Sustaining change can be difficult, as there are many variables that can affect implementation. One critical component of EBP is to ensure that practice change is part of an organization’s culture so it will continue to impact outcomes over time. Name two potential barriers that may prevent your EBP change proposal from continuing to obtain the same desired results 6 months to a year from now, and your strategies for overcoming these barriers.
(May Bal 6/6)
Professor and Class,
Introducing change in a clinical setting can be challenging as numerous barriers affect implementation; for instance, changing the culture to which the healthcare professionals are accustomed may be a challenge and may take time to change (Geerligs et al., 2018). Two barriers that may hinder the change project from obtaining the same desired results six to one year after implementation are financial constraints and time constraints.
Successful implementation and sustaining of the educational programs will require adequate financing (Tappen et al., 2017). The financial resources will aid in acquiring ideal educational materials and source qualified fall management experts to train the nurses. If the organization cannot finance the educational programs, the system will be sub-optimal and will not effectively manage in-patient falls. I would recommend involving external stakeholders in each implementation stage to overcome the financial constraints. External stakeholders would include professional organizations and local, state, and federal governments willing to support the running of the educational programs financially.
My organization attends to many patients daily seeking medical services or are referred from other facilities. Therefore, nurses in the facility are busy, and with the nurse staff shortage, time is a significant constraint. Nurses may not be able to attend the educational sessions as required, and therefore the evidence-based strategies may not reflect in their practice. To overcome this, I would recommend collaboration between the healthcare professionals and adequate staffing (Heng et al., 2022). Through collaboration, the healthcare team can attend the educational sessions in shifts, and every member can benefit. In addition, adequate staffing will also ensure that everyone can attend the sessions without halting the normal facility operations or interfering with the quality of services.
Geerligs, L., Rankin, N. M., Shepherd, H. L., & Butow, P. (2018). Hospital-based interventions: A systematic review of staff-reported barriers and facilitators to implementation processes. In Implementation Science (Vol. 13, Issue 1, pp. 1â€“17). BioMed Central Ltd. https://doi.org/10.1186/s13012-018-0726-9
Heng, H. I., Kiegaldie, D. I., Slade, S. C., Jazayeri, D., Shaw, L., Knight, M., JonesID, C., Hill, A.-M., & MorrisID, M. E. (2022). Healthcare professional perspectives on barriers and enablers to falls prevention education: A qualitative study. PLOS ONE, 17(4), e0266797. https://doi.org/10.1371/JOURNAL.PONE.0266797
Tappen, R. M., Wolf, D. G., Rahemi, Z., Engstrom, G., Rojido, C., Shutes, J. M., & Ouslander, J. G. (2017). Barriers and Facilitators to Implementing a Change Initiative in Long-Term Care Using the INTERACTÂ® Quality Improvement Program. Health Care Manager, 36(3), 219â€“230. https://doi.org/10.1097/HCM.0000000000000168
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