Nurse management represents an essential component in the promotion of practice based on scientific proof on clinical units within the health institutions. Specific steps ought to be taken for the proper implementation of new research-based best nursing practices. These steps include consultation with the relevant medical authorities, tailoring the modern medical practice to the healthcare facility, clearly defining the obligations of the procedure, making the system realistic, publicizing the procedure and training all the nurses involved for the proper process of implementation of the new method. Some procedures must entail setting out a pilot of testing a sample to ascertain the validity of the latest research-based nursing practice.
Evidence-based practice research follows five essential steps and these include asking a question, finding evidence to respond to the question, critical appraisal of the information, integration of appraised evidence with personal clinical expertise as well as the preferences of the patients, and evaluation of the effectiveness in the execution of steps. According to Birken, et al., (2018) the resources, structure, and culture of an organization within the context of the institution either empower the facilitators of change to independently drive change or creates barriers to them and this results to the feeling of disempowerment (James, Thompson, & Ringle, 2017). Nurses must follow the systematic process moving in circular patterns in support of the providers that initiate and drive these complex changes.
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The nurse will begin the change process by organizing a PICOT statement. The initials stand for various essential components that must all be considered in retrospect for them to make wholesome sense (Dang & Dearholt, 2015). This approach examines the problem of interest. The population affected or the individual patient. Moreover, it examines the prognostic factor under consideration or the intervention mechanism. Additionally, it looks into the comparison or intervention and the measurement of the outcome. Finally, it must be measured under a specific period (Dang & Dearholt, 2015). Next, the team charged with initiating the change process must consider the resources or information databases that are most likely to respond to the questions asked. This is achieved by utilizing keywords, Boolean connectors, and mixing multiple search items.
Implementation of nursing based practice begins with an impetus for change for instances following a recent report of research (Harris et al., 2015). Additionally, such incentive may accrue from a clinical audit or patient outcomes. Subsequent procedures include evaluation and review of literature on the identified topic. The nurses can also choose to evaluate and implement trial changes within the practice and come up with recommendations for the implementation of clinical guidelines (James, Thompson, & Ringle, 2017). The process allows the nurse to be an integral part of the team, given the fact that they have direct interaction with the patients and hence understand their needs.
Overall, although the process of implementation of nursing based research is an essential area of research, it is challenged by the inconsistent use of terminology and the limit in the use of theory and application. Nurses and other initiators of change are likely to experience various challenges in the process of implementation. Therefore, some of the essential components for the successful implementation of change include managerial support, adoption by the organization, and individual support. Nurses, as well as other healthcare practitioners, can initiate change and contribute to the provision of high-quality care.
References
Claire Harris, Marie Garrubba, Kelly Allen, Richard King, Cate Kelly, Malar Thiagarajan, et al. (2015). Development, implementation, and evaluation of an evidence-based program for the introduction of new health technologies and clinical practices in a local healthcare setting. BMC Health Services Research, 15 (5), 55-75
Deborah Dang & Dearholt, S. (2015). Johns Hopkins Nursing Evidence-Based Practice, Third Edition. New York: Sigma Theta Tau.
James, S., Thompson, R., & Ringle, J. (2017). The Implementation of Evidence-Based Practices in Residential Care: Outcomes, Processes, and Barriers. Journal of Emotional and Behavioral Disorders, 1 (1), 121-132.
Sarah Birken, Alecia Clary, Amir Alishahi Tabriz, Kea Turner, Rosemary Meza, Alexandra Zizzi, et al. (2018). Middle managers’ role in implementing evidence-based practices in healthcare: a systematic review. Implementation Science, 13 (149), 121-132.
