Enhancing the Sustainability of EBP Initiatives

Reply to Aris:

An Evidence Based Practice initiative that was implemented in a hospital in Minnesota was that nurses could not congregate in the nursing station and had to spread throughout the unit to prevent falls when they were not actively taking care of patients. The purpose of this initiative was to prevent falls because they believed that since the nurses were in one central area they were not able to hear the alarms despite the fall alarms being very loud. A month after the initiative took place for nurses to decentralize the area, the fall rate did not change. It actually slightly increased because instead of decentralizing the nursing station, the nurses spent their downtime in the breakroom since they were not allowed to sit where they wanted on the unit. This meant that they were even less likely to hear alarms and prevent falls. This evidence based practice implementation sounds feasible in writing but did not carry over into the real world because the attitude of the staff was that they wanted to sit where they wanted and they were still adhering to company policy.        One of the four models of organizational change that I would use in an advanced nursing role to enhance stability of EBP initiatives is using people-centric organizational change.  People- centric organizational change focuses specifically on managing emotional reactions to change. Ensuring that new-hires have the attitudes that are aligned with the nursing roles of the organization and that employees are properly trained with new skills that are appropriate for their roles is along the lines of people- centric change. Of course, treating employees right and giving them the financial compensation and things that they need to make their personal lives the best it can be is the ultimate example of proper leadership. In regards to nursing collective attitude on a unit, the example showed that nurses are unified and there is a certain way of thinking that is done when a group of people spend a lot of time together (Bull et al., 2018). Bull, E. R., Byrne-Davis, L. M., Swift, J., Baxter, K., Mclauchlan, N., & Hart, J. K. (2018). Exploring what teams perceive by culture when implementing new models of care. International Journal for Quality in Health Care, 31(6), 492-494. doi:10.1093/intqhc/mzy200