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Evidence-based nursing: The EBP rollout process
Kathy Sparger MSN, RN
Misleydy Selgas MBA, MSN, RN-C, HCM
Patricia Manda Collins MSN, RN, AOCN
Carolyn L. Lindgren PhD, RN
Mary Massieu MSN, RN, PCCN
Angela S. Castillo BS, RN

Nursing Management
May 2012 
Volume 43  Number 5
Pages 14 - 20
  PDF Version Available!

The standard approach to implementing a nursing practice change is to assign a group of people within the organization to disseminate the information using bulletin-board notification and in-services or a brief discussion during a staff meeting. This approach typically reaches only some of the staff. As passive receivers of the information, staff members may not assimilate and accept the change, and they may fail to immediately change their practice. This way of attempting to change practice behaviors continues in many organizations despite evidence that it isn't effective.At our 465-bed hospital, we organized and facilitated an efficient and effective change process based on the Clinical Excellence through Evidence-Based Practice (CETEP) model developed over 10 years ago by our Research Council and used by our health system and other institutions.1 (See Figure 1.) The steps of the CETEP Model-define, assess, plan, implement, and evaluate-are straightforward and based on the nursing process. Using an accommodating and efficient rollout process has led to successful implementation of practice changes in our setting and can serve as a model for other organizations implementing new practice changes.Resistance to change is one of the biggest obstacles to implementing evidence-based practice (EBP).2 To implement a practice change, knowledge of change management theories and their operation is needed to identify the barriers within the organization that hinder the change process.One major barrier is fear of the change when the new practice is perceived as threatening to nurses, their jobs, their ability to perform their jobs, or the way they interact with others. Other considerations include involving those who'll be affected and the key stakeholders early in the process.1,2 Stakeholders are typically passionate and knowledgeable about the particular practice and are essential to the success of changing it.Change leaders need to listen to concerns, alleviate misperceptions,

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