NUR 530 - Systems Leadership and Collaborative Practices

Agile Implementation describes the underlying theories and frameworks that explain health delivery systems and lays out the 8 steps of the Agile Implementation Model founded by Malaz Boustani, MD, MPH and Jose Azar, MD. In today's complex healthcare environment, implementing evidence-based care into real-world practices is difficult and time consuming. Even methods that are known to be effective allow for limited flexibility and therefore fail as often as they succeed. Through much study and experimentation, Malaz Boustani, MD, MPH, Jose Azar, MD, and Craig A. Solid, PhD have come to understand how individuals' interactions within the complex social systems of hospitals, clinics, and other care delivery organizations shape the decisions and behaviors of those involved. Upon this foundation and through leveraging theories of behavioral economics, we have developed the Agile Implementation Model, a process for selecting, adapting, implementing, evaluating, sustaining, and scaling evidence-based healthcare interventions. This model acknowledges the uniqueness of each individual facility and considers individuals within the system to be semiautonomous but interconnected. In tandem with illustrative examples, Agile Implementation describes the underlying theories and frameworks that explain health delivery systems and lays out the 8 steps of the Agile Implementation Model. Upon completing Agile Implementation, readers have a better understanding of why certain quality initiatives succeed while others fail and have tangible, actionable tools for implementing effective and sustainable change in the healthcare setting.

This straightforward guide to evidence-based practice helps you to develop the knowledge and skills necessary to challenge practice that is not underpinned by research and to increase your understanding of the processes involved in accessing, appraising, and synthesizing good quality research. Providing a basic introduction to both quantitative and qualitative research, Debra Evans explores how to find out "what works best", the impact of something, and what requires more research. Readers will also learn the basic rules used in study design and statistics presented in research articles and systematic reviews. Each simply written chapter includes relevant theory, diagrams and tables, case studies, exercises, boxed summaries, and further reading. Packed with examples from practice across the nursing fields and at different levels, this book is essential for nurses - both student and qualified - who want to increase their confidence when it comes to research appraisal and evidence-based practice processes.

NewYork-Presbyterian Hospital, one of the nation's most comprehensive academic healthcare delivery systems, uses the evidence-based practice PEACE model to prepare all its nurses and position them as essential to improving patient and family-centered care. Not surprisingly, the health- care network has continuously delivered high quality care and improved patient outcomes. Now, nurses everywhere can replicate this highly successful model. In The PEACE Model Evidence-Based Practice Guide for Clinical Nurses, authors Reynaldo R. Rivera and Joyce J. Fitzpatrick provide a road map to model implementation. Readers will learn to formulate and address clinical questions and disseminate findings, ultimately helping nurses integrate evidence at the bedside and through quality research.