Nurse leader impact the success or failure of implementing EBP

The study described in the Research Perspective (Hauck, Winsett, & Kuric, 2012) was about the introduction of evidence-based practice (EBP) for a hospital. (Article available in Engage Week 1). Rogers’s theory of diffusion of innovation served as the theoretical framework for that study. Diffusion of innovations is a theory that seeks to explain how, why, and at what rate new ideas and technology spread. However, other theoretical perspectives are present. Based on situational-contingency theory, describe factors that the nurse researcher, as the leader of the implementation team, would need to consider. Consider the following:

1. What considerations come into play that are outside of the group targeted for the change initiative? Are there any external stakeholders? What are the internal factors that would drive or limit change from being successful?

2. How do people behave individually and in groups when it comes to adopting a practice-based change? Is there a difference between individual and group behaviors? If so, why does this occur?

3. What should the nurse leader do to plan for and address potentially negative attitudes of staff regarding the implementation of EBP? How should the nurse leader use nurses with positive attitudes toward the implementation of EBP?

4. How can previous interactions with the nurse leader impact the success or failure of implementing EBP?

5. What are the resource requirements? What are the regulatory requirements?

Case Study 1-2

The night charge nurse and the day charge nurse are discussing patient priorities for the next shift. The night charge nurse indicates that most of the night staff prefer a detailed checklist of tasks to be completed during the 12-hour shift. The day charge nurse replies that there are too many unexpected events that can happen during any shift to rely only on a checklist. However, both charge nurses agree that patient outcomes are the first priority for the nursing unit.

1. Explain the perspectives of each charge nurse based on the concepts of leading, managing, and following.

2. How might each charge nurse further explain their position to the chief nursing officer?

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