Which is considered routine and above dispute

which is considered routine and above dispute regardless of evidence to the contrary (Hanrahan
et al., 2015). Although EBP improves the quality of care and patient outcomes and lower
healthcare cost, some clinical practices are deeply rooted in tradition that they are resistive to
change (Hanrahan et al., 2015).
A strategy to overcome these barriers include use of the Iowa Model of Evidence-Based Practice
to Promote Quality Care, as well as Everett Rogers’ Diffusions of Innovations Theory (Hanrahan
et al., 2015). Implementation of EBP change will follow a phase plan using the Implementation
Strategies for Evidence-Based Practice to help to support adoption and integration (Hanrahan et
al., 2015). The Iowa Model provides systematic application-oriented road map for EBP to guide
nursing practices in educational program activity (Hanrahan et al., 2015). A strategic approach to
review policies and procedure is crucial to eliminate traditional practices and to integrate EBP
change in clinical practice to spread research which will result in numerous improvements such
as decline in surgical site infections (Hanrahan et al., 2015). Creative ideas which captures and
sustain the attention of more clinicians are important such as contests among group in
questioning tradition-based practices and generating interest in new EBP change (Hanrahan et
al., 2015). Roger’s theory provides a careful review of practices and a five steps evaluation
process among practicing clinicians for EBP change effectiveness (Hanrahan et al., 2015).
Building rapport with resistive staff at individual level, assessing their learning preferences, and
seeking support from influential colleagues will create positive attitude toward change. Providing
factual data of EBP change through a small group presentation with leadership support may

reinforce awareness of need for practice change. Having well-trained mentor and leadership
support is crucial for the EBP change in preventing surgical site infection rate because well-
trained mentor will ensure all employees are following a standard guidelines suggestion
including thorough hand washing. Leadership can reinforce EBP change during huddles, policies
and procedures which becomes routine practices among all employees including experienced
resistive staff in intensive care unit and surgical team. Another strategy includes teamwork and
transformational leadership where every nurse takes a personal responsibility in making change
happens by mentoring and leading others, so patients have quality care and better outcomes.
References
Hanrahan, K., Wagner, M., Matthews, G., Stewart, S., Dawson, C., Greiner, J., Pottinger, J.,
Vernon-Levett, P., Herold, D., Hottel, R., Cullen, L., Tucker, S., & Williamson, A. (n.d.). Sacred
Cow Gone to Pasture: A Systematic Evaluation and Integration of Evidence-Based Practice.