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In this article, we describe the steps involved in implementing an evidence-based practice change in an emergency department. Using the hypothetical case of changing from a 3-tier to a 5-tier triage system, we present an overview of change theory, microsystem analysis, and rapid cycle change. We then provide practical as well as theoretical suggestions for planning, implementing, and evaluating an evidence-based practice change. We also provide practical tools for conducting a gap analysis and creating a project plan that advanced practice emergency nurses will find useful as they take on this leadership role in their department. Key words: EBP, implementing EBP, EBP and rapid-cycle change N PREVIOUS ARTICLES in this series, ad- inner workings and people that comprise vanced practice (AP) emergency nurses the microsystem of the emergency depart- Iwere introduced to the steps involved ment (ED). Along with these elements, there in an evidence-based practice (EBP) small needs to be systematic engagement with opin- test of change (Shapiro, 2007) and the criti- ion leaders and stakeholders in a small test cal appraisal process (Shapiro & Donaldson, of the proposed change—critically important 2008). In this article, we describe how to to ultimate adoption if the change proves successfully implement
Advanced Emergency Nursing Journal – Wolters Kluwer Health
Published: Jul 1, 2008
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