It is critical that when hospitals and medical settings seek to implement changes that they ensure that there is data and evidence that they can present to back up what they are proposing. Schillinger (2010) described the importance of dissemination of information to hospitals, by adding that it is a step by step process that must include basic research, treatment development, efficacy, effectiveness and an adaptation to the general reality of the field itself. The goal of information dissemination is to provide new insight into an existing problem with the hope that the proposal of information will be applied to current practice (p.4).
Therefore, for the purpose of the implementation plan for CLABSI prevention, there will need to be specific evidence that this new plan is needed. The stakeholders associated with the hospital and medical field (the collaborative network) will need to be presented with data that is precise. This data will include statistics about CLABSI and how it is currently being handled among the hospitals and medical clinics within the collaborative network. To prevent any potential issues that may occur because of the implementation plan that is presented, the research findings that will be done qualitatively must be assessed and examined thoroughly. The implementation plan, while straightforward may present some concerns among stakeholders who believe they are doing the right thing presently.
The implementation plan specifics will have to be set up in a document that addresses the projected costs and outcomes that will be executed in the collaborative network. The designer(s) of the implementation plan will have to evaluate what will be achievable and what elements will take time to execute. When looking at the implementation plan that was set up, there does not appear to be any issues with the collaborative network efficiently executing the plan. However, in any field - especially medical, there is always potential for issues to occur. There must be a strategy with getting the stakeholders involved in the hospital management to employ it. The management at the various hospitals where CLABSI infections are prevalent must be presented with sufficient and effective information both on the epidemic and the necessary approach to minimize the problem.
Yuan et al. (2010) and Song et al. (2010) stated that there must be a blueprint of strategies when there is dissemination of information that will impact the quality of a hospital or medical setting. Yuan et al. (2010) took it a step further by stating that data must be simplified as much as possible, the implementation plan's process should be in line with the goals of the organizations associated with the network and that there should be an educational component in the campaign for any kind of proposed change (p.5-8). This is why it will be important to have the information nicely presented and with minimal errors so that the importance of CLABSI prevention does not lose its credibility upon presentation. DeAngelis (2010) argued that research that is critical to healthcare must be organized systematically and then translated into practical and easy to understand discussion (p.1). Essentially, the results of the issue of CLABSI will have to be organized according to how it is affected NICUs nationwide and worldwide.
There will be a need for the collaborative network management to enforce training sessions and meetings on the research results that will be provided. This will ensure that everyone within the network (i.e. stakeholders such as nurses, doctors, and upper management) are kept abreast of what is happening with CLABSI rates in NICUs. Community participation may also be needed in order for the stakeholders to understand the seriousness of CLABSI and the need for the implementation plan to be executed properly. In doing this, the research results from the qualitative study will be effective in ensuring that once the implementation plan is presented, it can be properly executed by the management at the hospitals and medical settings within the collaborative network – so that the rates of CLABSI can be minimized as much as possible.
References
DeAngelis, T. (2010, November). Getting research into the real world. American Psychological Association, 41(10), Retrieved from http://www.apa.org/monitor/2010/11/dissemination.aspx
Schillinger, D. (2010). An Introduction to Effectiveness, Dissemination and Implementation Research [Research Manual]. Retrieved from http://accelerate.ucsf.edu/files/CE/edi_introguide.pdf
Song, F., Parekh, S., Hooper, L., Loke, Y. K., Ryder, J., Sutton, A. J., ... Harvey, I. (2010). Dissemination and publication of research findings: an updated review of related biases [Assessment]. Retrieved from http://www.hta.ac.uk/fullmono/mon1408.pdf
Yuan, Y. T., Nembhard, I. M., Stern, A. F., Brush Jr., J. E., Krumholz, H. M., & Bradley, E. H. (2010, May). Blueprint for the Dissemination of Evidence-Based Practices in Health Care [Issue Brief]. Retrieved from http://www.commonwealthfund.org
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