Johns Hopkins Nursing Evidence-Based Practice Thrid Edition: Model and Guidelines

(^180) Johns Hopkins Nursing Evidence-Based Practice: Model and Guidelines, Third Edition

Identify Next Steps

After the successful implementation and favorable evaluation of recommendations,

and with support from decision-makers, changes are implemented on a wider scale,

if appropriate. The team reviews the process and results and considers the next

steps. Organization-wide, or additional unit implementation, requires a modified

action plan and, possibly, reassignment of responsibilities to an individual, a team,

or a committee. Considerations for the new team can include a new question that

emerges from the process, additional training or education for colleagues involved

in the process change, and suggestions for new measures or tools for the evalua-

tion. The recommendations are then implemented and evaluated.

Disseminate Findings

The level of communication regarding the findings and dissemination of informa-

tion is based on the scope and complexity of the problem. Evidence-based project

outcomes are communicated internally to all members involved in the care of the

patient or population affected by the practice changes. This communication can

Box 8.2 Example of Template for Executive Summary Using PET (continued)

Recommendations

1. Identify a team from the perioperative and inpatient areas to develop
   a comprehensive pressure-ulcer-prevention protocol that includes all
   perioperative phases (preoperatively through discharge).


2. The nurse manager of the OR will evaluate the use of current pressure-
   relieving devices for patients at risk and report current practices and
   compliance to the Nursing Quality Improvement Committee.


3. The Operating Room Quality Improvement Committee will evaluate
   gel and alternating-pressure mattresses in the operating room and
   recommend changes, if indicated, to the Products Committee and the
   Operating Room Procedure Committee.


4. The Operating Room Procedure Committee will review and standardize
   OR positioning protocols.


5. The Operating Room Evidence-Based Practice Committee will develop a
   risk assessment and screening tool for patients undergoing surgery.