Moving a practice issue from development and design through implementation to the realization of positive outcomes can be a complex and challenging process. Here are some steps that can be utilized to facilitate this process:
- Define the problem: The first step in moving a practice issue forward is to clearly define the problem or issue that needs to be addressed. This involves identifying the specific issue, the population affected, and the desired outcome.
- Develop a plan: Once the problem has been defined, a plan should be developed to address the issue. This involves identifying the stakeholders involved, setting goals and objectives, and determining the resources required.
- Implement the plan: Implementation involves putting the plan into action. This may involve training staff, modifying policies and procedures, and ensuring that the necessary resources are available.
- Monitor and evaluate: Monitoring and evaluating the implementation process is essential to determine whether the desired outcomes are being achieved. This may involve collecting data on process and outcome measures, analyzing the data, and making adjustments as needed.
Theory provides a framework for understanding the underlying principles and concepts that underpin the practice issue. Theoretical frameworks can help guide the development of interventions and provide a basis for evaluating outcomes. For example, a nursing theory such as the Roy Adaptation Model may provide a framework for understanding how patients adapt to illness and how interventions can facilitate this process.
Barriers that may be encountered when moving a practice issue forward include resistance to change, lack of resources, and inadequate support from stakeholders. Addressing these barriers may require a combination of education and training, communication, and collaboration with stakeholders. It may also be necessary to modify the intervention or plan to address these barriers.