NR 451 Week 6: Implementing Change Despite Resistance Discussion

NR 451 Week 6: Implementing Change Despite Resistance Discussion

NR 451 Week 6: Implementing Change Despite Resistance – Change can be difficult to implement. Now that you are almost finished with your change project, if you were to implement your project in your clinical practice, what type of resistance do you expect from staff? List at least three ways that you can lessen the resistance you may encounter to help ensure the success of your project NR 451 Week 6: Implementing Change Despite Resistance Discussion.

NR 451 Week 6: Implementing Change Despite Resistance Class,
Change in any setting is difficult, we go through changes every day, new laws, new way of doing things, new technology and so forth.  Some embrace change as inevitable and others just refuse to change.  My mother is an avid reader and has literally hundreds of books, trust me I know I have moved her twice in the past 10 years and know all the books she has.  I bought my mother a nook several years ago and taught her how to use it.  Instead of embracing this new-found way of reading thousands of books that are stored in one place, she chose to hide the nook and claim it was lost.  Recently she started having trouble with her eye site and could not read regular print books so I searched her apartment and found the nook, I charged it and set the font to large type and re-oriented her to its use.  Again, she stashed it away saying it would not charge.  Now I know that was not true, she just will not change to use of new technology, she will not learn to use a computer or tablet, she has no interest in doing that.  Change scares her and that is the bottom line. As nurses, we are a lot like my mother, afraid of change, and this fear holds us back in our practice and in safe quality care and positive outcomes for our patients.

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There are several major barriers to the advancement of EBP which would bring about change in nursing.  These include: NR 451 Week 6: Implementing Change Despite Resistance Discussion

  • Lack of knowledge and skill
  • Low comfort level with search techniques
  • Perceived lack of time-REAL LACK OF TIME
  • Challenges with critically appraising research
  • Lack of organizational/administrative support
  • Educational programs that continue to teach research the “traditional way” with focus on producing instead of using evidence
  • Negative attitudes-skeptics and fear

I had one negative encounter with implementation of change early after I earned my masters’ degree.  My barrier with leadership and their lack of knowledge and insecurity with staff effecting change.  I was basically told after my presentation of my idea for change that I was hired as a staff nurse and nothing more.  Their insecurity with staff effecting change that could improve patient outcomes along with their lack of knowledge in nursing research became the barriers to positive patient outcomes.  In the past year, the culture at that facility has changed and nursing research that includes the staff has been implemented.

Tell the class about the barriers you may encounter in your practice if you were to attempt to implement a change?  It could be from staff or leadership or both.

NR 451 Week 6: Implementing Change Despite Resistance

Feeg, D. V., Suny Downstate Medical Center Department of Nursing , Nursing Research and Evidence-Based Practice
ConferenceMay 26, 2010; Strategies for Overcoming Barriers in Implementing Evidence-Based Practice; retrieved from
http://www.downstate.edu/icl/Feeg-Downstate2010Presentation-BarrierstoEBP.pdf NR 451 Week 6: Implementing Change Despite Resistance Discussion