Reply to this discussion (site sources if applicable) Sustaining practice changes after implementation of evidence-based interventions can be difficult. When an intervention is introduced it is new and typically presented or discussed with staff members via presentation, in-service, e-mail, etc. so that everyone is getting the information and it is well known. As time passes, the intervention becomes less discussed and it can become less utilized. My project focuses on implementing an educational tool regarding signs and symptoms, risk factors and interventions associated with tumor lysis syndrome. The educational tool is indicated for new graduate nurses transitioning to practice on an oncology unit but is also beneficial to all nurses on the unit. As the tool is presented, I expect it to be referenced more frequently but as time passes it may not be referenced as frequently. An additional barrier is lack of time. Nurses are busy and whether first starting out on the unit or if they have been there for a longer period, it can be difficult to browse through all of the resources available while at work. To overcome this barrier, I plan to have the educational tool uploaded to our oncology unit’s webpage leading to quick and easy access. I also plan on working with my manager to put the information in the new hire packets for new nurses on our unit. This will help nurses access the tool as it will be available in multiple locations.

Sustaining practice changes after the implementation of evidence-based interventions can be challenging. As discussed, once an intervention is initially introduced, it is typically well-known and actively discussed among staff members. However, over time, these discussions may fade and the utilization of the intervention can wane.

In the specific context of your project, which focuses on implementing an educational tool regarding tumor lysis syndrome, there is a need to ensure the continued reference and utilization of the tool among nurses. This is particularly important for new graduate nurses transitioning to practice on an oncology unit, but it is also beneficial for all nurses on the unit.

To increase the sustainability of the educational tool, there are a few strategies that can be employed. Firstly, it is vital to ensure easy access to the tool. Nurses often face time constraints due to their busy schedules. Therefore, providing quick and easy access to the educational tool is crucial. Uploading the tool to the oncology unit’s webpage can be an effective way to facilitate its access. By doing so, nurses can easily refer to the tool whenever necessary, without the need to browse through various resources during their work hours.

Furthermore, integrating the educational tool into the new hire packets for new nurses can also enhance its accessibility and utilization. By including the tool in these packets, it becomes readily available to new nurses as they join the unit. This ensures that the educational resources are integrated into the onboarding process, emphasizing the importance of the tool from the beginning of their practice.

Additionally, it may be beneficial to establish reminders or prompts to encourage nurses to reference the tool on a regular basis. This can be achieved through various means, such as sending periodic email reminders or incorporating the tool into regular staff meetings. By consistently reminding nurses of the tool’s importance and usefulness, they are more likely to continue utilizing it in their practice.

Moreover, fostering a culture of continuous learning and knowledge sharing within the oncology unit can also contribute to sustaining the use of the educational tool. This can be achieved by encouraging nurses to share their experiences and insights related to tumor lysis syndrome during staff meetings or through online discussion forums. By creating an environment where the exchange of knowledge is valued and encouraged, nurses are more likely to continue referencing the tool and staying updated on current practices.

Continued education and professional development opportunities can also play a significant role in sustaining the utilization of the educational tool. Providing resources such as workshops, seminars, or online courses on tumor lysis syndrome can further reinforce the importance of the tool and encourage nurses to continue engaging with it.

Lastly, it is important to regularly evaluate the effectiveness and impact of the educational tool. This can be done through various methods, such as surveys, focus groups, or tracking the number of times the tool is accessed. By collecting feedback and data on its usage, any necessary adjustments or improvements can be made, ensuring that the tool remains relevant and effective in supporting nursing practice.

Overall, sustaining practice changes after the implementation of evidence-based interventions requires a multi-faceted approach. By ensuring easy access, integrating the tool into onboarding processes, establishing reminders, fostering a culture of continuous learning, providing professional development opportunities, and regularly evaluating the tool’s effectiveness, the utilization and impact of the educational tool regarding tumor lysis syndrome can be sustained among nurses on the oncology unit.