Part I
Nurses are custodians of change in health management as far as evidence-based practice are concerned. Evidence-based practice is a decision-making approach that makes use of findings from research studies to solve prevailing problems. Evidence-based practice help to reduce healthcare cost, improve patient outcomes, and improve practice. A change process starts by realizing the problem, integrating the available evidence into clinical practice, implementing the practice, and evaluating outcomes ( Gallagher-Ford et al., 2011) . The implementation of evidence-based practice becomes effective only when there is sustainability; nurses play the role of promoting the sustainability of the practices to ensure that they achieve the intended objectives.
Healthcare workers can achieve sustainable change by having a collective mindset to the change process. They should view the process as a responsibility owing to the evidence of benefits that it would accrue in terms of patient outcomes, cost, and quality service delivery. Secondly, achieving sustainable change involves overcoming the barriers to the change process. Common challenges include non-supportive organization culture, the perception that evidence-based practice is burdensome, the perception that the process is time-consuming, and lack of knowledge among the healthcare workers ( Gallagher-Ford et al., 2011) . Thirdly, the change process can be achieved by engaging mentors within the healthcare system to drive the process. There should be experts to guide teams through the implementation of evidence-based practice.
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Part II
Change management of converting evidence into actual practice requires the need to characterize the process with proper strategies to ensure that there is effective implementation. First, there is a need to analyze the preparedness of an organization to adopt change. An organization must have identified the problem that change intends to solve and be ready to adopt. The second step is to formulate a change impact assessment, which finds out the benefits that the evidence-based practice seeks to accrue in terms of cost, patient outcomes, and quality of service delivery ( Gallagher-Ford et al., 2011) . The third strategy is to establish a change communication plan, which describes the implementation routes for the change process. Fourth, there is a need to identify the existence of change resistance and barriers to change. The organization then develops strategies for overcoming the barriers. The next strategy is to identify, persuade, and engage the stakeholders of the change. The last strategy is to develop a training plan for the staff concerning the implementation of evidence-based practice.
Reference
Gallagher-Ford, L., Fineout-Overholt, E., Melnyk, B. M., & Stillwell, S. B. (2011). Evidence-based practice, step by step: implementing an evidence-based practice change. AJN The American Journal of Nursing , 111 (3), 54-60.
