IMPLEMENTING AND BARRIERS FOR EBP
EXAM QUESTIONS WITH VERIFIED ANSWERS
shared mental framework
exemplifies an institution's most closely held values and ideals that inspire and motivate
administrators, researchers, and clinicians to participate in practice changes.
It serves as the catalyst for change within the organization
National Strategy for Quality Improvement
what are the 3 aims?
1. Better Care: Improve the overall quality of care by making healthcare more patient-centered,
reliable, accessible, and safe.
2. Healthy People/Healthy Communities: Improve the health of the U.S. population by
supporting proven interventions to address behavioral, social, and environmental determinants of
health in addition to delivering higher quality care.
3. Affordable Care: Reduce the cost of quality healthcare for individuals, families, employers,
and government.
eys to accomplishing a successful vision include:
-preparation and planning
While increased knowledge and understanding are important to any EBP initiative, a key to
changing actual behaviors is ownership of change.
EBP Vision: Transforming a Clinical Environment
1. Develop a mental framework
• Develop a written summary of what you want to accomplish.
• Brainstorm with colleagues regarding the environment you want to create
2. Establish a motivating image for change
• Use creativity to capture attention of the clinical staff.
• Take advantage of real clinical scenarios to stress the need for changes in practice.
3. Create specific goals
• Focus on short-term, attainable goals.
• Establish only two to three goals at a time.
, 4.Gain administrative support
• Contact administrators responsible for clinical practice.
• Create a presentation that reflects the need for transforming the culture into an EBP
environment.
• Seek administration support for the project to be identified as an organizational priority.
5. Establish a leadership team
• Identify key personnel with a passion for EBP.
• Conduct small focus group meetings
6. Involve experts and EBP mentors in clinical practice
• Identify clinical experts and EBP mentors focused on the area.
• Engage clinical expert support.
Assess and Eliminate Barriers
Barrier assessment is an integral component throughout the engagement and integration phases
of EBP implementation.
Stakeholder resistance to change must be explored early, because it frequently results from
numerous factors including hesitation to break traditional practice, unfamiliarity with how
evidence will improve patient outcomes, or misconceptions regarding time and effort needed to
implement practice change.
Engage staff and stakeholders in assessing and eliminating barriers
• Engage stakeholders to identify educational content and strategies to learn about the practice
change.
• Seek information about attitudes toward the affected practice directly from staff.
• Involve influential staff and leaders in conducting discussions with colleagues.
Prioritize clinical issues
• Select clinical issues of direct interest and responsibility of clinician stakeholders.
• Choose issues with solid empiric evidence to begin an organizational area’s EBP endeavors
Evaluate the infrastructure
• Determine the individuals and committees with decision making authority.
• Gain administrative support for adequate time and personnel for the initiative.
• Enlist experts to lead EBP initiatives.
EXAM QUESTIONS WITH VERIFIED ANSWERS
shared mental framework
exemplifies an institution's most closely held values and ideals that inspire and motivate
administrators, researchers, and clinicians to participate in practice changes.
It serves as the catalyst for change within the organization
National Strategy for Quality Improvement
what are the 3 aims?
1. Better Care: Improve the overall quality of care by making healthcare more patient-centered,
reliable, accessible, and safe.
2. Healthy People/Healthy Communities: Improve the health of the U.S. population by
supporting proven interventions to address behavioral, social, and environmental determinants of
health in addition to delivering higher quality care.
3. Affordable Care: Reduce the cost of quality healthcare for individuals, families, employers,
and government.
eys to accomplishing a successful vision include:
-preparation and planning
While increased knowledge and understanding are important to any EBP initiative, a key to
changing actual behaviors is ownership of change.
EBP Vision: Transforming a Clinical Environment
1. Develop a mental framework
• Develop a written summary of what you want to accomplish.
• Brainstorm with colleagues regarding the environment you want to create
2. Establish a motivating image for change
• Use creativity to capture attention of the clinical staff.
• Take advantage of real clinical scenarios to stress the need for changes in practice.
3. Create specific goals
• Focus on short-term, attainable goals.
• Establish only two to three goals at a time.
, 4.Gain administrative support
• Contact administrators responsible for clinical practice.
• Create a presentation that reflects the need for transforming the culture into an EBP
environment.
• Seek administration support for the project to be identified as an organizational priority.
5. Establish a leadership team
• Identify key personnel with a passion for EBP.
• Conduct small focus group meetings
6. Involve experts and EBP mentors in clinical practice
• Identify clinical experts and EBP mentors focused on the area.
• Engage clinical expert support.
Assess and Eliminate Barriers
Barrier assessment is an integral component throughout the engagement and integration phases
of EBP implementation.
Stakeholder resistance to change must be explored early, because it frequently results from
numerous factors including hesitation to break traditional practice, unfamiliarity with how
evidence will improve patient outcomes, or misconceptions regarding time and effort needed to
implement practice change.
Engage staff and stakeholders in assessing and eliminating barriers
• Engage stakeholders to identify educational content and strategies to learn about the practice
change.
• Seek information about attitudes toward the affected practice directly from staff.
• Involve influential staff and leaders in conducting discussions with colleagues.
Prioritize clinical issues
• Select clinical issues of direct interest and responsibility of clinician stakeholders.
• Choose issues with solid empiric evidence to begin an organizational area’s EBP endeavors
Evaluate the infrastructure
• Determine the individuals and committees with decision making authority.
• Gain administrative support for adequate time and personnel for the initiative.
• Enlist experts to lead EBP initiatives.
