Health Care System at the Local Level

Why is understanding the health care system at the local level is important to consider when planning an EBP implementation?

Having proper comprehension of health care system at the local level is necessary when planning EBP implementation for the following reasons. To begin with, knowing the local community and its health needs will help prioritize the pressing needs. This is because issues and needs vary from one community to another. One community may want to address obesity because it is a pressing health concern in the area, while the prevalence of substance use and addiction may be a pressing health issue for another community. Therefore, knowing healthcare at the local levels helps to identify the area of practice change that could make the most impact, the services currently offered and the existing gaps (Ockene et al., 2019). Secondly, it is important to understand health care at the local level in order to identify resources available locally to support the implementation of an EMP. Resources such as human resources and funding are essential for this implementation to be successful. Human resources provide leadership and skill to support the implementation process. Top and middle managers play a crucial role promoting evidence-based practice in their organizations and units. Presence of adequate physicians, nurses and other healthcare professionals and their contributions are vital for successful implementation. For this reason, it is imperative to understand the kind of resources available at the organization in which the practice change is to be implemented.

Secondly, the culture of the organization plays an important role in the implementation process. Organizational culture here means policies, work environment, leadership, and values which support the realization of organizational goals and objectives.  It is critical to consider the culture of the organization in which EBP will be implemented because culture determines whether the practice change is supported or not. Supported change has high chances to be successful while unsupported change has low chance to be successful. Leadership that is supportive of the implementation of EBP is willing to provide critical resources (training opportunities, funds, and favorable policies) required to implement the change. The executive and management ensures that organizational policies are aligning with and supporting the change (Spruce, Wicklin, Hicks, Conner, & Dunn, 2014).). Supportive culture also ensures all relevant stakeholders are involved in decision making process at each step of implementation phase and that the employees take ownership of the change to be implemented. This guarantees cooperation and commitment to the change being proposed and implemented. For this reason, it is important that the plan takes into account the culture and work environment in the institution in which the change is proposed

Considerations in My Change Project

One of the considerations I would wish to make is involving all stakeholders at every phase of the implementation process. Participation of key stakeholders in the change project ensures buy-in and fosters collaboration thereby guaranteeing successful implementation. Driving forces facilitate change while restraining forces hinder change. Change theory proposes three changes (Current Theories, 2021). Involvement of all stakeholders provides opportunity to consider important inputs and suggestions and helps to overcome resistance from those opposed to this change. Involving the local community or service users ensures that their needs and concerns are addressed and taken care of. Another factor I will take into consideration is the regulatory environment associated with the change project. A change that violates the current laws and regulations will backfire and collapse leading to waste of resources and time. It is therefore imperative that the proposed change meets the regulatory standards, particularly those related to safety, quality and privacy of service users. Last but not least, I will consider whether the existing policies and values of the organization are aligned to the change and act accordingly. A culture that is not friendly to the change being implemented creates many barriers and challenges in terms of leadership support and provision of resources.

References

Current Theories. (2012). Nursing Theories.  Retrieved on August 23, 2021 from https://www.currentnursing.com/nursing_theory/change_theory.html

Ockene, J.K et al. (2019). Integrating Evidence-Based Clinical and Community Strategies to Improve Health. U.S. Preventive Services Task Force. Retrieved on August 23, 2021 from https://uspreventiveservicestaskforce.org/uspstf/about-uspstf/methods-and-processes/integrating-evidence-based-clinical-and-community-strategies-improve-health

Spruce, L., Wicklin, S., Hicks, R., Conner, R., & Dunn, D. (2014). Introducing AORN’s New Model for Evidence Rating, 99(2), 243-255. Retrieved on August 23, 2021 from https://lopes.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=edsbl&AN=RN346651439&site=eds-live&scope=site

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