Implementing and Evaluating of an Evidence Based Nursing into Practice

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Implementing and Evaluating of an Evidence Based
Nursing into Practice
UMM AL- QURA UNIVERSITY FACULTY OF APPLIED
MEDICAL SCIENCES NURSING DEPARTMENT

• Prepared By
• Dr. Nahed Said El nagger
• Assistant Professor of Nursing
• 1430-1431H

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Implementing and Evaluating of an Evidence Based
Nursing into Practice

• Lecture 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 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 best evidence in
clinical practice by

• Pilot study demonstration.
• Evaluate process outcomes.
• Decide to adapt, adopt, or reject practice change.

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How to integrate maintain the best evidence in
clinical practice?

• Communicating recommendations to stakeholders.
• Staff education on changes in practice.
• Integrating changes into standards of practice.
• 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
• The results of an intervention applied under
  ideal conditions (RCT).
• Effectiveness
• The results of an intervention applied in
  the real world fewer controls lack of random
  assignment.

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PROBLEM STATEMENT

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

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PROBLEM STATEMENT

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

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Synthesize the best evidence by

• Searching literature related to major issues.
• Critiquing weighing the evidence.
• Assessing the feasibility, benefits, and risks.

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Design practice change by

• Defining the proposed change.
• Identifying needed resources.
• Planning an implementation process.
• Defining outcomes.

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Outcome Indicators

• Data collected on administration of approved
  drugs by ICU practitioner nurse (e.g.,
  frequency).
• Anecdotal reports from staff on administration of
  approved drugs.
• No negative patient outcomes with non-approved
  drugs.

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THANK YOU