|Learning Objective #1: apply William Bridges change model to a case management setting implementing evidence-based practice.|
|Learning Objective #2: describe problems that can occur when implementing change in a case management setting using William Bridges change model as a framework.|
Theory-based approach to Problem: William Bridges argues that change is personal. It requires the person, not the organization, to develop new skills and systems in order to embrace the change. Understanding how to help nurses make this transition is imperative, especially when using evidence based practice. Based on this perspective, effective implementation of EBP to a clinical setting would require skill development, a workable system, and commitment from nurses and staff within the practice.
Implementation: To bring about this change, a large university-based case management practice in the southwest U.S. developed an organized approach to staff development in EBP, chose a user-friendly system, and selected committed champions.
Evaluation: Implementation of EBP was not without difficulties for all involved, yet Bridge’s change model is also useful in reviewing the problems arising from the change. Qualitative and quantitative feedback, from questionnaires completed by case managers, provides the matrix for addressing the personal, as well as the system issues that inhibit or facilitate change.
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See more of The 17th International Nursing Research Congress Focusing on Evidence-Based Practice (19-22 July 2006)