Michele, RN, is chair of the Practice Council. There has been much discussion on the unit about implementing evidence-based practices in all of the nursing practice protocols. However, the staff know little about the foundations and principles of evidence-based practices and do not understand the implications of changing practice patterns to reflect the related principles and applications into every nurse’s role. A number of members of the Practice Council have expressed negative feelings about changing to incorporate evidence-grounded practices into their roles. One of them asked, “If what we are doing isn’t broken, why fix it?” This person has managed to get a couple of other members of the Council to support her opposition. The nursing manager is insisting that the Council seriously undertake this work because it is a “mandate” from the nurse executive, and the unit manager’s “reputation is on the line.”
Michele has some concerns about the process of implementing changes in response to a mandate from above. The organization has been operating within a shared governance structure for some time. To Michele, it appears that the move to evidence-based practice should be a staff initiative and come from the wider nursing division Practice Council rather than as a mandate from the nurse executive. For Michele, evidence-based practice reflects a fundamental principle of accountability on the part of the staff. She feels that staff should want to validate their practice choices and application with data and demonstrate best practice in their clinical performance. She has noted that some questions have arisen regarding the level of understanding and commitment to personal accountability among all members of the staff. Michele knows that if evidence-based practice is to succeed, it will need the support of leadership and staff throughout implementation.
1. For this assignment, you will create a mind map or visual graphic representation of the problems and issues Michele must tackle and ways in which she should deal with them.
You must address the following areas in your presentation: (5 points for each area, total 30 points)
a. What information will Michele need to gather for herself and the team in order to prepare for her first meeting with the Council members?
b. What will Michele need to do to help engage the Council?
c. How should Michele address conflict amongst the Council members?
d. Which shared governance mechanisms should drive the implementation of evidence-based practice (i.e., mandate from Executive Leadership or from the nurse-led Council) and why?
e. How should Michele and the Council hold the staff accountable for implementing evidence-based practice into nursing protocols?
f. What criteria should be used to determine when the Council should move forward with full implementation (i.e., should full consensus be achieved or is it okay to move forward without that)?
2. Include within your presentation indicators for success that demonstrate successful progress throughout the process of making it work on the unit. (5 points)
3. Graphic Element: (3 points)
a. Visual representation is organized and demonstrates logical flow
b. Visual representation is clear and easy to read, visually appealing
c. Visual representation is free of mechanical writing errors (i.e., correct spelling, grammar, punctuation, etc.)
4. Instructions for submitting your visual:
a. If your graphic is too large to be readable on a single page, do one of the following
i. Create complete screen shots of each section and create a Word or PDF document with the series of screen shots.
ii. Provide the URL link to your visual representation in order for your instructor to view the entire visual.
b. You must also submit your visual as a Word document (.doc, .docx) or a PDF (.pdf), even if it is too small to view.
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