Evidence Based Practice

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 evidence based practice. This will be done in relation to nursing and will include supporting references. The literature review investigated nurses’ knowledge of pain management, finding that nurses’ had different ideas of what pain management is. Therefore the aim of the essay is to change practice by increasing nurses’ awareness of what exactly pain management is and from this how it can improve postoperative pain management in the clinical area.

This essay commences with a description of both clinical governance and evidence based practice (EBP) and the association between them, describing how this will assist achievement of clinical effectiveness. From this there will be a synopsis of the findings from a recent literature review of “Nurse Assessment and Management of Postoperative Pain” including a recommendation that was found from the evidence of this review and how this will have an impact for a change in practice. An analysis of different theories of change will be made, looking at several models and theorists. The chosen model for change will be used to bring the findings from the review into practice and what resources will be needed for the implementation of change and any barriers that may occur during the change process.

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