Please use correct APA 6th edition include at least two scholarly masters level peer reviewed articles and 3 other references from list of references provided.
Influencing Multiple Systems Through Evidence-Based Change
As an advance practice nurse your work is informed by many factors beyond your direct reach and your influence extends beyond the immediate context in which you labor. Likewise the changes you propose as a nurse leader are influenced by multiple systems and in turn can have an impact on many different groups. One of the ways to distinguish yourself as a leader is to be knowledgeable about these spheres of influence and to promote awareness of the potential effects that may result from a change.
Indeed with the fluid and persistently evolving nature of change it is essential that you stay abreast of latest developments that may affect the practice environment. This is especially critical for maintaining or adapting a change once it has been implemented. You may need to make adjustments based on evaluation of outcomes; in addition you must also be prepared for adjustments based on developments within or outside your targeted environment.
To prepare:
What are some possible adjustments that you might need to make based on the evaluation of outcomes?
Consider the evidence-based change you are proposing for your practicum setting: What other systems or components of a system are within the sphere of influence of this change? How could evolving issues internal to the setting such as budget staffing shortage regulations or external to it such as supply funding national priorities and disasters affect the implementationand ultimately the sustainabilityof such a change?
How might your proposed change in turn affect policy or practice at other levels beyond your initial focus?
Write a cohesive post response that addresses the following:
Describe at least three evolving issues that are internal or external to your practicum setting that could affect the implementation and sustainability of your proposed change. From what systems level do those issues originate (e.g. organizational local state national global) and what other systems are then involved in response to that factor?
How might your proposed change in turn lead to shifts at other levels beyond your initial focus?
Readings:
Bevan H. (2010). How can we build skills to transform the healthcare system? Journal of Research in Nursing 15(2) 139148. doi:10.1177/1744987109357612
Retrieved from the Walden Library databases.
This article addresses the need to invest in leadership skill building and shifts in mindset to promote large-scale change.
Gifford W. Davies B. Tourangeau A. & Lefebre N. (2011). Developing team leadership to facilitate guideline utilization: Planning and evaluating a 3-month intervention strategy. Journal of Nursing Management 19(1) 121132. doi:10.1111/j.1365-2834.2010.01140.x
Retrieved from the Walden Library databases.
The authors discuss operationalizing leadership behaviors that can help to further evidence-based practice.
Goeschel C. A. (2011). Nursing leadership at the crossroads: Evidence-based practice Matching Michigan-minimizing catheter related blood stream infections. BACCN Nursing in Critical Care 16(1) 3542.
Nursing leadership at the crossroads: evidence-based practice Matching Michigan-minimizing catheter related blood stream infections by Goeschel C. in Nursing in Critical Care Vol. 16/Issue 1. Copyright 2011 by Blackwell Publishing Journal. Reprinted by permission of Blackwell Publishing Journal via the Copyright Clearance Center.
This article features lessons learned from the implementation of evidence-based practice in more than 100 ICUs across the United States.
Mathews S. C. & Pronovost P. J. (2011). The need for systems integration in health care. JAMA 305(9) 934935.
Retrieved from the Walden Library databases.
In this article the authors discuss the need for systems integration in order to promote quality and safety on a larger scale.
Pronovost P. J. Marsteller J. A. & Goeschel C. A. (2011). Preventing bloodstream infections: A measurable national success story in quality improvement. Health Affairs 30(4) 628634. doi:10.1377/hlthaff.2011.0047
Retrieved from the Walden Library databases.
The authors discuss the multi-step process taken by many stakeholders (e.g. states federal agencies hospitals clinicians) to successfully reduce and eradicate central-line infections.
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