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B. Key StakeholdersStakeholders are an important consideration when implementing a change in practice. They are part of the current practice and impacted most by the proposed change in the practice setting. The primary stakeholders are the directors, unit directors, nurse managers, nurses and nursing aids. The secondary stakeholders are the students, faculty, and directors of the licensed vocational nursing program at the college. B1. Stakeholders’ RolesThe stakeholders all each have a role that will support this practice change. The professional director's role is to promote various standards of practice within the facility.
TRANSFERRING PATIENT INF 4Directors research and use evidence-based practice articles to initiate new training and procedures within the facilities. The nurse managers help determine when and how the changes are to be implemented, and assign project leaders while also monitoring for any difficulties. The nurses and nurse aids are accountable for the execution of the changes since they are the on the front lines of direct patient care and pass report between shifts two to three times a day. The student's roles are to learn and return-demonstrate evidence-based practice while in these facilities and simulation. By all the facilities following the evidence-based practice of bedside handoff, the student then receives a consistent experience at all of the facilities, not just one. Faculty at Amarillo College have roles as well. Educators help students understand how and why we use bedside shift handoff reporting and evidence-based practice research to decide on best practice. The directors of the nursing program can benefit from using data to compare how our program rates against other programs for success and satisfaction of the students within. C. Evidence Critique TableC1. Five SourcesEvidenceStrength EvidenceHierarchyGonzalo, J. D., Himes, J., McGillen, B., Shifflet, V., & Lehman, E. (2016). Interprofessional collaborative care characteristics and the occurrence of bedside interprofessional rounds: a cross-sectional analysis.BMC Health Services Research, 16, 459. -016-1714-xLevel IVNon-ExperimentalRedley, B., & Waugh, R., (2016). Mixed methods evaluation of a quality improvement and audit tool for nurse-to-nurse bedside clinical handover in ward settings. Applied Nursing Research, 40,80-89. Level IIRCT
TRANSFERRING PATIENT INF 5Schirm, V., Banz, G., Swartz, C., & Richmond, M. (2018). Evaluation of bedside shift report: A research and evidence-based practice initiative.Applied Nursing Research, 40, 20-25. https:/doi.org/10.1016/j.apnr.2017.12.004Level IV Non-ExperimentalTobiano, G., Bucknall, T., Sladden, I., Whitty, J., & Chaboyer, W. (2018). Patient participation in nursing bedside handover: A systematic mixed-methods review. International Journal Of Nursing Studies, 77, 243-258.