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Implementing and Evaluating of an Evidence Based Nursing into Practice

Prepared ByDr. Nahed Said El nagger

Assistant Professor of Nursing

1430-1431H

UMM AL- QURA UNIVERSITY FACULTY OF APPLIED MEDICAL SCIENCES NURSING DEPARTMENT

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Implementing and Evaluating of an Evidence Based Nursing into Practice

Lecture No. 11Lecture No. 11

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Learning Outcomes: Define implementation. Identify how to implement the best

evidence in clinical practice (changes). State the general and specific approaches

to implement the best evidence in clinical practice (change).

Identify evaluation. Differentiate between efficacy and

effectiveness. Discuss how to evaluate the progress and

the effect of implementation for the best evidence in clinical practice.

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What Is the Implementation?

Translation of research into practice and where changes takes place.

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How to implement the best evidence best evidence in clinical practice in clinical practice ?

Developing a dissemination and implementation strategy:

The guidelines have been developed and activities required to prepare staff identified.

Inform and motivate practitioners for the practice change.

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Implementing & Evaluating the Implementing & Evaluating the best evidence in clinical practice best evidence in clinical practice by:by: Pilot study demonstration.Pilot study demonstration. Evaluate process & outcomes.Evaluate process & outcomes. Decide to adapt, adopt, or reject Decide to adapt, adopt, or reject

practice change.practice change.

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How to integrate & maintain the How to integrate & maintain the best evidence in clinical practice?best evidence in clinical practice? Communicating recommendations to Communicating recommendations to

stakeholders.stakeholders.

Staff education on changes in practice.Staff education on changes in practice.

Integrating changes into standards of Integrating changes into standards of practice.practice.

Monitoring the process & outcomes.Monitoring the process & outcomes.

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What are the general approaches to implement the best evidence in clinical practice (change)? Educational approaches. Epidemiological Stances. Marketing of a product, information or

strategies. Behavioral change. Social interactions'. Moving from individual to organizational

approaches.

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What are the specific approaches to implement the best evidence in clinical practice ? Realistic goals and time frames have been

set. Resources are sufficient. Opportunities have been taken to pilot

changes where possible. The manager/ coordinator role is enabled

to fulfill required activities.

continue

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What are the Specific approaches that managing change? (cont.)

Review dates for guidelines’ implementation and for the guidelines themselves have been set.

Existing initiatives within the trust which can support the change.

The attitudes and beliefs of groups, to guide the targeting and presentation of information.

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What is the evaluation?

Impact of the change is measured. Assess variables (health outcomes,

efficiency, cost or satisfaction)

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OUTCOMES MANAGEMENT

Efficacy Efficacy :: The results of an intervention applied The results of an intervention applied

under ideal conditions under ideal conditions (RCT).(RCT).

EffectivenessEffectiveness :: The results of an intervention applied The results of an intervention applied

in the real worldin the real world; fewer controls; lack of ; fewer controls; lack of random assignment.random assignment.

PROBLEM STATEMENTPROBLEM STATEMENT

There is an increase in There is an increase in requests for nursing staff to requests for nursing staff to administer unfamiliar administer unfamiliar anesthetic and sedative anesthetic and sedative agents in the ICU area for agents in the ICU area for procedures which affect procedures which affect patient care and staffing. patient care and staffing.

PROBLEM STATEMENTPROBLEM STATEMENT

Nursing staff will have guidelines for Nursing staff will have guidelines for administration of analgesic drugs administration of analgesic drugs during procedures and extended during procedures and extended patient treatment and for care of patient treatment and for care of such patients in the critical care such patients in the critical care area. area.

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Synthesize the best evidence by:Synthesize the best evidence by:

Searching literature related to Searching literature related to major issues.major issues.

Critiquing &weighing the evidence.Critiquing &weighing the evidence. Assessing the feasibility, benefits, Assessing the feasibility, benefits,

and risks.and risks.

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Design practice change by:

Defining the proposed change.Defining the proposed change. Identifying needed resources.Identifying needed resources. Planning an implementation Planning an implementation

process.process. Defining outcomes.Defining outcomes.

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Outcome Indicators:Outcome Indicators:

Data collected on administration of Data collected on administration of approved drugs by ICU practitioner approved drugs by ICU practitioner nurse (e.g., frequency). nurse (e.g., frequency).

Anecdotal reports from staff on Anecdotal reports from staff on administration of approved drugs.administration of approved drugs.

No negative patient outcomes with No negative patient outcomes with non-approved drugs.non-approved drugs.

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