Date of Graduation

Summer 8-3-2017

Document Type

Project

Degree Name

Doctor of Nursing Practice (DNP)

College/School

School of Nursing and Health Professions

Department/Program

Nursing

Program

Executive Leader DNP

First Advisor

Leanne Hunstock, DNP, RN, MEd, MBA, NEA-BC, CPHQ

Second Advisor

Marjorie Barter, EdD, RN, CNL, CENP

Abstract

Nurses, including those with additional education and training as professional development specialists, face challenges to implementing evidenced-based practice changes effectively and efficiently. Nurse bedside performance can drift away from evidence-based practice (EBP) and revert to methods previously taught when the strategy, planning and implementation lacks resources to support sustainable change. While knowledge and skills attainment are important, they do not ensure the successful transition in practice change at the point of care. An intervention has been developed that integrates several evidence-based implementation concepts and frameworks into a single framework named the Identify and DRIVE framework. Additionally, the Identify and DRIVE framework has been augmented with the development of specific tools to guide and support the essential elements required when planning for education and implementation of EBP change at the bedside. The Identify and DRIVE framework and tools have effectively identified and addressed gaps that previously led to struggling initiative implementations and threatened performance improvement success and sustainability. The formative and summative evaluations indicate successful user acceptance and affirm applicability to successful implementation of changes in professional practice.

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