NUR 590 Topic 2 DQ 2

Discussion: Do you foresee any issues with the proposed implementation of your project?

Do you foresee any issues with the proposed implementation of your project? Identify a strategy to help create or sustain a higher level of readiness to change with your organization and discuss how current research or literature will be used to ensure that change is based on current evidence.

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NUR 590 Topic 2 DQ 2: Implementation Issues Sample

Nurses should be wary of issues that can impede the proposed implementation and seek solutions early. A common issue is resistance to change, which involves individual, interpersonal, and organizational factors that make change implementation difficult since it is opposed (Cheraghi et al., 2023). The proposed project can face resistance since it suggests a dual verification protocol for high-alert/high-risk drugs to reduce medical errors. Resistance is possible since many nurses may be comfortable in the status quo where drug verification and administration are quick since the process does not mandate such a team-based protocol. NUR 590 Topic 2 DQ 2

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Organizations that are more ready to change minimize implementation barriers. Among many strategies, a culture that supports innovation can create a higher level of readiness to change in the organization. Flessa and Huebner (2021) identified innovation as a catalyst for change since it encourages new practices and continuous improvements. These new practices are supported by strong scientific evidence from nursing and healthcare literature, suggesting a culture where evidence-based practice (EBP) will likely flourish. Leaders who encourage innovative practices provide the appropriate environment for change projects and progressive (radical or incremental) improvements (Milella et al., 2021). NUR 590 Topic 2 DQ 2 Also, they support healthcare professionals with resources, time, and ideas to improve care quality, patient safety, and other fundamental aspects of care.

It is important for nurses to propose change that is based on current evidence. Current research (high-level evidence) will be used to support the dual verification protocol by backing the proposed intervention with strong evidence that shows it will help to reduce medical errors. This research includes current articles (level I-III studies) from nursing and healthcare databases with strong evidence on how dual verification reduces medication errors in healthcare settings.

NUR 590 Topic 2 DQ 2 References

Cheraghi, R., Ebrahimi, H., Kheibar, N., & Sahebihagh, M. H. (2023). Reasons for resistance to change in nursing: an integrative review. BMC Nursing, 22(1), 310. https://doi.org/10.1186/s12912-023-01460-0

Flessa, S., & Huebner, C. (2021). Innovations in health care-a conceptual framework. International Journal of Environmental Research and Public Health, 18(19), 10026. https://doi.org/10.3390/ijerph18191002

Milella, F., Minelli, E. A., Strozzi, F., & Croce, D. (2021). Change and innovation in healthcare: Findings from literature. ClinicoEconomics And Outcomes Research: CEOR, 13, 395–408. https://doi.org/10.2147/CEOR.S301169 NUR 590 Topic 2 DQ 2

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