Evidence Based Practice Essay

5193 Words Dec 11th, 2011 21 Pages
Change Management

Contents
Introduction…………………………………………………………….3
Evidence Based Practice……………………………………………….4
Clinical Governance…………………………………………………...5-6
Findings from the literature……………………………………………6-7
Implementing the change………………………………………………7-9
Leadership…………………………………………………………….9-10
The Un-freezing Stage………………………………………………10-11
The Moving Stage…………………………………………………...11-13
The Re-freezing Stage……………………………………………….13-15
Resistance and barriers to change…………………………………...15-16
Conclusion…………………………………………………………..16-17
References…………………………………………………………..18-24
Appendices………………………………………………………….25-26

Introduction

This is essay is being written to identify and promote change in clinical practice in relation to nursing and
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There are seven pillars of Clinical Governance including
1. Risk Assessment
2. Clinical Effectiveness
3. Education, Training and Continuing Personal Development
4. Use of Information
5. Staffing and Staff Management
6. Clinical Audit
7. Patient/Service User and Public Involvement
To monitor standards of clinical governance the government established the National Institute for Clinical Excellence (NICE) and commission for Health Improvement (CHI) (Department of Health, 1998). The purpose of clinical effectiveness is using the best available knowledge through research, clinical expertise and patient choice, applied to patient care. This can be achieved through training, education and change management (Muir Gray, 2001); evaluated through clinical guidelines and provision of evidence-based practice (Royal College of Nursing, 1996). 'Clinical effectiveness is the cornerstone of evidence-based practice' (Reagan, 1998 p245) Links between evidence based practice and clinical effectiveness are outlined by Dawson (2001). He suggests that evidence based practice cannot be achieved independently of clinical effectiveness. McSherry et al (2002) considered that the two are interdependent of each other with

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