A Study of Implementing Nursing Practice Change Based on Evidenced Based Practice

Abstract

This Dissertation in Practice (DIP) study investigates the ability of nursing leaders to effectively implement evidenced-based practice (EBP) change on their unit. The study sought to answer the question what of lived experiences of the nurse leader who has knowledge of and implemented EBP change due to medical advancements. A phenomenological qualitative study was performed at Methodist Jennie Edmundson Hospital (MJEH) to explore the experiences of the nurse leader in implementing EBP change specific to the stroke center designated units. Nurse leaders were interviewed using an in-depth and focused group interview process concentrating on implementing EBP change. The interview process revealed themes of communication; number of EBP changes; advanced education; a two-step process for implementing EBP change; patient outcomes and safe practice; and a formal direction for EBP change and implementation. Based on these results it is recommended that a formalized six-step process for implementing EBP change is adopted by the organization. Examination of the results of the study may assist nurse leaders and organizations to develop a cohesive process when implementing EBP change. Keywords: leadership, Evidenced Based Practice (EBP), nursing