3.7.2 Leading for a change exploiting evidence based practice (EBP) (134)

Rika Levy-Malmberg, Senior Lecture in Clinical Care, Caring and Social Sciences, Abo Academy University, Vaasa Finland, Co authors: Yvonne Hilli

Abstract:

Aim:

The aim of this research is to lead to a change using EBP. At the outset, the study relates to the Finnish Ministry of Heath and Social Affairs report in the subject of safety and pharmacotherapy published in 2005. This project involved both the University of Applied Sciences and the Central Hospital at Vaasa Finland during the period 2006-2007.

Four topics and objectives were formulated in order to achieve the main goal:

Leadership styles towards change with the aim of acquiring knowledge to assist nurses in leading towards successful change, motivated by Lewin’s force-field theory
Promoting knowledge – License to practice with the aim of investigating the benefit of promoting pharmacological knowledge among nurses, motivated by Benner’s theory from novice to expert
Pharmacotherapy patient education with the aim of exploring effective approaches to patient teaching methods motivated by the Orem theory of self-care
The ethical dilemma that arises when making an error while distributing pharmacotherapy with the aim of inquiring knowledge related to morality and accountability, this study was motivated by Eriksson’s theory of caritative care

Methods:

The methodology foundation was the integrative nursing research as described by Kirkevold (1997). The evidence collected has created an opportunity to lead towards a partly successful change in majority of the wards, which take active part in the process and raise the need of evaluating knowledge amongst nurses in order to reduce error and encage them to continue education as a moral obligation.

Results:

The results stress the need for a deeper and meaningful cooperation between the field and the university in order to assimilate EBP in the process of change as well as enabling the probability of creating a bridge between theory and practice. Key words: EBP, change, leadership, pharmacotherapy, morality.

Biography:

RN,past head nurse at ICU for 10 years. MPA, Temporary senior lecturer in clinical care,Department of Health Care and Social Welfare University of Applied Sciences, Vaasa, Finland . Doctoral student at Abo Academy Universiry Vaasa Finland.