Planning and Implementing the Interprofessional Evidence-based Practice Project
This is the 12th chapter in a new book about interprofessional evidence-based practice and the development of a clinical scholar program.
The implementation phase of evidence-based practice uses effective methods to change current practice to a new approach. Changing practice is not only complex, but is often unsuccessful. There are well-known implementation barriers that include a culture adverse to change, lack of leadership, inadequate education, poor communication, few resources, lack of essential stakeholder involvement, complicated interventions, poor system support, and incomplete evaluation processes. A change is more likely to occur when the interprofessional team addresses barriers proactively through implementation planning. Successful implementation is highly dependent on pre-implementation, implementation, and sustainability planning. The pre-implementation planning phase involves conducting a diagnostic analysis, which includes initiating a stakeholder analysis, identifying factors affecting the uptake of change, determining staff attitudes and readiness, and assessing the organizational implementation climate. The implementation-planning phase focuses on ways to ensure fidelity of the intervention, which concerns adherence to essential intervention components and staff competency. During the implementation-planning phase, the interprofessional team monitors intervention fidelity, works to improve the rate of adoption, and ensures staff competency and qualifications. The sustainability-planning phase focuses on strategies that embed the new practice into workflow systems to make the change permanent. While the interprofessional team engages in proactive planning, unexpected problems may occur. Thus, the interprofessional team adopts a problem-solving perspective throughout implementation.
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