Discussion
Barriers and Solutions to Implementation
You’ve identified a problem, collaborated with your preceptor and team, researched, and planned. However, you are still not yet ready to begin implementing your problem change. Before you can begin the implementation of your problem change, you must consider what barriers might pose potential issues. What might you need to plan for, and how might you address these potential barriers prior to beginning the implementation?
For this Discussion, consider the barriers and solutions associated with your implementation. Consider how these issues can be addressed and examine how these barriers might impact your implementation.
Be sure to review the Learning Resources before completing this activity.
Click the weekly resources link to access the resources.
Learning Resources
- Dang, D., Dearholt, S. L., Bissett, K., Ascenzi, J., & Whalen, M. (2021). Johns Hopkins evidence-based practice for nurses and healthcare professionals: Model and guidelines (4th ed.). Sigma Theta Tau International.
- Chapter 8, “Translation” (pp. 189–206)
- Sipes, C. (2024). Project management for the advanced practice nurse (3rd ed.). Springer Publishing.
- Chapter 4, “Planning: Project Management – Phase 2” (pp. 85–130)
- White, K. M., Dudley-Brown, S., & Terhaar, M. F. (Eds.). (2021). Translation of evidence into nursing and healthcare (3rd ed.). Springer Publishing.
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- Chapter 8, “Methods for Translation” (pp. 173–196)
- Chapter 9, “Project Management for Translation” (pp. 199–228)
- Chapter 10, “Ethical Responsibilities of Translation of Evidence and Evaluation” (pp. 229–244)
- Chapter 17, “Best Practices in Translation: Challenges and Barriers in Translation” (pp. 337–346)
- Chapter 18, “Legal Issues in Translation” (pp. 347–354)
- American Association of Colleges of Nursing. (2021). The essentials: Core competencies for professional nursing educationLinks to an external site.. https://www.aacnnursing.org/Portals/0/PDFs/Publications/Essentials-2021.pdf
- Walden University Oasis: Writing Center. (n.d.). Citations: OverviewLinks to an external site.. https://academicguides.waldenu.edu/writingcenter/apa/citations
- Walden University Oasis: Writing Center. (n.d.). Common assignments: Discussion postLinks to an external site.. https://academicguides.waldenu.edu/writingcenter/assignments/discussionpost
Examples of Clinical and Administrative Practice Changes – Implementation of Evidence
- Álvarez-Maldonado, P., Reding-Bernal, A., Hernández-Solís, A., & Cicero-Sabido, R. (2019). Impact of strategic planning, organizational culture imprint and care bundles to reduce adverse events in the ICULinks to an external site.. International Journal for Quality in Health Care, 31(6), 480–484. https://doi.org/10.1093/intqhc/mzy198
- Barnes-Daly, M. A., Pun, B. T., Harmon, L. A., Byrum, D. G., Kumar, V. K., Devlin, J. W., Stollings, J. L., Puntillo, K. A., Engel, H. J., Posa, P. J., Barr, J., Schweickert, W. D., Esbrook, C. L., Hargett, K. D., Carson, S. S., Aldrich, J. M., Ely, E. W., & Balas, M. C. (2018). Improving health care for critically ill patients using an evidence-based collaborative approach to ABCDEF bundle dissemination and implementationLinks to an external site.. Worldviews on Evidence-Based Nursing, 15(3), 206–216. https://doi.org/10.1111/wvn.12290
- Baughman, A., Cain, G., Ruopp, M., Concepcion, C., Oliveira, C., O’Toole, R., Saunders, S., Jindal, S., Ferreira, M., & Simon, S. (2018). Improving access to care by admission process redesign in a veterans affairs skilled nursing facilityLinks to an external site.. The Joint Commission Journal on Quality and Patient Safety, 44(8), 454–462. https://doi.org/10.1016/j.jcjq.2018.04.002
- Busca, E., Savatteri, A., Calafato, T. L., Mazzoleni, B., Barisone, M., & Dal Molin, A. (2021). Barriers and facilitators to the implementation of nurse’s role in primary care settings: An integrative reviewLinks to an external site.. BMC Nursing, 20(1), 1–12. https://doi.org/10.1186/s12912-021-00696-y
- Curtis, K., Fry, M., Shaban, R. Z., & Considine, J. (2017). Translating research findings to clinical nursing practiceLinks to an external site.. Journal of Clinical Nursing, 26(5–6), 862–872. https://doi.org/10.1111/jocn.13586
- Lockwood, C., & Hopp, L. (2016). Knowledge translation: What it is and the relevance to evidence-based healthcare and nursingLinks to an external site.. International Journal of Nursing Practice, 22(4), 319–321. https://doi.org/10.1111/ijn.12466
- Naqib, D., Purvin, M., Prasad, R., Hanna, I. M., Dimitri, S., Llufrio, A., & Hanna, M. N. (2018). Quality improvement initiative to improve postoperative pain with a clinical pathway and nursing education programLinks to an external site.. Pain Management Nursing, 19(5), 447–455. https://doi.org/10.1016/j.pmn.2018.06.005
- Reed, J. E., Howe, C., Doyle, C., & Bell, D. (2018). Simple rules for evidence translation in complex systems: A qualitative studyLinks to an external site.. BMC Medicine, 92 (16), 1–20. https://doi.org/10.1186/s12916-018-1076-9
- Schuller, K. A., Kash, B. A., Edwardson, N., & Gamm, L. D. (2013). Enabling and disabling factors in implementation of Studer Group’s evidence-based leadership initiative: A qualitative case studyLinks to an external site.. Journal of Communication in Healthcare, 6(2), 90–99. https://doi.org/10.1179/1753807613Y.0000000033
- Yeager, L, Karp, S., & Leming-Lee, T. (2019). Barriers to the implementation of pediatric overweight and obesity guidelines in a school-based health centerLinks to an external site.. The Nursing Clinics of North America, 54(1), 159–168. https://doi.org/10.1016/j.cnur.2018.10.003
- Assignment Rubric DetailsClose
Rubric
- NURS_8503_Week2_Discussion1_Rubric
NURS_8503_Week2_Discussion1_Rubric |
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Criteria |
Ratings |
Pts |
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This criterion is linked to a Learning OutcomeRESPONSIVENESS TO DISCUSSION QUESTION (20 possible points) Discussion post minimum requirements: The original posting must be completed by Day 3 at 10:59 pm CT. Two response postings to two different peer original posts, on two different days, are required by Day 6 at 10:59 pm CT. Faculty member inquiries require responses, which are not included in the peer posts. Your Discussion Board postings should be written in Standard Academic English and follow APA 7 style for format and grammar as closely as possible given the constraints of the online platform. Be sure to support the postings with specific citations from this week’s learning resources as well as resources available through the Walden University library and other credible online resources (guidelines, expert opinions etc.) |
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20 pts | ||||
This criterion is linked to a Learning OutcomeCONTENT REFLECTION and MASTERY: Initial Post (30 possible points) |
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30 pts | ||||
This criterion is linked to a Learning OutcomeCONTRIBUTION TO THE DISCUSSION: First Response (20 possible points) |
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20 pts | ||||
This criterion is linked to a Learning OutcomeCONTRIBUTION TO THE DISCUSSION: Second Response (20 possible points) |
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20 pts | ||||
This criterion is linked to a Learning OutcomeQUALITY OF WRITING (10 possible points) |
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10 pts | ||||
Total Points: 100 |
To Prepare
- Review the Learning Resources covering barriers to implementation.
- Explore the barriers associated with your implementation.
- Consider how you might plan to overcome these barriers.