NICHE Building Blocks: Protocols

NICHE Building Blocks II: Clinical Protocols John Jorgensen, RN, MPA Director, Informatics, Auxiliary Services Fort Sanders Regional Medical Center Knoxville, Tennessee Deirdre Carolan Doerflinger, CRNP, Ph.D. Geriatrics Clinical Nurse Specialist Inova Fairfax Hospital Falls Church, Virginia

Objectives ,[object Object],[object Object],[object Object]

Objectives (continued) ,[object Object],[object Object]

A Protocol by Any Other Name ,[object Object],[object Object],[object Object],[object Object],[object Object]

NICHE Protocols ,[object Object],[object Object],[object Object],Capezuti, E., Zwicker, D., Mezey, M., Fulmer, T., Gray-Miceli, D., and Kluger, M. (Eds.). (2008). Evidence-based geriatric nursing protocols for best practice (3rd edition). New York: Springer Publishing Company Depression Incontinence Functional Decline Discharge Planning Dementia Sleep Disturbance Delirium Nutrition-Weight Loss Pain Physical Restraint Use Falls Adverse Drug Events Advance Directives Pressure Ulcers

Influential Factors For Protocol Adoption ,[object Object],[object Object],[object Object],[object Object],[object Object]

Step One: Recognition ,[object Object],[object Object],[object Object],[object Object]

Step Two: Selection of the EBP Protocol ,[object Object],[object Object],[object Object],[object Object],[object Object]

Social Influence Theory ,[object Object],[object Object]

Transtheoretical Model ,[object Object]

Diffusion of Innovation Theory ,[object Object]

Step Two: Selection of the EBP Protocol ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Step 3: Implementation ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Step 3: Implementation ,[object Object],[object Object],[object Object],[object Object],[object Object]

Step 3: Implementation ,[object Object],[object Object],[object Object],[object Object]

Step 4: Hardwiring ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Strategies for Successful Protocol Implementation – Administrative Support ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Strategies for Successful Protocol Implementation – Committee/Council ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Strategies for Successful Protocol Implementation – Social Influence Strategies ,[object Object]

Strategies for Successful Protocol Implementation – Social Influence Strategies ,[object Object],[object Object],[object Object],[object Object]

Strategies for Successful Protocol Implementation – Social Influence Strategies ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Strategies for Successful Protocol Implementation - Consultants ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Strategies for Successful Protocol Implementation – Models of Care ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Hardwiring Protocols – Sustaining Behaviors ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Hardwiring Protocols – Sustaining Behaviors ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Hardwiring Protocols – Sustaining Behaviors ,[object Object],[object Object],[object Object],[object Object],[object Object]

Interprofessional Collaboration ,[object Object],[object Object],[object Object],[object Object]

Steps Toward a Mature Process Approach Approach Deployment Results (1) Reacting To Problems (2) Early Systematic Approach (3) Aligned Approach (4) Integrated Approach

Measuring Performance (Quality is in the eye of the beholder) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Measuring Performance (Quality is in the eye of the beholder) (cont’d) ,[object Object],[object Object],[object Object],[object Object],[object Object]

Measurement Tools ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Characteristics of Good Measurement Tools ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Characteristics of Good Measurement Tools ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Data Collection Methods ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Analysis / Interpretation /Reporting ,[object Object],[object Object],[object Object],[object Object],[object Object]

Healthcare Change / Differences / Considerations ,[object Object],[object Object],[object Object],[object Object],[object Object]

Summary ,[object Object],[object Object],[object Object],[object Object],[object Object]

NICHE Building Blocks: Protocols

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