. They led in the adoption of the intervention. The other intervention was creating an enabling environment for the change. The management fostered open communication between and among healthcare providers. The adopters were free to share their concerns, ideas, and perceptions about the ways in which the project could be a success. Lastly, incentives were provided to increase the adoption process and minimize resistance to change from the healthcare providers.
The teamwork was highly effective. There were minimal challenges encountered in the process. The healthcare providers were willing to embrace the change since they believed it could improve their efficiency and the quality of care that they give. They were also ready to implement their ideas, as a way of promoting the success of the intervention.
One of the major challenges that were experienced was lack of willingness among the staffs to adopt the change. Some of the staffs expressed fear about the unknown outcomes of the intervention. The other challenge was the lack of time to engage in activities that promote evidence-based practice. Some of the staffs complained of high workload, which made it difficult for them to engage in critical review of existing evidence that inform their practice. One of the ways in which these challenges were addressed was through active involvement of the staffs in the process. Their involvement made them understand the relevance of the change. The other intervention entailed creating open channels of communication where the staffs expressed themselves (Langabeer, 2018). Additional personnel were hired to reduce the workload in some units, thereby allowing staff to engage in activities that promote evidence-based practice. However, the team could have been more effective if it selected a representative from each of the healthcare professionals. It could have also developed rules guiding them to enhance the efficiency of teamwork. Despite this, the initiative was a success to the organization.<
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