Solved: Share an example from your nursing practice setting of how …

Share an example from your nursing practice setting of how a decision was made to change a procedure or practice. What steps were used in the decision-making process? What evidence was considered for decision-making? Was the change effective? Provide rationale


Title: Decision-Making Process for Changing a Procedure or Practice in a Nursing Setting


As a knowledgeable nursing student, I would like to share an example from my hypothetical nursing practice setting to demonstrate the decision-making process involved in changing a procedure or practice. This analysis will include the steps used in the decision-making process, the evidence considered, and an evaluation of whether the change was effective. The purpose of this analysis is to provide an insightful understanding of the decision-making process in nursing and the significance of evidence-based practice.

Example and Decision-Making Process:

In my hypothetical nursing practice setting, a decision was made to change the hand hygiene procedure on the adult medical-surgical unit. The decision-making process involved the following steps:

1. Recognizing the need for change: The nursing staff identified the high rate of hospital-acquired infections (HAIs) among patients on the unit, specifically related to poor hand hygiene compliance. Several cases of HAIs were reported, leading to an urgency to change the hand hygiene procedure.

2. Gathering information and evidence: The nursing staff conducted a literature review to gather evidence supporting the link between hand hygiene compliance and reducing HAIs. Several research studies and clinical guidelines were reviewed, focusing on best practices for hand hygiene in healthcare settings.

3. Assessing the feasibility of change: The nursing staff assessed the practicality and feasibility of implementing a new hand hygiene procedure. Factors such as availability of resources, staff education, and potential barriers were taken into consideration during this step.

4. Collaborative decision-making: The nursing staff engaged in interdisciplinary discussions, involving infection control practitioners, physicians, and hospital administration, to ensure a collaborative decision-making process. This allowed for input from multiple perspectives and ensured a comprehensive approach to the change.

Evidence Considered for Decision-Making:

During the decision-making process, various types of evidence were considered:

1. Research studies: The nursing staff thoroughly reviewed published research studies that demonstrated the association between hand hygiene compliance and reduced rates of HAIs. These studies provided strong evidence supporting the need for change.

2. Clinical practice guidelines: Current guidelines from reputable organizations, such as the Centers for Disease Control and Prevention (CDC), World Health Organization (WHO), and National Institute for Health and Care Excellence (NICE), were reviewed to gather evidence-based recommendations on hand hygiene practices.

3. Local data: The nursing staff analyzed local data on HAIs within the medical-surgical unit to assess the impact of poor hand hygiene compliance. This local data helped reinforce the significance of the change and guided the decision-making process.

Effectiveness of the Change:

Following the implementation of the new hand hygiene procedure, the effectiveness of the change was evaluated over a specified period. The nursing staff observed improved hand hygiene compliance through direct observations, conducted regular audits, and tracked the rates of HAIs. Additionally, patient outcomes were closely monitored to assess the impact of the change on reducing HAIs.

Rationale for the Change:

The rationale behind changing the hand hygiene procedure was based on the overwhelming evidence indicating a strong correlation between hand hygiene compliance and reduced rates of HAIs. By implementing evidence-based practices, the nursing staff aimed to enhance patient safety, prevent nosocomial infections, and improve overall healthcare outcomes.


The decision-making process for changing a procedure or practice in a nursing setting involves several essential steps, including recognizing the need for change, gathering evidence, assessing feasibility, and engaging in collaborative decision-making. Evidence considered during the decision-making process includes research studies, clinical practice guidelines, and local data. The effectiveness of the change can be evaluated by monitoring compliance, conducting audits, and tracking patient outcomes. By implementing evidence-based changes, nursing professionals strive to enhance patient safety and optimize healthcare outcomes.


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