B key stakeholders stakeholders are an important

B. Key Stakeholders
Stakeholders 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’ Roles
The 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.

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Directors 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 Table
C1. Five Sources
Evidence
Strength
Evidence
Hierarchy
Gonzalo, 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-x
Level IV
Non-
Experimental
Redley, 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 II
RCT

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Schirm, 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.2017.12.004
Level IV
Non-
Experimental
Tobiano, 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.