Discuss leadership qualities essential for sustaining as EBP IS A NURSING CLASS – MASTER CLASSEBPSAMPLEWEEK5.docx2020NSG5111EBPModelsWeek4PPT.ppt
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– SAMPLE PAPER ATTACHED – CLASS POWERPOINT ABOUT EVIDENCE BASED PRACTICE ATTACHED PLEASE REVIEW THEM
– APA STYLE PLEASE MAKE SURE CITATION IS CORRECT JUST LIKE
– PEER REVIEW ARTICLES AT LEAST ONE REFERENCE AND ARTICLES *****MUST BE 5 YEARS OR NEWER!!!!!!******
– MUST BE A CREDIBLE SOURCE SUCH AS CINALH!!!
THE TOPIC IS
- Describe how the unique role of evidence-based leadership (EBL) can facilitate an organization's change to the new paradigm of evidence-based practice (EBP).
- Discuss leadership qualities essential for sustaining as EBP
IS A NURSING CLASS – MASTER CLASS
Week 5 Initial Discussion Post
The Unique Role of Evidence-based Leadership (EBL)
Healthcare organizations are challenged with ensuring that consistent use of evidence-based practices (EBP) is implemented in the clinical setting. Therefore, these challenges will require nurse leaders to promote a culture of inquiry amongst the nursing team. To further complicate the challenge of using the best evidence for providing quality patient care, Gallagher et al. (2019) note that it takes 8-30 years to get evidence into practice resulting in patients not receiving the best possible care. To mitigate these challenges, leaders must act as change agents and provide the resources needed to promote and support EBP implementation (Valimaki et al., 2021). Additionally, healthcare leaders need to better understand and lead the charge by ensuring the minimization of barriers and allocation of resources so that caregivers feel supported with bringing EBP to the patients served (Gallagher et al., 2019). Furthermore, leaders acting as visionaries are crucial to front-line staff members' success, sustainability, and engagement in EBP initiatives. A few items to aid in the success of EBP are ensuring staff education, revised job descriptions, changes in clinical ladder requirements, and having EBP mentors within the organization (Gallagher et al.)
Leadership Qualities
Evidence-based practice (EBP) improves safety, quality, and patient care outcomes. It is defined as “a lifelong problem-solving approach to the delivery of healthcare that integrates the best evidence from well-designed studies” (Caramanica et al., 2022, p. 27). Leaders must be influential in supporting and guiding their team through focused problem-solving to incorporate the best evidence into the patient care setting. Leaders must also possess the knowledge and skill-set needed to act as a mentor in the push for driving EBP in the work environment. The two levels of evidence-based leadership commitment are self-actualization of EBP and being the visionary for ensuring EBP is engrained into practice. The second evidence-based leadership commitment is to facilitate a culture of EBP as the basis for clinical decision-making. According to Gallagher et al. (2019), a leadership style that is important to mention is transformational leaders that form a partnership with and gain the trust of frontline caregivers to gain the ability to effect change and EBP inclusion into the culture. Caramanica et al. (2022) note that leadership support and engagement are integral to successfully sustaining EBP to guide practice and improve patient outcomes.
References
Caramanica, L., Gallagher-Ford, L., Idelman, L., Mindrila, D., Richter, S., & Thomas, B. K. (2022). Establishment of nurse manager leadership competencies to support clinicians in evidence-based practice. The Journal of Nursing Administration, 52(1), 27-34. https://doi.org/10.1097/NNA.0000000000001099 (Links to an external site.)
Gallagher-Ford, L., Buck, J. S., & Melnyk, B. M. (2019). Leadership strategies for creating and sustaining evidence-based practice organizations. In B. M. Melnyk & E. Fineout-Overholt (Eds), Evidence-Based Practice in Nursing and Healthcare: A Guide to Best Practice (4th ed., pp. 328-347). Wolters Kluwer.
Valimaki, M. A., Lantta, T., Hipp, K., Varpula, J., Liu, G., Tang, Y., Chen, W., Hu, S., & Li, X. (2021). Measured and perceived impacts of evidence-based leadership in nursing: A mixed-methods systematic review protocol. BMJ Open, 11(10), e055356. https://doi.org/10.1136/bmjopen-2021-055356
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EVIDENCE-BASED PRACTICE (EBP) MODELS AND ORGANIZATIONS
NSG 5111
Evidence and Practice
Nova Southeastern University
Ron and Kathy Assaf College of Nursing
EBP MODELS
- Purpose
- Assists in implementing research findings into nursing practice
- Breaks down complex challenges of translating research into nursing practice
- Promotes return on investment of time and resources
- Provides a belief system to guide practice
EVIDENTIARY DYNAMICS
- EBP is dynamic and not linear
- Fluid, mobile and portable
- Continuous and unending movements
- Interacting elements that constantly change
- Provide a basis for good practice, creativity and innovation
Characteristics:
ORGANIZATIONS AND CULTURES OF CARING
- Culture of innovation
- Innovation not driven from the top down
- Narrow locus of control
- Open to ideas, questioning, and diving deeper into issues
- Operating in a constantly changing environment
- Associational thinking and planning to seek out uncommon and unrelated partners, issues, and processes that result in new knowledge and different perspectives
MODELS TO CHANGE PRACTICE
- Identify a problem
- Identify stakeholders
- Identify a practice change
- Identify potential barriers
- Provide strategies to disseminate the change
- Evaluate the practice change
- Identify strategies to sustain a change
Commonalities of Models:
STEVENS STAR MODEL OF KNOWLEDGE TRANSFORMATION
Five steps:
- Discover new knowledge
- Summarize the evidence after a rigorous review
- Translate evidence for nursing practice
- Integrate changes into practice
- Evaluate practice and its contribution to quality improvement
JOHNS HOPKINS NURSING EVIDENCE-BASED PRACTICE MODEL
- 3 major steps: Practice evidence translation
Identify practice question using a team approach
Collect the evidence
Translate evidence into practice
STETLER MODEL
- Practitioner model
- Critical thinking focus
- Utilization of research findings
- Five phases:
- Preparation
- Validation
- Comparative/evaluative decision making
- Refinement
- Evaluation
IOWA MODEL
- Represented as an algorithm
- Defined decision points and feedback loops
- Incorporates input from entire organization
- Nursing is involved in each step
- Advocates a pilot step before full implementation of practice change
ADVANCING RESEARCH AND CLINICAL PRACTICE THROUGH CLOSE COLLABORATION (ARCC)
- Five steps:
Assessment of organizational culture and readiness for implementation
Identification of barriers and strengths of the EBP organization process
Identification of EBP mentors
Implementation of evidence in to organizational practice
Evaluation of outcomes from practice change
ITEMS TO CONSIDER WHEN CHOOSING A MODEL FOR YOUR ORGANIZATION
- Fit with quality improvement programs
- Ease of implementation by educators
- Likelihood of success
- Cost and time expenditures
- Patient population
- Inter- and Intra- disciplinary focus
- Practicality and sustainability
- Engagement of stakeholders
REFERENCES
Melnyk, B.M., & Fineout-Overholt, E. (2019). Evidence-based practice in nursing and healthcare: A guide to best practice (4th ed.). Philadelphia: WoltersKluwer/Lippincott Williams & Wilkins.
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