In your peer responses, offer suggestions and other thoughts for your colleagues to consider. 1, Responds to this post in half a page In outline form, describe the processes to follow to appropriately select a model to guide a change in practice. When selecting an EBP model to guide practice change, the steps to follow include: Familiarize ourselves and learn about available EBP models that can be used in the field of nursing. The selection of the model should be appropriate for the organization and consistent with their vision, mission, and philosophy. It should also be used to identify and solve identified clinical problems (Gawlinski & Rutledge, 2008). Depending on the size of the organization, a decision should be made on the selection of an EBP council or taskforce that can be created and put in charge to select the model (Gawlinski & Rutledge, 2008). Each available model should be reviewed for its clarity, evidence, applicability to various populations and to clinical practice (Gawlinski & Rutledge, 2008) Strengths and weaknesses of the model should also be reviewed (Gawlinski & Rutledge, 2008). After evaluation of each EBP model, a decision should be made to narrow the selection to the two best model that fit the needs of the organizations (Gawlinski & Rutledge, 2008). Clinical leaders, managers, administrators should be included in the decision for the final selection of the EBP model (Gawlinski & Rutledge, 2008). Once the model is chosen, education sessions should be planned for new learners to prepare for its dissemination (Gawlinski & Rutledge, 2008) Evaluate and solve potential challenges (Gawlinski & Rutledge, 2008). 2. Discuss at least 2 specific possible consequences of selecting the wrong model. Time and money wasted it takes a lot of time to review and evaluate potential EBP models. Individuals such as members of the council/committee use valuable and considerable amount of time while at work to select the potential model. Inability to solve identified clinical problems- selecting the wrong model will prevent the organization from reaching its goal, solving its identified clinical problem. References Gawlinski, A., & Rutledge, D. (2008). Selecting a model for evidence-based practice changes. AACN Advanced Critical Care, 19(3), 291300. In your peer responses, offer suggestions and other thoughts for your colleagues to consider. 2, Responds to this post in half a page Gawlinski and Rutledge (2008) detail the process for selecting an evidence-based practice (EBP) model to be used for practice change projects. 1. Create structures or forums for discussions a. Use existing committees or form new ones (at educational forums, focus groups, or task force meetings) to evaluate EBP models b. Consider group composition i. Administration, education, bedside RNs group should be representative of stakeholders at the institution ii. People with special skills should be considered, such as those with research interests or faculty experienced with the process. Librarians may be helpful. 2. Organize Meetings a. Establish clear roles and responsibilities for each member. b. A leader needs to be chosen to organize future meetings. c. Two-hour duration is optimal. d. Send out an agenda in advance including readings to be discussed. e. Ask knowledgeable members to speak about the readings or process steps with which they are familiar. f. Ensure appropriate coverage for members who are on shift during the meeting time. 3. Establish roles and responsibilities a. Establish timelines and deadlines. 4. Evaluate each EBP model a. Allow for 30-45 minute presentations, with 10-15 minutes for questions for each model. b. Work in small groups to evaluate each model. Use an evaluation tool if needed, such as provided by Gawlinski and Rutledge (2008). 5. Keep open lines of communication via email or group chat applications for ongoing conversation and evaluation of EBP models 6. Select an appropriate EBP model after narrowing down to 1-2 models. a. Committee should present findings to stakeholders and leadership in the unit/institution for buy-in. 7. Share EBP model information with the larger group/unit via educational sessions appropriate to the current setting. a. Allow for questions from the wider group. Choosing the wrong EBP model could lead to many complications. All of the models evaluated in Schaffer et al. (2012) and Tucker et al. (2021) are costly in terms of time commitment and resource allocation. If the wrong model is chosen it could waste the time and efforts of the staff involved because it would not lead to positive outcomes. If the wrong model is chosen there could be friction between the leadership of the committee, the members of the committee, and the patients/staff the intervention is meant to be servicing. When there is no agreement between these different groups it can cast doubt on the process and results leading to difficulties in executing the change project and adopting the findings. References Gawlinski, A., & Rutledge, D. (2008). Selecting a model for evidence-based practice changes: A practical approach. AACN Advanced Critical Care, 19(3), 291-300. Schaffer, M. A., Sandau, K. E., & Diedrick, L. (2012). Evidence-based practice models for organizational change: Overview and practical applications. Journal of Advanced Nursing, 69(5), 1197-1209. Tucker, S., McNett, M., Melnyk, B. M., Hanrahan, K., Hunter, S. C., Kim, B., Cullen, L., & Kitson, A. (2021). Implementation Science: Application of evidence-based practice models to improve healthcare quality. Worldviews on Evidence-Based Nursing, 18(2), 76-84. Reply to ThreadShow more
