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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 (Hanrahanet 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 toreview 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. Providingfactual 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, policiesand 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.ReferencesHanrahan, 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.