DNP-Evidence Based Practice

by | Nov 28, 2024 | Essays

Review the project management plan you created in the previous course as well as explore possible barriers, ethical and legal implications, and potential speed bumps that may impact your implementation. After assessing your plan, you will make revisions to begin your implementation.

What’s Happening in This Module?

Implementation is a 6-week module—Weeks 1 through 6 of the course—in which you will review the problem change plan, revise your plan, and explore potential barriers for implementation. This exploration will assist you in beginning the implementation of your problem change.

INTRODUCTION

During these first 6 weeks, you will continue the work completed in Evidence Based Practice I. You will continue your practicum experience and implement a plan to change an identified or potential practice problem within your practice or organization. In Weeks 1 through 6 of this course, you will begin the work of implementation through planning and preparing.

 

· Apply project management leadership skills to the design and approach to the proposed project

· Select a project management tool appropriate to the practice focused question

· Identify barriers to implementation

· Evaluate appropriate strategies to overcome barriers

· Evaluate legal and ethical implications to implementation

· Evaluate appropriate strategies to address legal and ethical concerns to implementation

· Develop a translation action plan

· Implement a project change*

· Reflect on the practicum experience

Assessing Implementation Barriers and Ethical Considerations

Project Recap

  • Problem: High rates of medication errors on a medical-surgical unit.
  • Proposed Solution: Implement a barcode medication administration system (BCMA).

Potential Barriers to Implementation

  1. Technological Challenges:
    • System compatibility issues with existing EHR systems.
    • Technical difficulties with barcode scanners and medication labels.
    • Resistance to change among staff who are accustomed to traditional medication administration methods.

Assessing Implementation Barriers and Ethical Considerations

Project Recap

  • Problem: High rates of medication errors on a medical-surgical unit.
  • Proposed Solution: Implement a barcode medication administration system (BCMA).

Potential Barriers to Implementation

  1. Technological Challenges:
    • System compatibility issues with existing EHR systems.
    • Technical difficulties with barcode scanners and medication labels.
    • Resistance to change among staff who are accustomed to traditional medication administration methods.
  1. Human Factors:
    • Lack of training and education for staff.
    • Inadequate staffing levels.
    • Workload and fatigue.
  2. Organizational Barriers:
    • Insufficient budget to purchase and implement the system.
    • Lack of administrative support.

Ethical and Legal Implications

  • Patient Safety: Ensuring the system is designed to minimize errors and maximize patient safety.
  • Privacy and Security: Protecting patient data and complying with HIPAA regulations.
  • Informed Consent: Obtaining informed consent from patients regarding the use of their data.
  • Professional Responsibility: Adhering to professional standards of practice and ethical guidelines.

Strategies to Overcome Barriers

  • Robust Training Program: Provide comprehensive training to all staff members to ensure they are proficient in using the new system.
  • Change Management Strategies: Implement a phased approach to minimize disruption and maximize adoption.
  • Technical Support: Establish a dedicated help desk to address technical issues promptly.
  • Regular Evaluation: Continuously monitor the system’s performance and make necessary adjustments.
  • Collaboration with IT Department: Work closely with the IT department to ensure seamless integration of the BCMA system with existing systems.

Translation Action Plan

  1. Develop a detailed implementation plan: Outline specific tasks, timelines, and responsibilities.
  2. Secure necessary resources: Allocate budget and personnel to support the project.
  3. Train staff: Conduct comprehensive training sessions to familiarize staff with the new system.
  4. Pilot test the system: Implement the system in a controlled setting to identify and address potential issues.
  5. Roll out the system: Gradually implement the system across the unit.
  6. Monitor and evaluate: Continuously monitor the system’s performance and make necessary adjustments.

Reflection on Practicum Experience

Through my practicum experience, I have gained valuable insights into the challenges and rewards of implementing a new technology. I have learned the importance of effective communication, collaboration, and change management. By addressing the potential barriers and ethical considerations, I am confident that this project will improve patient safety and efficiency on the unit.

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