Carrie Smithson    1 posts   Re: Topic 9 DQ 2         Sustaining change can be difficult, as there are many variables that can affect implementation. One critical component of Evidence Based Practice is to ensure that practice change is part of an organization’s culture so it will continue to impact outcomes over time. There are barriers that may prevent my Evidence Based Practice change proposal from continuing to obtain the same desired results six months to a year from now. My PICOT statement is, In adults with tobacco dependency (P), would providing teaching/research about tobacco cessation (I) compared to medications to assist in tobacco cessation (C) lead to a decrease in tobacco dependency and better health outcomes (O), after four weeks of intervention/quit date (T)? One barrier is new staff coming on board and not knowing the proper way to educate patients on tobacco cessation. The current staff will receive proper education on how to educate tobacco dependent patients. To assist new staff with the process change, we can create required computer based learning assignments (CBL’s) that have to be completed before coming out of orientation. This will allow all new nurses to be up-to-date on the education process. Another barrier is language. Not only is language a barrier in education, but other forms of communication as well. Upon communicating with a patient who does not speak English, the health care team must first decide what language the patient understands best, and in what way the patient learns best. Once the assessment is completed, the nurse can obtain an interpreter. At our facility, there are interpreters on wheels; this is an IPad that we bring to the patient and an interpreter comes on live to speak to the patient in their specific language. Not only can we use the interpreter, but provide written education in different languages as well. Throughout the education process, it is important to remember communication techniques. A few communication techniques are listening, asking open ended questions, and having an open posture (Elsheikh, 2018). Change initially can be a good thing and take off quickly. It is important to sustain new change through methods like I mentioned above.  Reference  Elsheikh, K. (2018, March 21). 7 Effective Communication Techniques That Will   Make YouExcellent. Retrieved from https://medium.com/better-humans/7-  effective-communication-techniques-  that-will-make-you-excellent-89eb17e60b36

Sustaining change within an organization can be a complex task, as there are numerous factors that can influence the implementation and long-term impact of a change initiative. In the context of Evidence Based Practice (EBP), it is crucial to ensure that practice change becomes ingrained in the organizational culture so that it continues to produce desired outcomes over an extended period of time. This essay will explore potential barriers that could hinder the sustainability of my EBP change proposal, which focuses on the effectiveness of providing teaching and research on tobacco cessation compared to medications for adults with tobacco dependency.

One barrier that may impede the sustainability of the proposed change is the influx of new staff members who may not be adequately trained in educating patients on tobacco cessation. To address this challenge, it is essential to provide proper education and training to both newly hired and existing staff members. One potential solution is to implement required computer-based learning assignments (CBLs) for all new nurses during their orientation period. These assignments would cover the education process for tobacco-dependent patients, ensuring that every new staff member is up-to-date and competent in delivering the necessary information. By doing so, the organization can ensure a consistent and effective approach to educating patients on tobacco cessation, even as new staff members join the team.

In addition to the challenge of educating new staff members, language barriers can also pose a significant obstacle to the sustainability of the proposed change. Communication is a crucial element in patient education, and when patients do not speak English, it is vital to identify their preferred language and communication style. To overcome this barrier, healthcare teams can conduct a language assessment to determine the patient’s language proficiency and learning preferences. Once assessed, interpreters can be utilized, and at our facility, we have interpreters available through iPads, enabling live communication between the patient and an interpreter in their specific language. Moreover, written educational materials can be provided in multiple languages, ensuring that patients have access to the information in a format they can understand. It is important to recognize that effective communication techniques, such as active listening, asking open-ended questions, and maintaining an open posture, are essential throughout the educational process (Elsheikh, 2018). By employing these techniques, healthcare professionals can enhance the effectiveness of communication and ensure that patients receive the necessary support for tobacco cessation.

While implementing change can often be met with enthusiasm and rapid adoption, sustaining change over time requires deliberate strategies. The methods mentioned above, such as providing comprehensive education to new staff members and addressing language barriers, are vital to the long-term success of the proposed EBP change. By investing in staff education and training and implementing effective communication techniques, organizations can create a culture in which tobacco cessation interventions become ingrained and continue to produce positive outcomes.

In conclusion, sustaining change within an organization is crucial for the long-term success of any EBP initiative. Identifying and addressing potential barriers to sustainability, such as inadequate staff education and language barriers, are essential steps in ensuring that the desired outcomes of a change proposal are achieved and maintained. By implementing strategies such as required CBLs and providing language interpretation services and written educational materials in multiple languages, organizations can enhance the effectiveness and sustainability of their EBP change initiatives. These strategies, coupled with effective communication techniques, can contribute to positive health outcomes for adults with tobacco dependency.