“For labor and delivery nurses, what is the impact of implementing the American Heart Association Basic Life Support simulation algorithm, compared to current practice, on nurse self-confidence in 8-10 weeks?’
- Examine barriers to the sustainability of your DNP practice change project within your practicum site.
- Appraise how the barriers may be overcome to ensure the continuality of your DNP practice change project.
- Examining barriers to the sustainability of the DNP practice change project within the practicum site: a. Organizational culture: The culture of the practicum site may not prioritize or support the implementation of new practices or protocols. There may be resistance to change or lack of awareness about the benefits of the American Heart Association Basic Life Support simulation algorithm. b. Resource limitations: The practicum site may have limited resources, including time, budget, staffing, and equipment, which can hinder the implementation and sustainability of the project. c. Staff resistance: The labor and delivery nurses may resist or be hesitant to adopt the new simulation algorithm due to factors such as unfamiliarity with the guidelines, fear of making mistakes, or reluctance to change established practices. d. Lack of training and education: The nurses may not receive adequate training or education regarding the American Heart Association Basic Life Support simulation algorithm, which can impact their confidence and ability to implement it effectively. e. Documentation and workflow challenges: Incorporating the new algorithm into existing documentation and workflow systems may present challenges, leading to confusion or inefficiencies.
- Overcoming barriers to ensure the continuity of the DNP practice change project: a. Stakeholder engagement: Engage key stakeholders, including nursing leadership, educators, and labor and delivery nurses, to create awareness and gain support for the project. Communicate the benefits of the American Heart Association Basic Life Support simulation algorithm and address any concerns or resistance through open dialogue and education. b. Education and training: Provide comprehensive and ongoing education and training sessions for the labor and delivery nurses to familiarize them with the new algorithm. Offer opportunities for hands-on practice and simulations to enhance their skills and confidence in implementing the algorithm. c. Integration into existing processes: Work with the practicum site to integrate the new algorithm into existing documentation and workflow systems. Collaborate with the site’s IT department to ensure seamless integration and address any technical challenges that may arise. d. Resource allocation: Advocate for adequate resources, including staffing, equipment, and time, to support the implementation and sustainability of the project. Highlight the potential positive outcomes and return on investment associated with improved nurse self-confidence and patient outcomes. e. Continuous evaluation and feedback: Establish a system for ongoing evaluation and feedback to assess the impact of the project. Monitor nurse self-confidence levels, patient outcomes, and any challenges or barriers that arise. Use this feedback to make necessary adjustments and improvements to sustain the project in the long term.
By addressing these barriers and implementing strategies to overcome them, the DNP practice change project can have a greater chance of sustainability within the practicum site, leading to improved nurse self-confidence in 8-10 weeks and potentially enhancing patient care during labor and delivery.