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B740 : Nursing Theory

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  • Course Code: B740
  • University: University Of Stirling
  • Country: United Kingdom

Question:

1. Discuss challenges of research utilization you have faced in your nursing practice when trying to implement a practice change
 
I personally have not tried to change or implement a practice change in my nursing practice. However, I understand it takes a longer time for our staff, such as, Clinical Nurse Specialist or Nurse Educators to request a practice change. There are many steps and committees that one has to follow prior to implement changes.
 
At UCHealth, we utilize the Colorado Model @2009 that was established by UCHealth staff (Goode, Fink, Krugman, & Oman, 2011). This Colorado Model @2009 focuses and includes the patient in the center core, where patients are the main decision-maker.

2.Discuss the challenges of research utilization you have faced in your nursing practice when trying to implement change.

If we know that knowledge translation is the ethically sound application of knowledge once it has been exchanged and synthesized, we must also then understand where research utilization plays in. Stetler (2001, p. 272) describes research utilization as “the process of transforming research knowledge into practice”.  with the ultimate goal of decreasing ICU delirium- a condition well documented in the literature that causes increased morbidity and mortality, increased ICU and hospital length of stay, etc. Perhaps this could have been more successful if we included the nurses and nurse aids in this decision (bringing in the major stakeholders), brought forth the evidence in a clear, straightforward way (if nurses know it is hurting their patients, they will likely cooperate), and provided more follow up (the UBC checking in every other week or so to see how the implementation is going and what we can do to assist each other).

 
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