Nurses, including those with additional education and training as professional development specialists, face challenges to implementing evidenced-based practice changes effectively and efficiently. Nurse bedside performance can drift away from evidence-based practice (EBP) and revert to methods previously taught when the strategy, planning and implementation lacks resources to support sustainable change. While knowledge and skills attainment are important, they do not ensure the successful transition in practice change at the point of care. An intervention has been developed that integrates several evidence-based implementation concepts and frameworks into a single framework named the Identify and DRIVE framework. Additionally, the Identify and DRIVE framework has been augmented with the development of specific tools to guide and support the essential elements required when planning for education and implementation of EBP change at the bedside. The Identify and DRIVE framework and tools have effectively identified and addressed gaps that previously led to struggling initiative implementations and threatened performance improvement success and sustainability. The formative and summative evaluations indicate successful user acceptance and affirm applicability to successful implementation of changes in professional practice.
","abstract_html":"<p>Nurses, including those with additional education and training as professional development specialists, face challenges to implementing evidenced-based practice changes effectively and efficiently. Nurse bedside performance can drift away from evidence-based practice (EBP) and revert to methods previously taught when the strategy, planning and implementation lacks resources to support sustainable change. While knowledge and skills attainment are important, they do not ensure the successful transition in practice change at the point of care. An intervention has been developed that integrates several evidence-based implementation concepts and frameworks into a single framework named the Identify and DRIVE framework. Additionally, the Identify and DRIVE framework has been augmented with the development of specific tools to guide and support the essential elements required when planning for education and implementation of EBP change at the bedside. The Identify and DRIVE framework and tools have effectively identified and addressed gaps that previously led to struggling initiative implementations and threatened performance improvement success and sustainability. The formative and summative evaluations indicate successful user acceptance and affirm applicability to successful implementation of changes in professional practice. </p>","abstract_has_math":false,"creators":["Paulo, Michele"],"institution":null,"degree_name":"Doctor of Nursing Practice (DNP)","degree_level":"Project","degree_discipline":"Nursing","degree_department":null,"school":null,"contributors":["Leanne Hunstock, DNP, RN, MEd, MBA, NEA-BC, CPHQ","Marjorie Barter, EdD, RN, CNL, CENP"],"advisors":[],"committee_chairs":[],"committee_members":[],"year":2017,"date_issued":"2017-08-03T07:00:00Z","date_published":"2017-08-03T07:00:00Z","updated_at":"2026-07-24T05:44:00Z","subjects":["behavior","knowledge","change","readiness assessment","education","successful implementation","Educational Methods","Other Social and Behavioral Sciences"],"languages":[],"rights":[],"rights_urls":[],"identifier_entries":[]},"links":{"outbound_url":"https://repository.usfca.edu/dnp/95","outbound_label":"Repository record","outbound_source":"dc:identifier"},"metadata_groups":[{"id":"people","label":"People","entries":[{"key":"dc:contributor","label":"Contributor","values":["Leanne Hunstock, DNP, RN, MEd, MBA, NEA-BC, CPHQ","Marjorie Barter, EdD, RN, CNL, CENP"]},{"key":"dc:creator","label":"Author","values":["Paulo, Michele"]}]},{"id":"academic_context","label":"Academic Context","entries":[{"key":"dc:date.available","label":"Dc Date Available","values":["2017-07-28T07:00:00Z"]},{"key":"thesis:degree_discipline","label":"Discipline","values":["Nursing"]},{"key":"thesis:degree_level","label":"Degree Level","values":["Project"]},{"key":"thesis:degree_name","label":"Degree Name","values":["Doctor of Nursing Practice (DNP)"]}]},{"id":"subjects_keywords","label":"Subjects and Keywords","entries":[{"key":"dc:subject","label":"Dc Subject","values":["behavior","knowledge","change","readiness assessment","education","successful implementation","Educational Methods","Other Social and Behavioral Sciences"]}]},{"id":"identifiers","label":"Identifiers","entries":[{"key":"dc:identifier","label":"Identifier","values":["https://repository.usfca.edu/dnp/95"]}]},{"id":"additional","label":"Additional Metadata","entries":[{"key":"dc:description.abstract","label":"Abstract","values":["Nurses, including those with additional education and training as professional development specialists, face challenges to implementing evidenced-based practice changes effectively and efficiently. Nurse bedside performance can drift away from evidence-based practice (EBP) and revert to methods previously taught when the strategy, planning and implementation lacks resources to support sustainable change. While knowledge and skills attainment are important, they do not ensure the successful transition in practice change at the point of care. An intervention has been developed that integrates several evidence-based implementation concepts and frameworks into a single framework named the Identify and DRIVE framework. Additionally, the Identify and DRIVE framework has been augmented with the development of specific tools to guide and support the essential elements required when planning for education and implementation of EBP change at the bedside. The Identify and DRIVE framework and tools have effectively identified and addressed gaps that previously led to struggling initiative implementations and threatened performance improvement success and sustainability. The formative and summative evaluations indicate successful user acceptance and affirm applicability to successful implementation of changes in professional practice.
"]},{"key":"dc:title","label":"Title","values":["Implementing for Success and Sustainability"]}]}],"canonical_facts":{"dc:contributor":["Leanne Hunstock, DNP, RN, MEd, MBA, NEA-BC, CPHQ","Marjorie Barter, EdD, RN, CNL, CENP"],"dc:creator":["Paulo, Michele"],"dc:date.available":["2017-07-28T07:00:00Z"],"dc:description.abstract":["Nurses, including those with additional education and training as professional development specialists, face challenges to implementing evidenced-based practice changes effectively and efficiently. Nurse bedside performance can drift away from evidence-based practice (EBP) and revert to methods previously taught when the strategy, planning and implementation lacks resources to support sustainable change. While knowledge and skills attainment are important, they do not ensure the successful transition in practice change at the point of care. An intervention has been developed that integrates several evidence-based implementation concepts and frameworks into a single framework named the Identify and DRIVE framework. Additionally, the Identify and DRIVE framework has been augmented with the development of specific tools to guide and support the essential elements required when planning for education and implementation of EBP change at the bedside. The Identify and DRIVE framework and tools have effectively identified and addressed gaps that previously led to struggling initiative implementations and threatened performance improvement success and sustainability. The formative and summative evaluations indicate successful user acceptance and affirm applicability to successful implementation of changes in professional practice.
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