L.L. (personal communication, March 16, 2016) stated that the procedure involves an intensive process involving; the initiation of a burning issue or problem of nursing, working with a mentor to develop the project, receiving approval from the evidence-based practice (EBP) committee and a nurse scientist, providing an extensive review of supporting literature research and reviews that links the issue with interventions and outcomes, conduct a test of change and evaluate this practice change and either adopt or adopt, reevaluate or reject this change, second review of the EBP committee that recommend this change to nursing practice. This is an elaborate and step-by-step process that presents reputable and factual evidence that clearly supports proposed interventions that will improve the delivery of safe and effective care. The recent adoption of the Ambulatory Team reflects how a burning issue can revolve into a practice that will improve patient recovery. Different organizations will have different implementation processes that will use best evidence to provide answers to health care questions and evoke change that positively affects their practices and care of …show more content…
This quick search provided over 373 articles from 2012 for me to research and provide evidence of the effectiveness of this new practice. Early ambulation occurring within 24 hours post-surgical has shown shorter hospital stays and decrease rate of readmissions (Van der Leeden et al., 2016). Even though there is widespread agreement of those in the medical community that early ambulation is extremely beneficial to the post-surgical patient, the hectic environment of health care and time constraints of the nurses and physical therapists may prevent patients from this process (Le, Khankhanian, Joshi, Maa, & Crevensten, 2014). The new best practice initiative by my organization has provided a practice that will fulfill this gap in service by creating the Ambulatory Team. Their sole focus is to get patients moving, especially post-surgical ones, and allowing nurses and physical therapists the ability to focus on those with complex conditions. These are a few examples from the literature that supports and recognizes how the practice of early ambulation has on the health and wellness of post-surgical patients.
In conclusion, the personality and structure of an organization does help and may also hinder the introduction of nursing evidence-based practices. There is an extensive process to follow that allows passage of change that