Developing an Implementation Plan

Implementing a Plan

Implementing an evidenced based practice (EBP) plan can be the most difficult aspect in the process of ensuring a behavior is changed. The leader must take all measures necessary to guarantee the process is followed and the plan is a success. These steps needed are to ensure the correct team is in place; they are filled with a sense of urgency and have the needed incentives as well as are knowledgeable on how the plan will be carried out (Ahrens, 2005). The writer will outline the process for implementing the EBP of ensuring a dysphagia screen protocol and needed processes are in place at a hospital.

Obtaining Approval and Support

The interdisciplinary team will be formed where the members will consist of a Neurologist as a physician champion, a speech language pathologist (SLP), nursing leadership from the emergency department (ED), representation form the Quality Improvement (QI) Department, Stroke Coordinator, Nurse Practitioner (NP) from the stroke team, and research nurse. The pre-work will be completed where the DS chosen by the facility will be determined and the ability of the informatics technology department to place the DS protocol within the existing order sets will be achievable. Also, the QI department will have available data of PN rates in the stroke patient population as well as DS completion. This team will present the proposal to stakeholders of administration and physicians where the evidence with data will be articulated, the protocol will be presented as well as cost for training of caregivers (Donovan, 2013). This method will provide support from leadership; the process will be provided to staff nurses in the ED and the stroke unit by their managers.

Description of the Problem

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V., Anderson, D. (2010). Utility of dysphagia screening results in predicting poststroke pneumonia. Stroke, 41, 2849-2854

Titsworth, W. L., Abram, Fullerton, J. A., Hester, J., Guin, P., Waters. M., Mocco, J. (2013).

Prospective quality initiative to maximize dysphagia screening reduces hospital-acquired pneumonia prevalence in patients with stroke. Stroke, 44, 3154-3160